Head circumferences of children born to HIV-infected and HIV-uninfected mothers in Zimbabwe during the preantiretroviral therapy era
Identifieur interne : 001007 ( Main/Exploration ); précédent : 001006; suivant : 001008Head circumferences of children born to HIV-infected and HIV-uninfected mothers in Zimbabwe during the preantiretroviral therapy era
Auteurs : Ceri Evans [Zimbabwe, Royaume-Uni] ; Bernard Chasekwa [Zimbabwe] ; Robert Ntozini [Zimbabwe] ; Jean H. Humphrey [Zimbabwe, États-Unis] ; Andrew J. Prendergast [Zimbabwe, Royaume-Uni, États-Unis]Source :
- AIDS (London, England) [ 0269-9370 ] ; 2016.
Abstract
To describe the head growth of children according to maternal and child HIV infection status.
Longitudinal analysis of head circumference data from 13 647 children followed from birth in the ZVITAMBO trial, undertaken in Harare, Zimbabwe, between 1997 and 2001, prior to availability of antiretroviral therapy (ART) or cotrimoxazole prophylaxis.
Head circumference was measured at birth, then at regular intervals through 24 months of age. Mean head circumference-for-age
Children infected with HIV
HIV-infected children had lower head circumferences and more microcephaly than HIV-uninfected children. Timing of HIV acquisition; influenced HCZ, with those infected before birth having particularly poor head growth. HEU children had poorer head growth until 12 months of age. Correlations between head growth and neurodevelopment in the context of maternal/infant HIV infection, and further studies from the current ART era, will help determine the predictive value of routine head circumference measurement.
Url:
DOI: 10.1097/QAD.0000000000001196
PubMed: 27428746
PubMed Central: 5017265
Affiliations:
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Humphrey</name><affiliation wicri:level="1"><nlm:aff id="aff1">Zvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe</nlm:aff><country xml:lang="fr">Zimbabwe</country><wicri:regionArea>Zvitambo Institute for Maternal and Child Health Research, Harare</wicri:regionArea><wicri:noRegion>Harare</wicri:noRegion></affiliation><affiliation wicri:level="2"><nlm:aff id="aff3">Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.</nlm:aff><country xml:lang="fr" wicri:curation="lc">États-Unis</country><wicri:regionArea>Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Prendergast, Andrew J" sort="Prendergast, Andrew J" uniqKey="Prendergast A" first="Andrew J." last="Prendergast">Andrew J. Prendergast</name><affiliation wicri:level="1"><nlm:aff id="aff1">Zvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe</nlm:aff><country xml:lang="fr">Zimbabwe</country><wicri:regionArea>Zvitambo Institute for Maternal and Child Health Research, Harare</wicri:regionArea><wicri:noRegion>Harare</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="aff2">Blizard Institute, Queen Mary University of London, London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Blizard Institute, Queen Mary University of London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region><settlement type="city">Londres</settlement></placeName><orgName type="university">Université de Londres</orgName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff3">Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.</nlm:aff><country xml:lang="fr" wicri:curation="lc">États-Unis</country><wicri:regionArea>Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author></analytic><series><title level="j">AIDS (London, England)</title><idno type="ISSN">0269-9370</idno><idno type="eISSN">1473-5571</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><title>Objectives:</title><p>To describe the head growth of children according to maternal and child HIV infection status.</p></sec><sec><title>Design:</title><p>Longitudinal analysis of head circumference data from 13 647 children followed from birth in the ZVITAMBO trial, undertaken in Harare, Zimbabwe, between 1997 and 2001, prior to availability of antiretroviral therapy (ART) or cotrimoxazole prophylaxis.