Prevalence of metabolic syndrome among HIV-infected patients in Ghana: A cross-sectional study
Identifieur interne : 000160 ( Main/Exploration ); précédent : 000159; suivant : 000161Prevalence of metabolic syndrome among HIV-infected patients in Ghana: A cross-sectional study
Auteurs : Christian Obirikorang [Ghana] ; Lawrence Quaye [Ghana] ; James Osei-Yeboah [Ghana] ; Enoch Anto Odame [Ghana] ; Isaac Asare [Ghana]Source :
- Nigerian Medical Journal : Journal of the Nigeria Medical Association [ 0300-1652 ] ; 2016.
Abstract
Prevalence of metabolic syndrome (MetS) in HIV-infected patients is very limited in the Ghanaian setting and may vary across the globe by the different study populations and criteria used.
We investigated the prevalence of MetS among HIV-infected patients receiving highly active antiretroviral therapy (HAART) at the St. Dominic Hospital, Akwatia, Ghana.
This cross-sectional study recruited 433 HIV-infected patients (294 on HAART and 139 HAART-naïve) from the period of February 2013 to December 2013. Information on the demographic, clinical, anthropometric characteristics were obtained and lipid profile for each patient was assessed. MetS was assessed based on the National Cholesterol Education Program (NCEP) Adult Treatment Panel III (ATP III), World Health Organization (WHO) and International Diabetes Federation (IDF) criteria.
The prevalence of MetS was 24.5% according to WHO criteria, 48.3% by NCEP-ATP III criteria, and 42.3% by IDF criteria. In general, participants on HAART were significantly associated with higher prevalence of MetS compared to those without HAART (
HAART recipient developed MetS as indicated by dyslipidemia, high blood pressure, and abnormal body fat. It is incumbent on health giver to incorporate MetS assessment as a part of treatment and management plan in patients receiving HAART.
Url:
DOI: 10.4103/0300-1652.182082
PubMed: 27226681
PubMed Central: 4872497
Affiliations:
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sort="Obirikorang, Christian" uniqKey="Obirikorang C" first="Christian" last="Obirikorang">Christian Obirikorang</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Molecular Medicine, School of Medical Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Molecular Medicine, School of Medical Science, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Quaye, Lawrence" sort="Quaye, Lawrence" uniqKey="Quaye L" first="Lawrence" last="Quaye">Lawrence Quaye</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Biomedical Laboratory Sciences, School of Medicine and Health Sciences, University of Development Studies, Tamale, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Biomedical Laboratory Sciences, School of Medicine and Health Sciences, University of Development Studies, Tamale</wicri:regionArea><wicri:noRegion>Tamale</wicri:noRegion></affiliation></author><author><name sortKey="Osei Yeboah, James" sort="Osei Yeboah, James" uniqKey="Osei Yeboah J" first="James" last="Osei-Yeboah">James Osei-Yeboah</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Medical Laboratory Sciences, School of Allied Health Sciences, University of Health and Allied Sciences, Ho, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Medical Laboratory Sciences, School of Allied Health Sciences, University of Health and Allied Sciences, Ho</wicri:regionArea><wicri:noRegion>Ho</wicri:noRegion></affiliation></author><author><name sortKey="Odame, Enoch Anto" sort="Odame, Enoch Anto" uniqKey="Odame E" first="Enoch Anto" last="Odame">Enoch Anto Odame</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Molecular Medicine, School of Medical Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Molecular Medicine, School of Medical Science, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Asare, Isaac" sort="Asare, Isaac" uniqKey="Asare I" first="Isaac" last="Asare">Isaac Asare</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Medical Laboratory Technology, Faculty of Allied Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Medical Laboratory Technology, Faculty of Allied Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author></analytic><series><title level="j">Nigerian Medical Journal : Journal of the Nigeria Medical Association</title><idno type="ISSN">0300-1652</idno><idno type="eISSN">2229-774X</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background:</title><p>Prevalence of metabolic syndrome (MetS) in HIV-infected patients is very limited in the Ghanaian setting and may vary across the globe by the different study populations and criteria used.</p></sec><sec id="st2"><title>Aim:</title><p>We investigated the prevalence of MetS among HIV-infected patients receiving highly active antiretroviral therapy (HAART) at the St. Dominic Hospital, Akwatia, Ghana.</p></sec><sec id="st3"><title>Patients and Methods:</title><p>This cross-sectional study recruited 433 HIV-infected patients (294 on HAART and 139 HAART-naïve) from the period of February 2013 to December 2013. Information on the demographic, clinical, anthropometric characteristics were obtained and lipid profile for each patient was assessed. MetS was assessed based on the National Cholesterol Education Program (NCEP) Adult Treatment Panel III (ATP III), World Health Organization (WHO) and International Diabetes Federation (IDF) criteria.</p></sec><sec id="st4"><title>Results:</title><p>The prevalence of MetS was 24.5% according to WHO criteria, 48.3% by NCEP-ATP III criteria, and 42.3% by IDF criteria. In general, participants on HAART were significantly associated with higher prevalence of MetS compared to those without HAART (<italic>P</italic> < 0.05) irrespective of the criteria used. Prevalence of clustering components of MetS was significantly higher among those on HAART when risk scores of 2 and above were used compared with those not on HAART (<italic>P</italic> < 0.05).</p></sec><sec id="st5"><title>Conclusion:</title><p>HAART recipient developed MetS as indicated by dyslipidemia, high blood pressure, and abnormal body fat. 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Bonfanti</name></author><author><name sortKey="Ricci, E" uniqKey="Ricci E">E Ricci</name></author><author><name sortKey="De Socio, G" uniqKey="De Socio G">G de Socio</name></author><author><name sortKey="Zeme, D" uniqKey="Zeme D">D Zeme</name></author><author><name sortKey="Carradori, S" uniqKey="Carradori S">S Carradori</name></author><author><name sortKey="Penco, G" uniqKey="Penco G">G Penco</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jacobson, Dl" uniqKey="Jacobson D">DL Jacobson</name></author><author><name sortKey="Tang, Am" uniqKey="Tang A">AM Tang</name></author><author><name sortKey="Spiegelman, D" uniqKey="Spiegelman D">D Spiegelman</name></author><author><name sortKey="Thomas, Am" uniqKey="Thomas A">AM Thomas</name></author><author><name sortKey="Skinner, S" uniqKey="Skinner S">S Skinner</name></author><author><name sortKey="Gorbach, Sl" uniqKey="Gorbach S">SL Gorbach</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Ghana</li></country></list><tree><country name="Ghana"><noRegion><name sortKey="Obirikorang, Christian" sort="Obirikorang, Christian" uniqKey="Obirikorang C" first="Christian" last="Obirikorang">Christian Obirikorang</name></noRegion><name sortKey="Asare, Isaac" sort="Asare, Isaac" uniqKey="Asare I" first="Isaac" last="Asare">Isaac Asare</name><name sortKey="Odame, Enoch Anto" sort="Odame, Enoch Anto" uniqKey="Odame E" first="Enoch Anto" last="Odame">Enoch Anto Odame</name><name sortKey="Osei Yeboah, James" sort="Osei Yeboah, James" uniqKey="Osei Yeboah J" first="James" last="Osei-Yeboah">James Osei-Yeboah</name><name sortKey="Quaye, Lawrence" sort="Quaye, Lawrence" uniqKey="Quaye L" first="Lawrence" last="Quaye">Lawrence Quaye</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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