General and abdominal obesity and incident hypertension among people living with HIV on antiretroviral therapy

被引：6

作者：

Xu, Xiaohui ^{[1
]}

Chen, Xiaoxiao ^{[2
]}

Lin, Haijiang ^{[2
]}

Zhu, Bowen ^{[3
]}

Shen, Weiwei ^{[2
]}

Shi, Ruizi ^{[1
]}

Xu, Xiaoyi ^{[1
]}

He, Na ^{[1
,3
]}

Ding, Yingying ^{[1
,3
]}

机构：

[1] Fudan Univ, Sch Publ Hlth, Minist Educ, Dept Epidemiol,Key Lab Publ Hlth Safety, POB 289,138 Yi Xue Yuan Rd, Shanghai 200032, Peoples R China

[2] Taizhou City Ctr Dis Control & Prevent, Taizhou City, Peoples R China

[3] Fudan Univ, Minist Hlth, Key Lab Hlth Technol Assessment, Shanghai, Peoples R China

来源：

AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 2021年 / 33卷 / 12期

关键词：

Hypertension; HIV; abdominal obesity; general obesity;

D O I：

10.1080/09540121.2020.1852158

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Hypertension is highly prevalent among people living with HIV (PLWH). We sought to characterize the hypertension incidence among PLWH on antiretroviral therapy, focusing on the effect of change in general and abdominal obesity on hypertension during follow-up. This was a prospective analysis of 229 treated PLWH aged over 40 years without hypertension at baseline. Overall a median follow-up of 2.9 years, 26.2% PLWH developed hypertension. In multivariable models, compared to those without obesity measures at both baseline and follow-up visit, PLWH with general obesity at both occasions (adjusted odds ratio [aOR] = 3.83, P = 0.006) or at baseline only (aOR = 5.45, P = 0.003), abdominal obesity (measured as waist circumference) at both occasions (aOR = 3.87, P = 0.001) or at follow-up only (aOR = 2.27; 9P = 0.060), abdominal obesity (measured as waist-to-hip ratio) at both occasions (aOR = 2.27, P = 0.077) were at increased risk of incident hypertension. Our data show that both general and abdominal obesity especially in the persistent status increase the hypertension risk in treated PLWH.

引用

页码：1616 / 1620

页数：5

共 23 条

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