</p></sec><sec sec-type="methods"><title>Methods:</title><p>Head circumference was measured at birth, then at regular intervals through 24 months of age. Mean head circumference-for-age <italic>Z</italic>-scores (HCZ) and prevalence of microcephaly (HCZ < −2) were compared between HIV-unexposed children, HIV-exposed uninfected (HEU) children and children infected with HIV <italic>in utero</italic> (IU), intrapartum (IP) and postnatally (PN).</p></sec><sec sec-type="results"><title>Results:</title><p>Children infected with HIV <italic>in utero</italic> had head growth restriction at birth. Head circumference <italic>Z</italic>-scores remained low throughout follow-up in IP children, whereas they progressively declined in IU children. During the second year of life, HCZ in the PN group declined, reaching a similar mean as IP-infected children by 21 months of age. Microcephaly was more common among IU and IP children than HIV-uninfected children through 24 months. HEU children had significantly lower head circumferences than HIV-unexposed children through 12 months.</p></sec><sec sec-type="conclusion"><title>Conclusion:</title><p>HIV-infected children had lower head circumferences and more microcephaly than HIV-uninfected children. Timing of HIV acquisition; influenced HCZ, with those infected before birth having particularly poor head growth. HEU children had poorer head growth until 12 months of age. Correlations between head growth and neurodevelopment in the context of maternal/infant HIV infection, and further studies from the current ART era, will help determine the predictive value of routine head circumference measurement.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Marinda, E" uniqKey="Marinda E">E Marinda</name></author><author><name sortKey="Humphrey, Jh" uniqKey="Humphrey J">JH Humphrey</name></author><author><name sortKey="Iliff, Pj" uniqKey="Iliff P">PJ Iliff</name></author><author><name sortKey="Mutasa, K" uniqKey="Mutasa K">K Mutasa</name></author><author><name sortKey="Nathoo, Kj" uniqKey="Nathoo K">KJ Nathoo</name></author><author><name sortKey="Piwoz, Eg" uniqKey="Piwoz E">EG Piwoz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Evans, C" uniqKey="Evans C">C Evans</name></author><author><name sortKey="Jones, Ce" uniqKey="Jones C">CE Jones</name></author><author><name sortKey="Prendergast, Aj" uniqKey="Prendergast A">AJ Prendergast</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Koyanagi, A" uniqKey="Koyanagi A">A Koyanagi</name></author><author><name sortKey="Humphrey, Jh" uniqKey="Humphrey J">JH Humphrey</name></author><author><name sortKey="Ntozini, R" uniqKey="Ntozini R">R Ntozini</name></author><author><name sortKey="Nathoo, K" uniqKey="Nathoo K">K Nathoo</name></author><author><name sortKey="Moulton, Lh" uniqKey="Moulton L">LH Moulton</name></author><author><name sortKey="Iliff, P" uniqKey="Iliff P">P Iliff</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Le Doare, K" uniqKey="Le Doare K">K Le Doaré</name></author><author><name sortKey="Bland, R" uniqKey="Bland R">R Bland</name></author><author><name sortKey="Newell, Ml" uniqKey="Newell M">ML Newell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cheong, Jl" uniqKey="Cheong J">JL Cheong</name></author><author><name sortKey="Hunt, Rw" uniqKey="Hunt R">RW Hunt</name></author><author><name sortKey="Anderson, Pj" uniqKey="Anderson P">PJ Anderson</name></author><author><name sortKey="Howard, K" uniqKey="Howard K">K Howard</name></author><author><name sortKey="Thompson, Dk" uniqKey="Thompson D">DK Thompson</name></author><author><name sortKey="Wang, Hx" uniqKey="Wang H">HX Wang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kandawasvika, Gq" uniqKey="Kandawasvika G">GQ Kandawasvika</name></author><author><name