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

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

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

Author(s) -

Helen Semu,

Rachel M. Zack,

Enju Liu,

Ellen Hertzmark,

Donna Spiegelman,

Kevin A. Sztam,

Claudia Hawkins,

Guerino Chalamila,

Aisa Muya,

Hellen Siril,

Ramadhani S. Mwiru,

Deo Mtasiwa,

Wafaie Fawzi

Publication year - 2014

Publication title -

journal of the international association of providers of aids care (jiapac)

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.813

H-Index - 31

eISSN - 2325-9582

pISSN - 2325-9574

DOI - 10.1177/2325957414542574

Subject(s) - overweight , medicine , tanzania , obesity , body mass index , cross sectional study , psychological intervention , multivariate analysis , environmental health , demography , environmental science , environmental planning , pathology , psychiatry , sociology

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.

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