Prevalence and Risk Factors for Overweight and Obesity among HIV-Infected Adults in Dar es Salaam, Tanzania

Helen Semu; Rachel M. Zack; Enju Liu; Ellen Hertzmark; Donna Spiegelman; Kevin Sztam; Claudia Hawkins; Guerino Chalamila; Aisa Muya; Hellen Siril; Ramadhani Mwiru; Deo Mtasiwa; Wafaie Fawzi

doi:10.1177/2325957414542574

Prevalence and Risk Factors for Overweight and Obesity among HIV-Infected Adults in Dar es Salaam, Tanzania

Helen Semu^*, Rachel M. Zack, Enju Liu, Ellen Hertzmark, Donna Spiegelman, Kevin Sztam, Claudia Hawkins, Guerino Chalamila, Aisa Muya, Hellen Siril, Ramadhani Mwiru, Deo Mtasiwa, Wafaie Fawzi

^*Corresponding author for this work

Medicine, Infectious Diseases Division

Research output: Contribution to journal › Article › peer-review

20 Scopus citations

Abstract

Background: 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. Methods: 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. Results: A totalof 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. Conclusion: Overweight and obesity were highly prevalent among HIV-infected patients. Screening for overweight and obesity and focused interventions should be integrated into HIV care.

Original language	English (US)
Pages (from-to)	512-521
Number of pages	10
Journal	Journal of the International Association of Providers of AIDS Care
Volume	15
Issue number	6
DOIs	https://doi.org/10.1177/2325957414542574
State	Published - Nov 1 2016

Keywords

AIDS
ART
HIV
obesity
overweight

ASJC Scopus subject areas

Infectious Diseases
Dermatology
Immunology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1177/2325957414542574

Cite this

Semu, H., Zack, R. M., Liu, E., Hertzmark, E., Spiegelman, D., Sztam, K., Hawkins, C., Chalamila, G., Muya, A., Siril, H., Mwiru, R., Mtasiwa, D., & Fawzi, W. (2016). Prevalence and Risk Factors for Overweight and Obesity among HIV-Infected Adults in Dar es Salaam, Tanzania. Journal of the International Association of Providers of AIDS Care, 15(6), 512-521. https://doi.org/10.1177/2325957414542574

@article{83f4cd4b77714b688e404a0df9fa0c9a,

title = "Prevalence and Risk Factors for Overweight and Obesity among HIV-Infected Adults in Dar es Salaam, Tanzania",

abstract = "Background: 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. Methods: 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. Results: A totalof 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. Conclusion: Overweight and obesity were highly prevalent among HIV-infected patients. Screening for overweight and obesity and focused interventions should be integrated into HIV care.",

keywords = "AIDS, ART, HIV, obesity, overweight",

author = "Helen Semu and Zack, {Rachel M.} and Enju Liu and Ellen Hertzmark and Donna Spiegelman and Kevin Sztam and Claudia Hawkins and Guerino Chalamila and Aisa Muya and Hellen Siril and Ramadhani Mwiru and Deo Mtasiwa and Wafaie Fawzi",

note = "Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This HIV intervention program in Dar es Salaam government facilities is funded by United States President's Emergency Plan for AIDS Relief through Management and Development for Health in collaboration with the Ministry of Health and Social Welfare and the Harvard School of Public Health. RMZ is supported by a NIH T32 CA 09001 training grant. Publisher Copyright: {\textcopyright} The Author(s) 2015..",

year = "2016",

month = nov,

day = "1",

doi = "10.1177/2325957414542574",

language = "English (US)",

volume = "15",

pages = "512--521",

journal = "Journal of the International Association of Providers of AIDS Care",

issn = "2325-9574",

publisher = "SAGE Publications Inc.",

number = "6",

}

Semu, H, Zack, RM, Liu, E, Hertzmark, E, Spiegelman, D, Sztam, K, Hawkins, C, Chalamila, G, Muya, A, Siril, H, Mwiru, R, Mtasiwa, D & Fawzi, W 2016, 'Prevalence and Risk Factors for Overweight and Obesity among HIV-Infected Adults in Dar es Salaam, Tanzania', Journal of the International Association of Providers of AIDS Care, vol. 15, no. 6, pp. 512-521. https://doi.org/10.1177/2325957414542574

TY - JOUR

T1 - Prevalence and Risk Factors for Overweight and Obesity among HIV-Infected Adults in Dar es Salaam, Tanzania

AU - Semu, Helen

AU - Zack, Rachel M.

AU - Liu, Enju

AU - Hertzmark, Ellen

AU - Spiegelman, Donna

AU - Sztam, Kevin

AU - Hawkins, Claudia

AU - Chalamila, Guerino

AU - Muya, Aisa

AU - Siril, Hellen

AU - Mwiru, Ramadhani

AU - Mtasiwa, Deo

AU - Fawzi, Wafaie

N1 - Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This HIV intervention program in Dar es Salaam government facilities is funded by United States President's Emergency Plan for AIDS Relief through Management and Development for Health in collaboration with the Ministry of Health and Social Welfare and the Harvard School of Public Health. RMZ is supported by a NIH T32 CA 09001 training grant. Publisher Copyright: © The Author(s) 2015..

PY - 2016/11/1

Y1 - 2016/11/1

N2 - Background: 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. Methods: 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. Results: A totalof 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. Conclusion: Overweight and obesity were highly prevalent among HIV-infected patients. Screening for overweight and obesity and focused interventions should be integrated into HIV care.

AB - Background: 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. Methods: 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. Results: A totalof 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. Conclusion: Overweight and obesity were highly prevalent among HIV-infected patients. Screening for overweight and obesity and focused interventions should be integrated into HIV care.

KW - AIDS

KW - ART

KW - HIV

KW - obesity

KW - overweight

UR - http://www.scopus.com/inward/record.url?scp=84994259418&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84994259418&partnerID=8YFLogxK

U2 - 10.1177/2325957414542574

DO - 10.1177/2325957414542574

M3 - Article

C2 - 25146972

AN - SCOPUS:84994259418

SN - 2325-9574

VL - 15

SP - 512

EP - 521

JO - Journal of the International Association of Providers of AIDS Care

JF - Journal of the International Association of Providers of AIDS Care

IS - 6

ER -

Prevalence and Risk Factors for Overweight and Obesity among HIV-Infected Adults in Dar es Salaam, Tanzania

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this