Le SIDA en Afrique subsaharienne (serveur d'exploration)

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Six-month gain in weight, height, and CD4 predict subsequent antiretroviral treatment responses in HIV-infected South African children.

Identifieur interne : 000929 ( Ncbi/Merge ); précédent : 000928; suivant : 000930

Six-month gain in weight, height, and CD4 predict subsequent antiretroviral treatment responses in HIV-infected South African children.

Auteurs : Marcel Yotebieng [États-Unis] ; Annelies Van Rie ; Harry Moultrie ; Tammy Meyers

Source :

RBID : pubmed:19940744

Descripteurs français

English descriptors

Abstract

Construct percentile curves for 6-month gain in weight, height, CD4 cell count, and CD4 percentage (CD4%) in children initiating ART, and to assess the association between lower percentiles and subsequent ART responses.

DOI: 10.1097/QAD.0b013e328332d5ca
PubMed: 19940744

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pubmed:19940744

Le document en format XML

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<term>Body Mass Index</term>
<term>Body Weight (drug effects)</term>
<term>CD4 Lymphocyte Count</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Female</term>
<term>HIV Infections (complications)</term>
<term>HIV Infections (drug therapy)</term>
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<term>HIV-1</term>
<term>Humans</term>
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<term>South Africa (epidemiology)</term>
<term>Viral Load</term>
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<term>Adolescent</term>
<term>Charge virale</term>
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<term>Femelle</term>
<term>Humains</term>
<term>Indice de masse corporelle</term>
<term>Infections à VIH ()</term>
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<term>Infections à VIH (traitement médicamenteux)</term>
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<term>Nourrisson</term>
<term>Numération des lymphocytes CD4</term>
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<term>Prise de poids ()</term>
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<term>Body Mass Index</term>
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<front>
<div type="abstract" xml:lang="en">Construct percentile curves for 6-month gain in weight, height, CD4 cell count, and CD4 percentage (CD4%) in children initiating ART, and to assess the association between lower percentiles and subsequent ART responses.</div>
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<Day>02</Day>
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<ArticleTitle>Six-month gain in weight, height, and CD4 predict subsequent antiretroviral treatment responses in HIV-infected South African children.</ArticleTitle>
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<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Construct percentile curves for 6-month gain in weight, height, CD4 cell count, and CD4 percentage (CD4%) in children initiating ART, and to assess the association between lower percentiles and subsequent ART responses.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Cohort of 1394 HIV-infected children initiating ART between April 2004 and March 2008, Johannesburg, South Africa</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The generalized additive model for location, scale, and shape was used to construct percentile curves for 6-month gain in weight, height, CD4 cell count, and CD4%. Cox proportional models were used to assess the association between lower percentiles of each distribution and death, virological suppression, and treatment failure between 6 to 36 months post-ART initiation.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Lower percentiles for gain in weight, CD4, and CD4% count after 6 months of ART, but not height, were associated with poor subsequent treatment outcomes independent of baseline characteristics, with increasing strength of association as percentiles decreased. Age-specific 6-month post-ART weight gain in our cohort was substantially higher compared with 6-month weight gain in non-HIV-infected American children of the Fels Institute cohort and the attained weight-for-age at 6 months post-ART plotted on WHO weight-for-age growth charts were not associated with subsequent treatment outcomes.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Gain in CD4% in the first 6 months of ART was the best predictor of poor subsequent ART outcomes. In areas with limited access to CD4%, weight gain post-ART using our newly developed reference distributions for HIV-infected children on ART is a good alternative to CD4%, and clearly superior to the commonly used 'Road-to-Health' weight-for-age charts.</AbstractText>
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