Association between obesity and combination antiretroviral therapy (cART) adherence among persons with early-stage HIV infection initiating cART
Background Obesity is common among people living with HIV (PLWH) and early-stage infection, yet associations with combination antiretroviral (cART) adherence are unclear. Methods Among PLWH initiating cART in Uganda and South Africa, body mass index (BMI) was assessed at cART initiation, and cART ad...
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| Veröffentlicht in: | International Journal of Obesity 2021-08, Vol.45 (8), p.1855-1859 |
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| container_title | International Journal of Obesity |
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| creator | Musinguzi, Nicholas Stanford, Fatima Cody Boatin, Adeline A. Orrell, Catherine Asiimwe, Stephen Siedner, Mark Haberer, Jessica E. |
| description | Background
Obesity is common among people living with HIV (PLWH) and early-stage infection, yet associations with combination antiretroviral (cART) adherence are unclear.
Methods
Among PLWH initiating cART in Uganda and South Africa, body mass index (BMI) was assessed at cART initiation, and cART adherence was monitored in real-time over 12 months. The association of obesity (BMI ≥ 30 kg/m
2
) with adherence was assessed among nonpregnant participants with CD4 > 350 cells/mm
3
using fractional regression modeling.
Results
Among 322 participants, median age was 32 years, 70% were female, and 54% were from Uganda. Prevalence of obesity was 12% in Uganda and 28% in South Africa. Mean overall cART adherence was 83% in Uganda and 66% in South Africa. Participants with obesity had higher adherence than those without obesity: +3.6% (
p
= 0.44) in Uganda and +11.4% (
p
= 0.02) in South Africa.
Conclusion
Obesity at cART initiation was common and associated with higher adherence, although only significantly in South Africa. |
| doi_str_mv | 10.1038/s41366-021-00837-y |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8316269</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A669615443</galeid><sourcerecordid>A669615443</sourcerecordid><originalsourceid>FETCH-LOGICAL-c523t-bf0515481f925abf8ab41220ae63161bcd25caff20216562ca749be42460bbd33</originalsourceid><addsrcrecordid>eNp9UlFr1TAYLaK46_QP-CABQfShM0mbtH0RLkPdYCDI9DUk6dc2o02uSe5G_4U_2XSd2y6I5KGk3zkn3zmcLHtN8AnBRf0xlKTgPMeU5BjXRZXPT7INKSues7KpnmYbXOAqx4yzo-xFCFcYY8YwfZ4dFSXGFSZkk_3ehuC0kdE4ixTEGwCLnIJg4oykbZF2kzJ2nUsbjYfo3bXxckRxAC93M3qvt98vPyDZpjtYDUhOzvZoBz44G9CNiQMC6cc5D1H2gM7OfyJjO9C3osaauLyfGIvOy-xZJ8cAr-6-x9mPL58vT8_yi29fz0-3F7lmtIi56jAjrKxJ11AmVVdLVRJKsQReEE6UbinTsutoSoczTrWsykZBSUuOlWqL4jj7tOru9mqCVoONyZPYeTNJPwsnjTicWDOI3l2LOulT3iSBt3cC3v3aQ4jiyu29TTsLytJmDccVeUD1cgSRXLskpicTtNhy3vDkoVyWOfkHKp0WJqOdhc6k_weEd48IA8gxDsGN-yXRcAikK1B7F4KH7t4hwWJpkVhbJFJO4rZFYk6kN4-zuaf8rU0CFCsgpJHtwT94_4_sHxHu1F8</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2554896071</pqid></control><display><type>article</type><title>Association between obesity and combination antiretroviral therapy (cART) adherence among persons with early-stage HIV infection initiating cART</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><source>Nature Journals Online</source><creator>Musinguzi, Nicholas ; Stanford, Fatima Cody ; Boatin, Adeline A. ; Orrell, Catherine ; Asiimwe, Stephen ; Siedner, Mark ; Haberer, Jessica E.</creator><creatorcontrib>Musinguzi, Nicholas ; Stanford, Fatima Cody ; Boatin, Adeline A. ; Orrell, Catherine ; Asiimwe, Stephen ; Siedner, Mark ; Haberer, Jessica E. ; META team ; on behalf of the META team</creatorcontrib><description>Background
Obesity is common among people living with HIV (PLWH) and early-stage infection, yet associations with combination antiretroviral (cART) adherence are unclear.
