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Title: Body Mass Index and Waist Circumference in Patients with HIV in South Africa and Associated Socio-demographic, Health Related and Psychosocial Factors
Authors: Diana Huis in ’t Veld
Supa Pengpid
Robert Colebunders
Karl Peltzer
Prins Leopold Instituut voor Tropische Geneeskunde
University of Limpopo
Human Sciences Research Council of South Africa
Universiteit Antwerpen
Mahidol University
Algemeen inwendige geneeskunde
FWO Research Foundation Flanders
Keywords: Medicine;Psychology
Issue Date: 1-Jun-2018
Citation: AIDS and Behavior. Vol.22, No.6 (2018), 1972-1986
Abstract: © 2017, Springer Science+Business Media New York. A high body mass index (BMI) and high waist circumference are important health risk factors predisposing for cardiovascular and metabolic diseases and certain cancers. Historically, underweight was a diagnostic criterion of HIV-infection. In a cross-sectional study the prevalence of BMI-categories and high waist circumference and its associated factors in patients visiting three outpatient HIV clinics in South Africa were measured with anthropometric measurements and structured questionnaires regarding socio-demographic information, quality of life (QoL), AIDS-related stigma, symptoms of depression, alcohol use, HIV related information and level of adherence to ART. The median age of the 2230 included patients was 37 years, 66.5% were women and 88.6% received antiretroviral therapy. The prevalences of overweight, obesity and high waist circumference were 29.2, 21.9 and 44.6% respectively in women and 12.4, 4.0 and 3.9% respectively in men. Underweight was found in 18.2% of men and 6.3% of women. In multinomial regression analysis compared to a normal BMI, both overweight and obesity were associated with female gender, with being married or cohabiting and with a higher QoL score. Underweight was associated with male gender and tobacco use and negatively associated with being married or cohabiting and the physical domain of the QoL measure. A high waist circumference in men was associated with higher age and negatively associated with tobacco use and stigma score. In women it was negatively associated with never being married. A high prevalence of overweight and obesity was observed in HIV-clinics in South Africa, mainly in women. Since overweight and obesity are important health risk factors, effective weight reduction interventions are desirable.
ISSN: 15733254
Appears in Collections:Scopus 2018

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