sortKey="Ogundipe, E" uniqKey="Ogundipe E">E Ogundipe</name></author><author><name sortKey="Gumbo, Fz" uniqKey="Gumbo F">FZ Gumbo</name></author><author><name sortKey="Kurewa, En" uniqKey="Kurewa E">EN Kurewa</name></author><author><name sortKey="Mapingure, Mp" uniqKey="Mapingure M">MP Mapingure</name></author><author><name sortKey="Stray Pedersen, B" uniqKey="Stray Pedersen B">B Stray-Pedersen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Epstein, Lg" uniqKey="Epstein L">LG Epstein</name></author><author><name sortKey="Gelbard, Ha" uniqKey="Gelbard H">HA Gelbard</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Humphrey, Jh" uniqKey="Humphrey J">JH Humphrey</name></author><author><name sortKey="Iliff, Pj" uniqKey="Iliff P">PJ Iliff</name></author><author><name sortKey="Marinda, Et" uniqKey="Marinda E">ET Marinda</name></author><author><name sortKey="Mutasa, K" uniqKey="Mutasa K">K Mutasa</name></author><author><name sortKey="Moulton, Lh" uniqKey="Moulton L">LH Moulton</name></author><author><name sortKey="Chidawanyika, H" uniqKey="Chidawanyika H">H Chidawanyika</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Malaba, Lc" uniqKey="Malaba L">LC Malaba</name></author><author><name sortKey="Iliff, Pj" uniqKey="Iliff P">PJ Iliff</name></author><author><name 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Jones</name></author><author><name sortKey="Rukobo, S" uniqKey="Rukobo S">S Rukobo</name></author><author><name sortKey="Chasekwa, B" uniqKey="Chasekwa B">B Chasekwa</name></author><author><name sortKey="Mutasa, K" uniqKey="Mutasa K">K Mutasa</name></author><author><name sortKey="Ntozini, R" uniqKey="Ntozini R">R Ntozini</name></author><author><name sortKey="Mbuya, Mn" uniqKey="Mbuya M">MN Mbuya</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gompels, Ua" uniqKey="Gompels U">UA Gompels</name></author><author><name sortKey="Larke, N" uniqKey="Larke N">N Larke</name></author><author><name sortKey="Sanz Ramos, M" uniqKey="Sanz Ramos M">M Sanz-Ramos</name></author><author><name sortKey="Bates, M" uniqKey="Bates M">M Bates</name></author><author><name sortKey="Musonda, K" uniqKey="Musonda K">K Musonda</name></author><author><name sortKey="Manno, D" uniqKey="Manno D">D Manno</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Royaume-Uni</li><li>Zimbabwe</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Grand Londres</li><li>Maryland</li></region><settlement><li>Londres</li></settlement><orgName><li>Université de Londres</li></orgName></list><tree><country name="Zimbabwe"><noRegion><name sortKey="Evans, Ceri" sort="Evans, Ceri" uniqKey="Evans C" first="Ceri" last="Evans">Ceri Evans</name></noRegion><name sortKey="Chasekwa, Bernard" sort="Chasekwa, Bernard" uniqKey="Chasekwa B" first="Bernard" last="Chasekwa">Bernard Chasekwa</name><name sortKey="Humphrey, Jean H" sort="Humphrey, Jean H" uniqKey="Humphrey J" first="Jean H." last="Humphrey">Jean H. Humphrey</name><name sortKey="Ntozini, Robert" sort="Ntozini, Robert" uniqKey="Ntozini R" first="Robert" last="Ntozini">Robert Ntozini</name><name sortKey="Prendergast, Andrew J" sort="Prendergast, Andrew J" uniqKey="Prendergast A" first="Andrew J." last="Prendergast">Andrew J. Prendergast</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Evans, Ceri" sort="Evans, Ceri" uniqKey="Evans C" first="Ceri" last="Evans">Ceri Evans</name></region><name sortKey="Prendergast, Andrew J" sort="Prendergast, Andrew J" uniqKey="Prendergast A" first="Andrew J." last="Prendergast">Andrew J. Prendergast</name></country><country name="États-Unis"><region name="Maryland"><name sortKey="Humphrey, Jean H" sort="Humphrey, Jean H" uniqKey="Humphrey J" first="Jean H." last="Humphrey">Jean H. Humphrey</name></region><name sortKey="Prendergast, Andrew J" sort="Prendergast, Andrew J" uniqKey="Prendergast A" first="Andrew J." last="Prendergast">Andrew J. 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