Dyslipidaemia and dysglycaemia in HIV-infected patients on highly active anti-retroviral therapy in Kumasi Metropolis
Identifieur interne : 000302 ( Pmc/Curation ); précédent : 000301; suivant : 000303Dyslipidaemia and dysglycaemia in HIV-infected patients on highly active anti-retroviral therapy in Kumasi Metropolis
Auteurs : Ra Ngala ; K. FiankoSource :
- African Health Sciences [ 1680-6905 ] ; 2013.
Abstract
Diet and genetic predisposition significantly affect lipid metabolism in the individual. This metabolic effect is further challenged in patients infected with HIV and on HAART. The prolonged use of HAART is associated with lipodystrophy, dyslipidemia, and insulin resistance.
To determine the prevalence of lipid dysregulation and dysglycaemia in HIV infected patients on HAART in the Kumasi metropolis.
This cross sectional study was conducted between October 2009 and June 2010, and 305 HIV-infected patients consisting of 164 patients on HAART for at least six months and 141 HAART-naive patients constituted HIV-positive patients, not on HAART and whose CD4 were not below 320 cell/ml as the control. Data was analyzed using Graph Pad Prism (version 5.0). Unpaired t-test, linear and multivariate regression analyses, was used to predict glucose level from the various parameters. Anthropometric parameters consisting of body weight, waist and hip circumferences, height, bicep and triceps skin fold were measured with a pair of calipers. Lipid profile and fasting blood glucose were determined by enzymatic methods. CD4 counts and hemoglobin were determined.
Fasting plasma, glucose (3.81±0.08mmol/l, 4.48±0.17mmol/l), total cholesterol (3.05± 0.0 8mmol/l, 4.54±0.08mmol/l) LDL (2.24±0.07mmol/l, 2.87±0.07mmol/l) and HDL (0.85±0.04mmol/l, 0.97±0.03mmol/l) between the control and case respectively were significantly raised (P< 0.001), though within the physiological range. The significantly increased hip and waist circumferences, waist-to-hip ratio (0.85±0.22, 0.88±0.01) of the control and case correlated with lipodystrophy.
HAART was associated with lipodystrohy and, the risk of developing type II diabetes among the HAART experienced group was 5 times higher than the HAART naive group.
Url:
DOI: 10.4314/ahs.v13i4.35
PubMed: 24940339
PubMed Central: 4056472
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Ra Ngala<affiliation><nlm:aff id="A1"> Department of Molecular Medicine, Kwame Nkrumah University of Science &Technology</nlm:aff>
<wicri:noCountry code="subfield">Kwame Nkrumah University of Science &Technology</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A2"> Department of Biochemistry, Ghana Health Service</nlm:aff>
<wicri:noCountry code="subfield">Ghana Health Service</wicri:noCountry>
</affiliation>
Le document en format XML
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<author><name sortKey="Ngala, Ra" sort="Ngala, Ra" uniqKey="Ngala R" first="Ra" last="Ngala">Ra Ngala</name>
<affiliation><nlm:aff id="A1"> Department of Molecular Medicine, Kwame Nkrumah University of Science &Technology</nlm:aff>
<wicri:noCountry code="subfield">Kwame Nkrumah University of Science &Technology</wicri:noCountry>
</affiliation>
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<author><name sortKey="Fianko, K" sort="Fianko, K" uniqKey="Fianko K" first="K" last="Fianko">K. Fianko</name>
<affiliation><nlm:aff id="A2"> Department of Biochemistry, Ghana Health Service</nlm:aff>
<wicri:noCountry code="subfield">Ghana Health Service</wicri:noCountry>
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<author><name sortKey="Ngala, Ra" sort="Ngala, Ra" uniqKey="Ngala R" first="Ra" last="Ngala">Ra Ngala</name>
<affiliation><nlm:aff id="A1"> Department of Molecular Medicine, Kwame Nkrumah University of Science &Technology</nlm:aff>
<wicri:noCountry code="subfield">Kwame Nkrumah University of Science &Technology</wicri:noCountry>
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<author><name sortKey="Fianko, K" sort="Fianko, K" uniqKey="Fianko K" first="K" last="Fianko">K. Fianko</name>
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<wicri:noCountry code="subfield">Ghana Health Service</wicri:noCountry>
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<series><title level="j">African Health Sciences</title>
<idno type="ISSN">1680-6905</idno>
<idno type="eISSN">1729-0503</idno>
<imprint><date when="2013">2013</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Diet and genetic predisposition significantly affect lipid metabolism in the individual. This metabolic effect is further challenged in patients infected with HIV and on HAART. The prolonged use of HAART is associated with lipodystrophy, dyslipidemia, and insulin resistance.</p>
</sec>
<sec><title>Objective</title>
<p>To determine the prevalence of lipid dysregulation and dysglycaemia in HIV infected patients on HAART in the Kumasi metropolis.</p>
</sec>
<sec sec-type="methods"><title>Methods</title>
<p>This cross sectional study was conducted between October 2009 and June 2010, and 305 HIV-infected patients consisting of 164 patients on HAART for at least six months and 141 HAART-naive patients constituted HIV-positive patients, not on HAART and whose CD4 were not below 320 cell/ml as the control. Data was analyzed using Graph Pad Prism (version 5.0). Unpaired t-test, linear and multivariate regression analyses, was used to predict glucose level from the various parameters. Anthropometric parameters consisting of body weight, waist and hip circumferences, height, bicep and triceps skin fold were measured with a pair of calipers. Lipid profile and fasting blood glucose were determined by enzymatic methods. CD4 counts and hemoglobin were determined.</p>
