Prevalence and Risk Factors for Overweight and Obesity among HIV-Infected Adults in Dar es Salaam, Tanzania
Identifieur interne : 002B23 ( Ncbi/Checkpoint ); précédent : 002B22; suivant : 002B24Prevalence and Risk Factors for Overweight and Obesity among HIV-Infected Adults in Dar es Salaam, Tanzania
Auteurs : Helen Semu [Tanzanie] ; Rachel M. Zack [États-Unis] ; Enju Liu [États-Unis] ; Ellen Hertzmark [États-Unis] ; Donna Spiegelman [États-Unis] ; Kevin Sztam [États-Unis] ; Claudia Hawkins [États-Unis] ; Guerino Chalamila [Tanzanie] ; Aisa Muya [Tanzanie] ; Hellen Siril [Tanzanie] ; Ramadhani Mwiru [Tanzanie] ; Deo Mtasiwa [Tanzanie] ; Wafaie Fawzi [États-Unis]Source :
- Journal of the International Association of Providers of AIDS Care [ 2325-9574 ] ; 2014.
Abstract
Overweight and obesity are increasingly prevalent among HIV-infected populations. We describe their prevalence and associated risk factors among HIV-infected adults in Dar es Salaam, Tanzania.
A cross-sectional study was conducted to determine the proportion of patients who were overweight or obese at enrollment to care and treatment centres from 2004 to 2011. Multivariate relative risk regression models were fit to identify risk factors.
A total of 53 825 patients were included in the analysis. In all, 16% of women and 8% of men were overweight, while 7% and 2% were obese, respectively. In multivariate analyses, older age, higher CD4 count, higher hemoglobin levels, female sex, and being married were associated with obesity and overweight. World Health Organization HIV disease stage, tuberculosis history, and previous antiretroviral therapy were inversely associated with obesity and overweight.
Overweight and obesity were highly prevalent among HIV-infected patients. Screening for overweight and obesity and focused interventions should be integrated into HIV care.
Url:
DOI: 10.1177/2325957414542574
PubMed: 25146972
PubMed Central: 4481186
Affiliations:
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Zack</name><affiliation wicri:level="2"><nlm:aff id="A2">Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, Harvard School of Public Health, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Liu, Enju" sort="Liu, Enju" uniqKey="Liu E" first="Enju" last="Liu">Enju Liu</name><affiliation wicri:level="2"><nlm:aff id="A3">Department of Nutrition, Harvard School of Public Health, Boston, MA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Nutrition, Harvard School of Public Health, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Hertzmark, Ellen" sort="Hertzmark, Ellen" uniqKey="Hertzmark E" first="Ellen" last="Hertzmark">Ellen Hertzmark</name><affiliation wicri:level="2"><nlm:aff id="A2">Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, Harvard School of Public Health, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="A3">Department of Nutrition, Harvard School of Public Health, Boston, MA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Nutrition, Harvard School of Public Health, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="A4">Department of Biostatistics, Harvard School of Public Health, Boston, MA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Biostatistics, Harvard School of Public Health, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Spiegelman, Donna" sort="Spiegelman, Donna" uniqKey="Spiegelman D" first="Donna" last="Spiegelman">Donna Spiegelman</name><affiliation wicri:level="2"><nlm:aff id="A2">Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, Harvard School of Public Health, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="A3">Department of Nutrition, Harvard School of Public Health, Boston, MA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Nutrition, Harvard School of Public Health, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="A4">Department of Biostatistics, Harvard School of Public Health, Boston, MA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Biostatistics, Harvard School of