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Sagittal Abdominal Diameter In HIV Show Strong Correlations In Body Fat Over Two Year HAART in a mixed ancestry HIV Population of South Africa
Author(s) -
Kruger Maritza,
Zyl Lora,
Nell Theo
Publication year - 2015
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.29.1_supplement.747.14
Subject(s) - medicine , body mass index , population , obesity , malnutrition , adipose tissue , abdominal fat , abdominal obesity , anthropometry , physiology , gastroenterology , environmental health , waist
BMI alone does not provide clinical information about abdominal obesity. Abdominal fat consist of visceral adipose tissue (VAT) as well as subcutaneous fat (SAT). Since elevated VAT is considered a high risk for cardiometabolic risk, we aimed to investigate the relationship between sagittal abdominal diameter (SAD), one of the few measures of abdominal obesity in a HIV positive population and also whether SAD may be a more accurate measure of abdominal obesity to identify risk factors for cardiometabolic disease in HIV. The sample population were grouped in three treatment categories: naïve, 0‐24 and >24 months on HAART. Our results revealed a significant difference (p<0.05) in the triceps skin fold (TSF) between male and females over 0‐24 months HAART. A strong positive correlation exists between TSF and malnutrition index only in the male population over a 24 months HAART. Our results also showed significant correlations (p<0.05) between SAD and fat percentage only in the female control, as well as 0‐24 months HAART and >24 HAART groups. Similar trends were observed in females for SAD, total fat (kg) and BMI in all three treatment groups respectively. The male population did not show any correlation for SAD and the BMI or total fat (kg) possibly linked to their low malnutrition index. SAD might be a good surrogate measure to predict cardiometabolic risk in a HIV population.