</sec>
<sec sec-type="results"><title>Results</title>
<p>Fasting plasma, glucose (3.81±0.08mmol/l, 4.48±0.17mmol/l), total cholesterol (3.05± 0.0 8mmol/l, 4.54±0.08mmol/l) LDL (2.24±0.07mmol/l, 2.87±0.07mmol/l) and HDL (0.85±0.04mmol/l, 0.97±0.03mmol/l) between the control and case respectively were significantly raised (P< 0.001), though within the physiological range. The significantly increased hip and waist circumferences, waist-to-hip ratio (0.85±0.22, 0.88±0.01) of the control and case correlated with lipodystrophy.</p>
</sec>
<sec sec-type="conclusions"><title>Conclusion</title>
<p>HAART was associated with lipodystrohy and, the risk of developing type II diabetes among the HAART experienced group was 5 times higher than the HAART naive group.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Afr Health Sci</journal-id>
<journal-id journal-id-type="iso-abbrev">Afr Health Sci</journal-id>
<journal-title-group><journal-title>African Health Sciences</journal-title>
</journal-title-group>
<issn pub-type="ppub">1680-6905</issn>
<issn pub-type="epub">1729-0503</issn>
<publisher><publisher-name>Makerere Medical School</publisher-name>
<publisher-loc>Kampala, Uganda</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24940339</article-id>
<article-id pub-id-type="pmc">4056472</article-id>
<article-id pub-id-type="publisher-id">jAFHS.v13.i4.pg1107</article-id>
<article-id pub-id-type="doi">10.4314/ahs.v13i4.35</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Articles</subject>
</subj-group>
</article-categories>
<title-group><article-title>Dyslipidaemia and dysglycaemia in HIV-infected patients on highly active anti-retroviral therapy in Kumasi Metropolis</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Ngala</surname>
<given-names>RA</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fianko</surname>
<given-names>K</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Molecular Medicine, Kwame Nkrumah University of Science &Technology</aff>
<aff id="A2"><label>2</label>
Department of Biochemistry, Ghana Health Service</aff>
<author-notes><corresp>* Corresponding author: Robert Ngala Department of Molecular Medicine Kwame Nkrumah University of Science & Technology Ghana <email>rngala2000@yahoo.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>12</month>
<year>2013</year>
</pub-date>
<volume>13</volume>
<issue>4</issue>
<fpage>1107</fpage>
<lpage>1116</lpage>
<permissions><copyright-statement>Copyright © Makerere Medical School, Uganda 2013</copyright-statement>
<copyright-year>2013</copyright-year>
</permissions>
<abstract abstract-type="executive-summary"><sec><title>Background</title>
<p>Diet and genetic predisposition significantly affect lipid metabolism in the individual. This metabolic effect is further challenged in patients infected with HIV and on HAART. The prolonged use of HAART is associated with lipodystrophy, dyslipidemia, and insulin resistance.</p>
</sec>
<sec><title>Objective</title>
<p>To determine the prevalence of lipid dysregulation and dysglycaemia in HIV infected patients on HAART in the Kumasi metropolis.</p>
</sec>
<sec sec-type="methods"><title>Methods</title>
<p>This cross sectional study was conducted between October 2009 and June 2010, and 305 HIV-infected patients consisting of 164 patients on HAART for at least six months and 141 HAART-naive patients constituted HIV-positive patients, not on HAART and whose CD4 were not below 320 cell/ml as the control. Data was analyzed using Graph Pad Prism (version 5.0). Unpaired t-test, linear and multivariate regression analyses, was used to predict glucose level from the various parameters. Anthropometric parameters consisting of body weight, waist and hip circumferences, height, bicep and triceps skin fold were measured with a pair of calipers. Lipid profile and fasting blood glucose were determined by enzymatic methods. CD4 counts and hemoglobin were determined.</p>
</sec>
<sec sec-type="results"><title>Results</title>
<p>Fasting plasma, glucose (3.81±0.08mmol/l, 4.48±0.17mmol/l), total cholesterol (3.05± 0.0 8mmol/l, 4.54±0.08mmol/l) LDL (2.24±0.07mmol/l, 2.87±0.07mmol/l) and HDL (0.85±0.04mmol/l, 0.97±0.03mmol/l) between the control and case respectively were significantly raised (P< 0.001), though within the physiological range. The significantly increased hip and waist circumferences, waist-to-hip ratio (0.85±0.22, 0.88±0.01) of the control and case correlated with lipodystrophy.</p>
</sec>
<sec sec-type="conclusions"><title>Conclusion</title>
<p>HAART was associated with lipodystrohy and, the risk of developing type II diabetes among the HAART experienced group was 5 times higher than the HAART naive group.</p>
</sec>
</abstract>
<kwd-group><kwd>HIV</kwd>
<kwd>HAART</kwd>
<kwd>non-nucleoside reverse transcriptase inhibitor</kwd>
<kwd>nucleoside reverse transcriptase inhibitor</kwd>
<kwd>Hypertriglyceridemia</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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