Methods
Among PLWH initiating cART in Uganda and South Africa, body mass index (BMI) was assessed at cART initiation, and cART adherence was monitored in real-time over 12 months. The association of obesity (BMI ≥ 30 kg/m
2
) with adherence was assessed among nonpregnant participants with CD4 > 350 cells/mm
3
using fractional regression modeling.
Results
Among 322 participants, median age was 32 years, 70% were female, and 54% were from Uganda. Prevalence of obesity was 12% in Uganda and 28% in South Africa. Mean overall cART adherence was 83% in Uganda and 66% in South Africa. Participants with obesity had higher adherence than those without obesity: +3.6% (
p
= 0.44) in Uganda and +11.4% (
p
= 0.02) in South Africa.
Conclusion
Obesity at cART initiation was common and associated with higher adherence, although only significantly in South Africa.</description><identifier>ISSN: 0307-0565</identifier><identifier>EISSN: 1476-5497</identifier><identifier>DOI: 10.1038/s41366-021-00837-y</identifier><identifier>PMID: 34007011</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/443/319 ; 692/308/174 ; Adult ; Anti-Retroviral Agents - therapeutic use ; Antiretroviral agents ; Antiretroviral drugs ; Antiretroviral therapy ; Antiretroviral Therapy, Highly Active ; Antiviral agents ; Body mass index ; Body size ; Brief Communication ; CD4 antigen ; Complications and side effects ; Drug therapy ; Epidemiology ; Female ; Health Promotion and Disease Prevention ; HIV ; HIV infection ; HIV Infections - complications ; HIV Infections - drug therapy ; HIV Infections - epidemiology ; Human immunodeficiency virus ; Humans ; Internal Medicine ; Male ; Medication Adherence - statistics & numerical data ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Obesity ; Obesity - complications ; Obesity - epidemiology ; Patient compliance ; Public Health ; Risk factors ; South Africa - epidemiology ; Statistics ; Uganda - epidemiology</subject><ispartof>International Journal of Obesity, 2021-08, Vol.45 (8), p.1855-1859</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Limited 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Nature Limited.</rights><rights>COPYRIGHT 2021 Nature Publishing Group</rights><rights>The Author(s), under exclusive licence to Springer Nature Limited 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c523t-bf0515481f925abf8ab41220ae63161bcd25caff20216562ca749be42460bbd33</cites><orcidid>0000-0003-4616-533X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41366-021-00837-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41366-021-00837-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27915,27916,41479,42548,51310</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34007011$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Musinguzi, Nicholas</creatorcontrib><creatorcontrib>Stanford, Fatima Cody</creatorcontrib><creatorcontrib>Boatin, Adeline A.</creatorcontrib><creatorcontrib>Orrell, Catherine</creatorcontrib><creatorcontrib>Asiimwe, Stephen</creatorcontrib><creatorcontrib>Siedner, Mark</creatorcontrib><creatorcontrib>Haberer, Jessica E.</creatorcontrib><creatorcontrib>META team</creatorcontrib><creatorcontrib>on behalf of the META team</creatorcontrib><title>Association between obesity and combination antiretroviral therapy (cART) adherence among persons with early-stage HIV infection initiating cART</title><title>International Journal of Obesity</title><addtitle>Int J Obes</addtitle><addtitle>Int J Obes (Lond)</addtitle><description>Background
Obesity is common among people living with HIV (PLWH) and early-stage infection, yet associations with combination antiretroviral (cART) adherence are unclear.
Methods
Among PLWH initiating cART in Uganda and South Africa, body mass index (BMI) was assessed at cART initiation, and cART adherence was monitored in real-time over 12 months. The association of obesity (BMI ≥ 30 kg/m
2
) with adherence was assessed among nonpregnant participants with CD4 > 350 cells/mm
3
using fractional regression modeling.
