Effect of HIV Infection on Body Composition and Fat Distribution in Rwandan Women
Identifieur interne : 001A03 ( Pmc/Corpus ); précédent : 001A02; suivant : 001A04Effect 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. KotlerSource :
- Journal of the International Association of Physicians in AIDS Care (Chicago, Ill. : 2002) [ 1545-1097 ] ; 2010.
Abstract
To assess the association of HIV infection with body weight and composition in Rwandan women.
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.
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 (
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
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PMC:4460979Le document en format XML
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<author><name sortKey="Mutimura, Eugene" sort="Mutimura, Eugene" uniqKey="Mutimura E" first="Eugene" last="Mutimura">Eugene Mutimura</name>
<affiliation><nlm:aff id="A1"> Women's Equity in Access to Care &Treatment, Kigali, Rwanda</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Anastos, Kathryn" sort="Anastos, Kathryn" uniqKey="Anastos K" first="Kathryn" last="Anastos">Kathryn Anastos</name>
<affiliation><nlm:aff id="A2"> Kigali Institute, Kigali, Rwanda</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lin, Zheng" sort="Lin, Zheng" uniqKey="Lin Z" first="Zheng" last="Lin">Zheng Lin</name>
<affiliation><nlm:aff id="A3"> Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cohen, Mardge" sort="Cohen, Mardge" uniqKey="Cohen M" first="Mardge" last="Cohen">Mardge Cohen</name>
<affiliation><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>
</affiliation>
</author>
<author><name sortKey="Binagwaho, Agnes" sort="Binagwaho, Agnes" uniqKey="Binagwaho A" first="Agnes" last="Binagwaho">Agnes Binagwaho</name>
<affiliation><nlm:aff id="A5"> Department of Medicine/Stroger (Cook County) Hospital and Rush University, Chicago, IL, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kotler, Donald P" sort="Kotler, Donald P" uniqKey="Kotler D" first="Donald P." last="Kotler">Donald P. Kotler</name>
<affiliation><nlm:aff id="A3"> Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA</nlm:aff>
</affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Effect of HIV Infection on Body Composition and Fat Distribution in Rwandan Women</title>
<author><name sortKey="Mutimura, Eugene" sort="Mutimura, Eugene" uniqKey="Mutimura E" first="Eugene" last="Mutimura">Eugene Mutimura</name>
<affiliation><nlm:aff id="A1"> Women's Equity in Access to Care &Treatment, Kigali, Rwanda</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Anastos, Kathryn" sort="Anastos, Kathryn" uniqKey="Anastos K" first="Kathryn" last="Anastos">Kathryn Anastos</name>
<affiliation><nlm:aff id="A2"> Kigali Institute, Kigali, Rwanda</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lin, Zheng" sort="Lin, Zheng" uniqKey="Lin Z" first="Zheng" last="Lin">Zheng Lin</name>
<affiliation><nlm:aff id="A3"> Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cohen, Mardge" sort="Cohen, Mardge" uniqKey="Cohen M" first="Mardge" last="Cohen">Mardge Cohen</name>
<affiliation><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>
</affiliation>
</author>
<author><name sortKey="Binagwaho, Agnes" sort="Binagwaho, Agnes" uniqKey="Binagwaho A" first="Agnes" last="Binagwaho">Agnes Binagwaho</name>
<affiliation><nlm:aff id="A5"> Department of Medicine/Stroger (Cook County) Hospital and Rush University, Chicago, IL, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kotler, Donald P" sort="Kotler, Donald P" uniqKey="Kotler D" first="Donald P." last="Kotler">Donald P. Kotler</name>
<affiliation><nlm:aff id="A3"> Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Journal of the International Association of Physicians in AIDS Care (Chicago, Ill. : 2002)</title>
<idno type="ISSN">1545-1097</idno>
<idno type="eISSN">1557-0886</idno>
<imprint><date when="2010">2010</date>
</imprint>
</series>
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<profileDesc><textClass></textClass>
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<front><div type="abstract" xml:lang="en"><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>
</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>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">101185740</journal-id>
<journal-id journal-id-type="pubmed-jr-id">30485</journal-id>
<journal-id journal-id-type="nlm-ta">J Int Assoc Physicians AIDS Care (Chic)</journal-id>
<journal-id journal-id-type="iso-abbrev">J Int Assoc Physicians AIDS Care (Chic)</journal-id>
<journal-title-group><journal-title>Journal of the International Association of Physicians in AIDS Care (Chicago, Ill. : 2002)</journal-title>
</journal-title-group>
<issn pub-type="ppub">1545-1097</issn>
<issn pub-type="epub">1557-0886</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">20530472</article-id>
<article-id pub-id-type="pmc">4460979</article-id>
<article-id pub-id-type="doi">10.1177/1545109710366472</article-id>
<article-id pub-id-type="manuscript">NIHMS631387</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Effect of HIV Infection on Body Composition and Fat Distribution in Rwandan Women</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Mutimura</surname>
<given-names>Eugene</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Anastos</surname>
<given-names>Kathryn</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lin</surname>
<given-names>Zheng</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cohen</surname>
<given-names>Mardge</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Binagwaho</surname>
<given-names>Agnes</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kotler</surname>
<given-names>Donald P.</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Women's Equity in Access to Care &Treatment, Kigali, Rwanda</aff>
<aff id="A2"><label>2</label>
Kigali Institute, Kigali, Rwanda</aff>
<aff id="A3"><label>3</label>
Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA</aff>
<aff id="A4"><label>4</label>
Department of Medicine, St Luke's-Roosevelt Hospital Center, College of Physicians and Surgeons, Columbia University, New York, NY, USA</aff>
<aff id="A5"><label>5</label>
Department of Medicine/Stroger (Cook County) Hospital and Rush University, Chicago, IL, USA</aff>
<aff id="A6"><label>6</label>
Ministry of Health, Kigali, Rwanda</aff>
<author-notes><corresp id="CR1"><bold>Corresponding Author:</bold>
Eugene Mutimura, PO Box 5141, Kigali, Rwanda <email>eumuran@yahoo.co.uk</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>4</day>
<month>6</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="ppub"><season>May-Jun</season>
<year>2010</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>09</day>
<month>6</month>
<year>2015</year>
</pub-date>
<volume>9</volume>
<issue>3</issue>
<fpage>173</fpage>
<lpage>178</lpage>
<pmc-comment>elocation-id from pubmed: 10.1177/1545109710366472</pmc-comment>
<permissions><copyright-statement>© The Author(s) 2010</copyright-statement>
<copyright-year>2010</copyright-year>
</permissions>
<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>
<kwd-group><kwd>HIV</kwd>
<kwd>malnutrition</kwd>
<kwd>body composition</kwd>
<kwd>Rwanda</kwd>
<kwd>women</kwd>
<kwd>fat distribution</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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