Public Health, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Sztam, Kevin" sort="Sztam, Kevin" uniqKey="Sztam K" first="Kevin" last="Sztam">Kevin Sztam</name><affiliation wicri:level="2"><nlm:aff id="A5">Clinical Nutritional Service, Division of GI/Nutrition, Children’s Hospital, Boston, MA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Clinical Nutritional Service, Division of GI/Nutrition, Children’s Hospital, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Hawkins, Claudia" sort="Hawkins, Claudia" uniqKey="Hawkins C" first="Claudia" last="Hawkins">Claudia Hawkins</name><affiliation wicri:level="2"><nlm:aff id="A6">Northwestern University, Feinberg School of Medicine, Chicago, IL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Northwestern University, Feinberg School of Medicine, Chicago, IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation></author><author><name sortKey="Chalamila, Guerino" sort="Chalamila, Guerino" uniqKey="Chalamila G" first="Guerino" last="Chalamila">Guerino Chalamila</name><affiliation wicri:level="1"><nlm:aff id="A7">Management and Development for Health, Dar es Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Management and Development for Health, Dar es Salaam</wicri:regionArea><wicri:noRegion>Dar es Salaam</wicri:noRegion></affiliation></author><author><name sortKey="Muya, Aisa" sort="Muya, Aisa" uniqKey="Muya A" first="Aisa" last="Muya">Aisa Muya</name><affiliation wicri:level="1"><nlm:aff id="A7">Management and Development for Health, Dar es Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Management and Development for Health, Dar es Salaam</wicri:regionArea><wicri:noRegion>Dar es Salaam</wicri:noRegion></affiliation></author><author><name sortKey="Siril, Hellen" sort="Siril, Hellen" uniqKey="Siril H" first="Hellen" last="Siril">Hellen Siril</name><affiliation wicri:level="1"><nlm:aff id="A7">Management and Development for Health, Dar es Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Management and Development for Health, Dar es Salaam</wicri:regionArea><wicri:noRegion>Dar es Salaam</wicri:noRegion></affiliation></author><author><name sortKey="Mwiru, Ramadhani" sort="Mwiru, Ramadhani" uniqKey="Mwiru R" first="Ramadhani" last="Mwiru">Ramadhani Mwiru</name><affiliation wicri:level="1"><nlm:aff id="A7">Management and Development for Health, Dar es Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Management and Development for Health, Dar es Salaam</wicri:regionArea><wicri:noRegion>Dar es Salaam</wicri:noRegion></affiliation></author><author><name sortKey="Mtasiwa, Deo" sort="Mtasiwa, Deo" uniqKey="Mtasiwa D" first="Deo" last="Mtasiwa">Deo Mtasiwa</name><affiliation wicri:level="1"><nlm:aff id="A8">Prime Ministers’ Office, Regional Authority and Local Government, Dar es Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Prime Ministers’ Office, Regional Authority and Local Government, Dar es Salaam</wicri:regionArea><wicri:noRegion>Dar es Salaam</wicri:noRegion></affiliation></author><author><name sortKey="Fawzi, Wafaie" sort="Fawzi, Wafaie" uniqKey="Fawzi W" first="Wafaie" last="Fawzi">Wafaie Fawzi</name><affiliation wicri:level="2"><nlm:aff id="A2">Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, Harvard School of Public Health, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="A3">Department of Nutrition, Harvard School of Public Health, Boston, MA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Nutrition, Harvard School of Public Health, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="A9">Department of Global Health and Population, Harvard School of Public Health, Boston, MA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Global Health and Population, Harvard School of Public Health, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author></analytic><series><title level="j">Journal of the International Association of Providers of AIDS Care</title><idno type="ISSN">2325-9574</idno><idno type="eISSN">2325-9582</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">Overweight and obesity are increasingly prevalent among HIV-infected populations. We describe their prevalence and associated risk factors among HIV-infected adults in Dar es Salaam, Tanzania.