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Overweight and obesity and associated factors among adult ART patients at Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia

BACKGROUND: Overweight and obesity complicates the care and treatment of ART patients and predispose them to chronic non-communicable diseases. However, there is a shortage of research evidence on overweight and obesity and its associated factors among adult ART patients in our setting. Therefore, t...

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Autores principales: Kure, Ashenafi, Abebe, Amene, Baza, Daniel, Paulos, Wondimagegn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9275139/
https://www.ncbi.nlm.nih.gov/pubmed/35821078
http://dx.doi.org/10.1186/s40795-022-00556-1
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author Kure, Ashenafi
Abebe, Amene
Baza, Daniel
Paulos, Wondimagegn
author_facet Kure, Ashenafi
Abebe, Amene
Baza, Daniel
Paulos, Wondimagegn
author_sort Kure, Ashenafi
collection PubMed
description BACKGROUND: Overweight and obesity complicates the care and treatment of ART patients and predispose them to chronic non-communicable diseases. However, there is a shortage of research evidence on overweight and obesity and its associated factors among adult ART patients in our setting. Therefore, this study aimed to asses overweight and obesity and associated factors among adult ART patients at Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia. METHODS: A facility-based cross-sectional study design was conducted by using systematic sampling technique. Primary and secondary data were collected from 369 adult ART patients from February to May 2017. Structured interviewer-administered questionnaire and laboratory outputs were used as primary data. The patient’s baseline medical records were used as secondary data. Ethiopian Ministry of Health ART patient’s follow-up tool was used to collect the required information. The standard laboratory and well-calibrated digital Seca Scale and portable Stadio-meter were used to collect medical and anthropometric data. Data were entered into Epi- data version 3.1 and exported to SPSS version 20 for analysis. Descriptive statistics were calculated and presented by tables, graphs and texts. Binary and multivariable logistic regression analyses were computed and the level of statistical significance was declared at p-value < 0.05. RESULTS: The prevalence of overweight and obesity (BMI ≥ 25 kg/m2) was 43.4% (95% CI = 43.35, 43.45). The difference in the overweight and obesity between the study period and initial commencement of ART was 35%. The course of HIV chronic care since the commencement of ART and during the study was 35%. Higher recent CD4 counts (200-499cells/mm3) (AOR = 3.15, 95%CI = 1.04–9.49) and (≥ 500 cells/mm3) (AOR = 7.58, 95%CI = 2.49–23.08), hypertension (AOR = 2.57, 95%CI = 1.24–5.35), higher baseline BMI status (AOR = 5.93, 95%CI = 2.62–13.40) and abdominal obesity (AOR = 1.82, 95%CI = 1.07–3.10) were significantly associated with overweight and obesity. CONCLUSION: In this study, a high prevalence of overweight and obesity among adult ART patients was reported compared to general adult population in Ethiopia. Overweight and obesity were significantly higher among hypertensive, with higher recent CD4 counts and abdominal obese ART patients. Thus, screening of overweight and obesity, incorporating nutritionist/dietician into the routine chronic care, and regular monitoring of the nutritional status of ART patients is recommended. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40795-022-00556-1.
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spelling pubmed-92751392022-07-13 Overweight and obesity and associated factors among adult ART patients at Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia Kure, Ashenafi Abebe, Amene Baza, Daniel Paulos, Wondimagegn BMC Nutr Research BACKGROUND: Overweight and obesity complicates the care and treatment of ART patients and predispose them to chronic non-communicable diseases. However, there is a shortage of research evidence on overweight and obesity and its associated factors among adult ART patients in our setting. Therefore, this study aimed to asses overweight and obesity and associated factors among adult ART patients at Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia. METHODS: A facility-based cross-sectional study design was conducted by using systematic sampling technique. Primary and secondary data were collected from 369 adult ART patients from February to May 2017. Structured interviewer-administered questionnaire and laboratory outputs were used as primary data. The patient’s baseline medical records were used as secondary data. Ethiopian Ministry of Health ART patient’s follow-up tool was used to collect the required information. The standard laboratory and well-calibrated digital Seca Scale and portable Stadio-meter were used to collect medical and anthropometric data. Data were entered into Epi- data version 3.1 and exported to SPSS version 20 for analysis. Descriptive statistics were calculated and presented by tables, graphs and texts. Binary and multivariable logistic regression analyses were computed and the level of statistical significance was declared at p-value < 0.05. RESULTS: The prevalence of overweight and obesity (BMI ≥ 25 kg/m2) was 43.4% (95% CI = 43.35, 43.45). The difference in the overweight and obesity between the study period and initial commencement of ART was 35%. The course of HIV chronic care since the commencement of ART and during the study was 35%. Higher recent CD4 counts (200-499cells/mm3) (AOR = 3.15, 95%CI = 1.04–9.49) and (≥ 500 cells/mm3) (AOR = 7.58, 95%CI = 2.49–23.08), hypertension (AOR = 2.57, 95%CI = 1.24–5.35), higher baseline BMI status (AOR = 5.93, 95%CI = 2.62–13.40) and abdominal obesity (AOR = 1.82, 95%CI = 1.07–3.10) were significantly associated with overweight and obesity. CONCLUSION: In this study, a high prevalence of overweight and obesity among adult ART patients was reported compared to general adult population in Ethiopia. Overweight and obesity were significantly higher among hypertensive, with higher recent CD4 counts and abdominal obese ART patients. Thus, screening of overweight and obesity, incorporating nutritionist/dietician into the routine chronic care, and regular monitoring of the nutritional status of ART patients is recommended. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40795-022-00556-1. BioMed Central 2022-07-12 /pmc/articles/PMC9275139/ /pubmed/35821078 http://dx.doi.org/10.1186/s40795-022-00556-1 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Kure, Ashenafi
Abebe, Amene
Baza, Daniel
Paulos, Wondimagegn
Overweight and obesity and associated factors among adult ART patients at Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia
title Overweight and obesity and associated factors among adult ART patients at Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia
title_full Overweight and obesity and associated factors among adult ART patients at Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia
title_fullStr Overweight and obesity and associated factors among adult ART patients at Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia
title_full_unstemmed Overweight and obesity and associated factors among adult ART patients at Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia
title_short Overweight and obesity and associated factors among adult ART patients at Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia
title_sort overweight and obesity and associated factors among adult art patients at hawassa university comprehensive specialized hospital, southern ethiopia
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9275139/
https://www.ncbi.nlm.nih.gov/pubmed/35821078
http://dx.doi.org/10.1186/s40795-022-00556-1
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