Results
Among 322 participants, median age was 32 years, 70% were female, and 54% were from Uganda. Prevalence of obesity was 12% in Uganda and 28% in South Africa. Mean overall cART adherence was 83% in Uganda and 66% in South Africa. Participants with obesity had higher adherence than those without obesity: +3.6% (
p
= 0.44) in Uganda and +11.4% (
p
= 0.02) in South Africa.
Conclusion
Obesity at cART initiation was common and associated with higher adherence, although only significantly in South Africa.</description><subject>631/443/319</subject><subject>692/308/174</subject><subject>Adult</subject><subject>Anti-Retroviral Agents - therapeutic use</subject><subject>Antiretroviral agents</subject><subject>Antiretroviral drugs</subject><subject>Antiretroviral therapy</subject><subject>Antiretroviral Therapy, Highly Active</subject><subject>Antiviral agents</subject><subject>Body mass index</subject><subject>Body size</subject><subject>Brief Communication</subject><subject>CD4 antigen</subject><subject>Complications and side effects</subject><subject>Drug therapy</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health Promotion and Disease Prevention</subject><subject>HIV</subject><subject>HIV infection</subject><subject>HIV Infections - complications</subject><subject>HIV Infections - drug therapy</subject><subject>HIV Infections - epidemiology</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medication Adherence - statistics & numerical data</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Obesity</subject><subject>Obesity - complications</subject><subject>Obesity - epidemiology</subject><subject>Patient compliance</subject><subject>Public Health</subject><subject>Risk factors</subject><subject>South Africa - epidemiology</subject><subject>Statistics</subject><subject>Uganda - epidemiology</subject><issn>0307-0565</issn><issn>1476-5497</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9UlFr1TAYLaK46_QP-CABQfShM0mbtH0RLkPdYCDI9DUk6dc2o02uSe5G_4U_2XSd2y6I5KGk3zkn3zmcLHtN8AnBRf0xlKTgPMeU5BjXRZXPT7INKSues7KpnmYbXOAqx4yzo-xFCFcYY8YwfZ4dFSXGFSZkk_3ehuC0kdE4ixTEGwCLnIJg4oykbZF2kzJ2nUsbjYfo3bXxckRxAC93M3qvt98vPyDZpjtYDUhOzvZoBz44G9CNiQMC6cc5D1H2gM7OfyJjO9C3osaauLyfGIvOy-xZJ8cAr-6-x9mPL58vT8_yi29fz0-3F7lmtIi56jAjrKxJ11AmVVdLVRJKsQReEE6UbinTsutoSoczTrWsykZBSUuOlWqL4jj7tOru9mqCVoONyZPYeTNJPwsnjTicWDOI3l2LOulT3iSBt3cC3v3aQ4jiyu29TTsLytJmDccVeUD1cgSRXLskpicTtNhy3vDkoVyWOfkHKp0WJqOdhc6k_weEd48IA8gxDsGN-yXRcAikK1B7F4KH7t4hwWJpkVhbJFJO4rZFYk6kN4-zuaf8rU0CFCsgpJHtwT94_4_sHxHu1F8</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Musinguzi, Nicholas</creator><creator>Stanford, Fatima Cody</creator><creator>Boatin, Adeline A.</creator><creator>Orrell, Catherine</creator><creator>Asiimwe, Stephen</creator><creator>Siedner, Mark</creator><creator>Haberer, Jessica E.</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T2</scope><scope>7TK</scope><scope>7TS</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4616-533X</orcidid></search><sort><creationdate>20210801</creationdate><title>Association between obesity and combination antiretroviral therapy (cART) adherence among persons with early-stage HIV infection initiating cART</title><author>Musinguzi, Nicholas ; Stanford, Fatima Cody ; Boatin, Adeline A. ; Orrell, Catherine ; Asiimwe, Stephen ; Siedner, Mark ; Haberer, Jessica E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c523t-bf0515481f925abf8ab41220ae63161bcd25caff20216562ca749be42460bbd33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>631/443/319</topic><topic>692/308/174</topic><topic>Adult</topic><topic>Anti-Retroviral Agents - 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epidemiology</topic><topic>Patient compliance</topic><topic>Public Health</topic><topic>Risk factors</topic><topic>South Africa - epidemiology</topic><topic>Statistics</topic><topic>Uganda - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Musinguzi, Nicholas</creatorcontrib><creatorcontrib>Stanford, Fatima Cody</creatorcontrib><creatorcontrib>Boatin, Adeline A.