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Anthropometric and body composition risk factor as predictors for hypertension (HTN) among HIV+ adults in two distinct populations: Miami and Gaborone
Author(s) -
Lima Claudia,
Campa Adriana,
Li Yinghui,
Martinez Sabrina Sales,
Dusara Priti,
Tsalaile Lesedi,
Bussmann Hermann,
Makhema Joseph,
Marlink Richard,
Baum Marianna K
Publication year - 2011
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.25.1_supplement.780.2
Objective To determine the prevalence and the anthropometic risk factors for HTN in two HIV+ populations: in Miami‐Dade, US and Gaborone, Botswana. Methods After consenting 231 HIV+ adults (62.3% in ART) in Miami and 746 ART‐ naive HIV+ adults in Gaborone, anthropometries were taken and body composition estimated by bioimpedance. HTN was defined as diagnosis of HTN, blood pressure >140/90, or receiving treatment for HTN. Pearson correlation, linear regressions adjusted for age and gender were used. Results In Gaborone, 18.5% had HTN. Systolic blood pressure (SBP) was directly correlated to waist (β=0.21, p=0.034) and hip (β=0.18, p=0.04) circumferences. In Miami, 7.4% had HTN; however, in those with HTN, 70.6% were on ART. In Miami, SBP was directly related to BMI (β=0.8641, p=0.0002), Waist (β=0.95, p<0.001) and Hip ( β=0.94, p<0.001) circumferences, Waist/Hip ratio (β=45.82, p=0.034), Fat mass Kg (β=0.13, p=0.028), Lean mass Kg (β=0.21, p=<0.001). Conclusions The prevalence of HTN (18.5%) among asymptomatic HIV+ adults in Gaborone is higher than in the general population of Botswana (7.8%). In Miami, the prevalence of HTN (7.4%) among HIV+ adults is much lower than in the general population (25.5%). Waist and hip sizes were the common predictors of HTN in both populations. The role of ART in HIV‐associated HTN needs to be investigated. Supported by NIDA