</p></sec><sec id="S2"><title>Methods</title><p id="P2">A cross-sectional study was conducted to determine the proportion of patients who were overweight or obese at enrollment to care and treatment centres from 2004 to 2011. Multivariate relative risk regression models were fit to identify risk factors.</p></sec><sec id="S3"><title>Results</title><p id="P3">A total of 53 825 patients were included in the analysis. In all, 16% of women and 8% of men were overweight, while 7% and 2% were obese, respectively. In multivariate analyses, older age, higher CD4 count, higher hemoglobin levels, female sex, and being married were associated with obesity and overweight. World Health Organization HIV disease stage, tuberculosis history, and previous antiretroviral therapy were inversely associated with obesity and overweight.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">Overweight and obesity were highly prevalent among HIV-infected patients. Screening for overweight and obesity and focused interventions should be integrated into HIV care.</p></sec></div></front></TEI><affiliations><list><country><li>Tanzanie</li><li>États-Unis</li></country><region><li>Illinois</li><li>Massachusetts</li></region></list><tree><country name="Tanzanie"><noRegion><name sortKey="Semu, Helen" sort="Semu, Helen" uniqKey="Semu H" first="Helen" last="Semu">Helen Semu</name></noRegion><name sortKey="Chalamila, Guerino" sort="Chalamila, Guerino" uniqKey="Chalamila G" first="Guerino" last="Chalamila">Guerino Chalamila</name><name sortKey="Mtasiwa, Deo" sort="Mtasiwa, Deo" uniqKey="Mtasiwa D" first="Deo" last="Mtasiwa">Deo Mtasiwa</name><name sortKey="Muya, Aisa" sort="Muya, Aisa" uniqKey="Muya A" first="Aisa" last="Muya">Aisa Muya</name><name sortKey="Mwiru, Ramadhani" sort="Mwiru, Ramadhani" uniqKey="Mwiru R" first="Ramadhani" last="Mwiru">Ramadhani Mwiru</name><name sortKey="Siril, Hellen" sort="Siril, Hellen" uniqKey="Siril H" first="Hellen" last="Siril">Hellen Siril</name></country><country name="États-Unis"><region name="Massachusetts"><name sortKey="Zack, Rachel M" sort="Zack, Rachel M" uniqKey="Zack R" first="Rachel M." last="Zack">Rachel M. Zack</name></region><name sortKey="Fawzi, Wafaie" sort="Fawzi, Wafaie" uniqKey="Fawzi W" first="Wafaie" last="Fawzi">Wafaie Fawzi</name><name sortKey="Fawzi, Wafaie" sort="Fawzi, Wafaie" uniqKey="Fawzi W" first="Wafaie" last="Fawzi">Wafaie Fawzi</name><name sortKey="Fawzi, Wafaie" sort="Fawzi, Wafaie" uniqKey="Fawzi W" first="Wafaie" last="Fawzi">Wafaie Fawzi</name><name sortKey="Hawkins, Claudia" sort="Hawkins, Claudia" uniqKey="Hawkins C" first="Claudia" last="Hawkins">Claudia Hawkins</name><name sortKey="Hertzmark, Ellen" sort="Hertzmark, Ellen" uniqKey="Hertzmark E" first="Ellen" last="Hertzmark">Ellen Hertzmark</name><name sortKey="Hertzmark, Ellen" sort="Hertzmark, Ellen" uniqKey="Hertzmark E" first="Ellen" last="Hertzmark">Ellen Hertzmark</name><name sortKey="Hertzmark, Ellen" sort="Hertzmark, Ellen" uniqKey="Hertzmark E" first="Ellen" last="Hertzmark">Ellen Hertzmark</name><name sortKey="Liu, Enju" sort="Liu, Enju" uniqKey="Liu E" first="Enju" last="Liu">Enju Liu</name><name sortKey="Spiegelman, Donna" sort="Spiegelman, Donna" uniqKey="Spiegelman D" first="Donna" last="Spiegelman">Donna Spiegelman</name><name sortKey="Spiegelman, Donna" sort="Spiegelman, Donna" uniqKey="Spiegelman D" first="Donna" last="Spiegelman">Donna Spiegelman</name><name sortKey="Spiegelman, Donna" sort="Spiegelman, Donna" uniqKey="Spiegelman D" first="Donna" last="Spiegelman">Donna Spiegelman</name><name sortKey="Sztam, Kevin" sort="Sztam, Kevin" uniqKey="Sztam K" first="Kevin" last="Sztam">Kevin Sztam</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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