</creatorcontrib><creatorcontrib>Orrell, Catherine</creatorcontrib><creatorcontrib>Asiimwe, Stephen</creatorcontrib><creatorcontrib>Siedner, Mark</creatorcontrib><creatorcontrib>Haberer, Jessica E.</creatorcontrib><creatorcontrib>META team</creatorcontrib><creatorcontrib>on behalf of the META team</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection (ProQuest)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International Journal of Obesity</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Musinguzi, Nicholas</au><au>Stanford, Fatima Cody</au><au>Boatin, Adeline A.</au><au>Orrell, Catherine</au><au>Asiimwe, Stephen</au><au>Siedner, Mark</au><au>Haberer, Jessica E.</au><aucorp>META team</aucorp><aucorp>on behalf of the META team</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between obesity and combination antiretroviral therapy (cART) adherence among persons with early-stage HIV infection initiating cART</atitle><jtitle>International Journal of Obesity</jtitle><stitle>Int J Obes</stitle><addtitle>Int J Obes (Lond)</addtitle><date>2021-08-01</date><risdate>2021</risdate><volume>45</volume><issue>8</issue><spage>1855</spage><epage>1859</epage><pages>1855-1859</pages><issn>0307-0565</issn><eissn>1476-5497</eissn><abstract>Background
Obesity is common among people living with HIV (PLWH) and early-stage infection, yet associations with combination antiretroviral (cART) adherence are unclear.
Methods
Among PLWH initiating cART in Uganda and South Africa, body mass index (BMI) was assessed at cART initiation, and cART adherence was monitored in real-time over 12 months. The association of obesity (BMI ≥ 30 kg/m
2
) with adherence was assessed among nonpregnant participants with CD4 > 350 cells/mm
3
using fractional regression modeling.
Results
Among 322 participants, median age was 32 years, 70% were female, and 54% were from Uganda. Prevalence of obesity was 12% in Uganda and 28% in South Africa. Mean overall cART adherence was 83% in Uganda and 66% in South Africa. Participants with obesity had higher adherence than those without obesity: +3.6% (
p
= 0.44) in Uganda and +11.4% (
p
= 0.02) in South Africa.
Conclusion
Obesity at cART initiation was common and associated with higher adherence, although only significantly in South Africa.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>34007011</pmid><doi>10.1038/s41366-021-00837-y</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0003-4616-533X</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0307-0565 |
| ispartof | International Journal of Obesity, 2021-08, Vol.45 (8), p.1855-1859 |
| issn | 0307-0565 1476-5497 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8316269 |
| source | MEDLINE; Springer Nature - Complete Springer Journals; Nature Journals Online |
| subjects | 631/443/319 692/308/174 Adult Anti-Retroviral Agents - therapeutic use Antiretroviral agents Antiretroviral drugs Antiretroviral therapy Antiretroviral Therapy, Highly Active Antiviral agents Body mass index Body size Brief Communication CD4 antigen Complications and side effects Drug therapy Epidemiology Female Health Promotion and Disease Prevention HIV HIV infection HIV Infections - complications HIV Infections - drug therapy HIV Infections - epidemiology Human immunodeficiency virus Humans Internal Medicine Male Medication Adherence - statistics & numerical data Medicine Medicine & Public Health Metabolic Diseases Obesity Obesity - complications Obesity - epidemiology Patient compliance Public Health Risk factors South Africa - epidemiology Statistics Uganda - epidemiology |
| title | Association between obesity and combination antiretroviral therapy (cART) adherence among persons with early-stage HIV infection initiating cART |
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