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. 2016 Nov;15(6):512-521.
doi: 10.1177/2325957414542574. Epub 2014 Aug 21.

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

Helen Semu  1 , Rachel M Zack  2 , Enju Liu  3 , Ellen Hertzmark  2   3   4 , Donna Spiegelman  2   3   4 , Kevin Sztam  5 , Claudia Hawkins  6 , Guerino Chalamila  7 , Aisa Muya  7 , Hellen Siril  7 , Ramadhani Mwiru  7 , Deo Mtasiwa  8 , Wafaie Fawzi  2   3   9
Affiliations

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

Helen Semu et al. J Int Assoc Provid AIDS Care. 2016 Nov.

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 total of 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.

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Figures

Figure 1
Figure 1
Multivariate relative risks and 95% confidence intervals (CIs) of overweight (25 ≤ BMI < 30) and obesity (BMI ≥ 30) as a function of age (years); 95% CIs are indicated by the gray area.
Figure 2
Figure 2
Multivariate relative risks and 95% confidence intervals (CIs) of overweight (25 ≤ BMI < 30) and obesity (BMI ≥ 30) as a function of CD4 count (cells/mm3); 95% CIs are indicated by the gray area.
See this image and copyright information in PMC

References

    1. Martorell R, Khan LK, Hughes ML, Grummer-Strawn LM. Obesity in women from developing countries. 2000;54(3):247–252. - PubMed
    1. Lukmanji Z, Mrisho F, Moor S. The health status of members of parliament in Tanzania. 2003. Unpublished.
    1. McLarty DG, Pollitt C, Swai AB. Diabetes in Africa. Diabet Med. 1990;7(8):670–684. - PubMed
    1. Villamor E, Msamanga G, Urassa W, et al. Trends in obesity, underweight, and wasting among women attending prenatal clinics in urban Tanzania, 1995–2004. Am J Clin Nutr. 2006;83(6):1387–1394. - PubMed
    1. Tanzania Demographic and Health Survey 2004-05. National Bureau of Statistics and ICF Macro; [Accessed on 6 August 2013]. 2005. http://www.dhsprogram.com/pubs/pdf/FR173/FR173-TZ04-05.pdf.

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