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Effect of HIV Infection on Body Composition and Fat Distribution in Rwandan Women

Identifieur interne : 001A03 ( Pmc/Corpus ); précédent : 001A02; suivant : 001A04

Effect of HIV Infection on Body Composition and Fat Distribution in Rwandan Women

Auteurs : Eugene Mutimura ; Kathryn Anastos ; Zheng Lin ; Mardge Cohen ; Agnes Binagwaho ; Donald P. Kotler

Source :

RBID : PMC:4460979

Abstract

Objective

To assess the association of HIV infection with body weight and composition in Rwandan women.

Design

Body weight and composition, the latter determined by bioelectrical impedance analysis (BIA) and by anthropometry, were compared in 620 HIV-positive and 211 HIV-negative participants. Associations of HIV with body composition were assessed, and t tests compared the groups.

Results

HIV-positive women were younger (−7.0 years, P < .001) and shorter (− 2.1 cm, P < .001). Mean body weight, body mass index (BMI), total body fat, and waist-to-hip ratio (WHR) were similar. Mean fat-free mass was 2.5% greater in HIV-negative participants, and 19% of HIV-positive group had BMI <18.5 kg/m2 versus 26% of the HIV-negative group (P < .05). CD4 counts and body composition were not associated.

Conclusions

Malnutrition was common in this cohort of Rwandan women. However, HIV infection was not associated with nutritional status. Factors other than malnutrition may influence quality-of-life outcomes in HIV-infected Rwandan women. Initiatives to improve nutritional status should be population-wide and not restricted to the HIV-infected population.


Url:
DOI: 10.1177/1545109710366472
PubMed: 20530472
PubMed Central: 4460979

Links to Exploration step

PMC:4460979

Le document en format XML

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<name sortKey="Lin, Zheng" sort="Lin, Zheng" uniqKey="Lin Z" first="Zheng" last="Lin">Zheng Lin</name>
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<nlm:aff id="A3"> Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA</nlm:aff>
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<name sortKey="Cohen, Mardge" sort="Cohen, Mardge" uniqKey="Cohen M" first="Mardge" last="Cohen">Mardge Cohen</name>
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<nlm:aff id="A4"> Department of Medicine, St Luke's-Roosevelt Hospital Center, College of Physicians and Surgeons, Columbia University, New York, NY, USA</nlm:aff>
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<title>Objective</title>
<p id="P1">To assess the association of HIV infection with body weight and composition in Rwandan women.</p>
</sec>
<sec id="S2">
<title>Design</title>
<p id="P2">Body weight and composition, the latter determined by bioelectrical impedance analysis (BIA) and by anthropometry, were compared in 620 HIV-positive and 211 HIV-negative participants. Associations of HIV with body composition were assessed, and t tests compared the groups.</p>
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<sec id="S3">
<title>Results</title>
<p id="P3">HIV-positive women were younger (−7.0 years, P < .001) and shorter (− 2.1 cm, P < .001). Mean body weight, body mass index (BMI), total body fat, and waist-to-hip ratio (WHR) were similar. Mean fat-free mass was 2.5% greater in HIV-negative participants, and 19% of HIV-positive group had BMI <18.5 kg/m
<sup>2</sup>
versus 26% of the HIV-negative group (
<italic>P</italic>
< .05). CD4 counts and body composition were not associated.</p>
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<sec id="S4">
<title>Conclusions</title>
<p id="P4">Malnutrition was common in this cohort of Rwandan women. However, HIV infection was not associated with nutritional status. Factors other than malnutrition may influence quality-of-life outcomes in HIV-infected Rwandan women. Initiatives to improve nutritional status should be population-wide and not restricted to the HIV-infected population.</p>
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Women's Equity in Access to Care &Treatment, Kigali, Rwanda</aff>
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Kigali Institute, Kigali, Rwanda</aff>
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Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA</aff>
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Department of Medicine, St Luke's-Roosevelt Hospital Center, College of Physicians and Surgeons, Columbia University, New York, NY, USA</aff>
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Department of Medicine/Stroger (Cook County) Hospital and Rush University, Chicago, IL, USA</aff>
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Ministry of Health, Kigali, Rwanda</aff>
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<bold>Corresponding Author:</bold>
Eugene Mutimura, PO Box 5141, Kigali, Rwanda
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<copyright-statement>© The Author(s) 2010</copyright-statement>
<copyright-year>2010</copyright-year>
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<abstract>
<sec id="S1">
<title>Objective</title>
<p id="P1">To assess the association of HIV infection with body weight and composition in Rwandan women.</p>
</sec>
<sec id="S2">
<title>Design</title>
<p id="P2">Body weight and composition, the latter determined by bioelectrical impedance analysis (BIA) and by anthropometry, were compared in 620 HIV-positive and 211 HIV-negative participants. Associations of HIV with body composition were assessed, and t tests compared the groups.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">HIV-positive women were younger (−7.0 years, P < .001) and shorter (− 2.1 cm, P < .001). Mean body weight, body mass index (BMI), total body fat, and waist-to-hip ratio (WHR) were similar. Mean fat-free mass was 2.5% greater in HIV-negative participants, and 19% of HIV-positive group had BMI <18.5 kg/m
<sup>2</sup>
versus 26% of the HIV-negative group (
<italic>P</italic>
< .05). CD4 counts and body composition were not associated.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Malnutrition was common in this cohort of Rwandan women. However, HIV infection was not associated with nutritional status. Factors other than malnutrition may influence quality-of-life outcomes in HIV-infected Rwandan women. Initiatives to improve nutritional status should be population-wide and not restricted to the HIV-infected population.</p>
</sec>
</abstract>
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<kwd>fat distribution</kwd>
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