Magnitude of Obesity/Overweight and Its Associated Factors Among HIV/AIDS Patients on Antiretroviral Therapy in Jimma Zone Hospitals, South West Ethiopia: Hospital-Based Cross-Sectional Study

Getachew Yideg Yitbarek,1 Melaku Tadege Engidaw,2 Belete Achamyelew Ayele,3 Sofonyas Abebaw Tiruneh,4 Melkamu Tilahun Alamir5 1Department of Biomedical Sciences (Medical Physiology), College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia; 2Department of Social and Public Health (H...

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Autores principales:	Yitbarek GY, Engidaw MT, Ayele BA, Tiruneh SA, Alamir MT
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	overweight hiv/aids associated factors ethiopia Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/d6c25f3566844dfb9b00e2d576769264
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spelling	oai:doaj.org-article:d6c25f3566844dfb9b00e2d5767692642021-12-02T12:10:45ZMagnitude of Obesity/Overweight and Its Associated Factors Among HIV/AIDS Patients on Antiretroviral Therapy in Jimma Zone Hospitals, South West Ethiopia: Hospital-Based Cross-Sectional Study1178-7007https://doaj.org/article/d6c25f3566844dfb9b00e2d5767692642020-04-01T00:00:00Zhttps://www.dovepress.com/magnitude-of-obesityoverweight-and-its-associated-factors-among-hivaid-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Getachew Yideg Yitbarek,1 Melaku Tadege Engidaw,2 Belete Achamyelew Ayele,3 Sofonyas Abebaw Tiruneh,4 Melkamu Tilahun Alamir5 1Department of Biomedical Sciences (Medical Physiology), College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia; 2Department of Social and Public Health (Human Nutrition), College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia; 3Wogeda Primary Hospital, Amhara Regional Health Bureau, Bahir Dar, Ethiopia; 4Department of Social and Public Health (Epidemiology), College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia; 5Department of Biomedical Sciences (Medical Physiology), College of Health Sciences, Debre Markos University, Debre Markos, EthiopiaCorrespondence: Getachew Yideg YitbarekDebre Tabor University, Po Box: 272, Debre Tabor, EthiopiaTel +251 921748502Email getachewyideg@gmail.comPurpose: Obesity is on the rise worldwide, not only in the general population but also in PLWHA. Being overweight and obese are themselves risk factors for cardiovascular and other diseases. Despite this, few studies have been conducted to determine the magnitude of obesity/overweight and its associated factors among HIV/AIDS patients in Ethiopia, which necessitates this study.Methods: Hospital-based cross-sectional study was conducted from December to January 2019 at selected Jimma zone hospitals. WHO STEP-wise approach to chronic disease risk factor surveillance (STEPS) questionnaire and document review for HIV-related clinical factors was applied. Weight, height and waist circumference and hip circumference were measured. Data were analyzed using SPSS version 20.Results: A total of 252 participants with a response rate of 95.8% were included. The prevalence of obesity/overweight was 21%. After adjusting for these variables, age category of greater than 50 years [AOR = 0.4, 95% CI (0.2, 0.9), p = 0.03], WHO clinical stage III and above [AOR = 0.04, 95% CI (0.002,  0.6), p = 0.02], presence of mild to moderate physical activity [AOR = 1.3, 95% CI (5.5,  33.3), p ≤  0.001)], plasma CD4 count between 351 and  500 copies/mL [AOR=0.15, 95% CI (0.04,  0.6) p=0.024], and female sex [AOR = 2.6, 95% CI (1.25,  10) p=0.03)] were significantly associated with obesity/overweight.Conclusion: There was a high prevalence of obesity/overweight among HIV/AIDS patients. It was found that older age, female sex, early stage of the disease, lower CD4 count and presence of mild to moderate physical activity were significant predictors of obesity/overweight. Clinicians should be aware of the health consequence of obesity and consider instituting targeted weight management programs as a part of routine HIV care.Keywords: overweight, HIV/AIDS, associated factors, EthiopiaYitbarek GYEngidaw MTAyele BATiruneh SAAlamir MTDove Medical Pressarticleoverweighthiv/aidsassociated factorsethiopiaSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 13, Pp 1251-1258 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	overweight hiv/aids associated factors ethiopia Specialties of internal medicine RC581-951
spellingShingle	overweight hiv/aids associated factors ethiopia Specialties of internal medicine RC581-951 Yitbarek GY Engidaw MT Ayele BA Tiruneh SA Alamir MT Magnitude of Obesity/Overweight and Its Associated Factors Among HIV/AIDS Patients on Antiretroviral Therapy in Jimma Zone Hospitals, South West Ethiopia: Hospital-Based Cross-Sectional Study
description	Getachew Yideg Yitbarek,1 Melaku Tadege Engidaw,2 Belete Achamyelew Ayele,3 Sofonyas Abebaw Tiruneh,4 Melkamu Tilahun Alamir5 1Department of Biomedical Sciences (Medical Physiology), College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia; 2Department of Social and Public Health (Human Nutrition), College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia; 3Wogeda Primary Hospital, Amhara Regional Health Bureau, Bahir Dar, Ethiopia; 4Department of Social and Public Health (Epidemiology), College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia; 5Department of Biomedical Sciences (Medical Physiology), College of Health Sciences, Debre Markos University, Debre Markos, EthiopiaCorrespondence: Getachew Yideg YitbarekDebre Tabor University, Po Box: 272, Debre Tabor, EthiopiaTel +251 921748502Email getachewyideg@gmail.comPurpose: Obesity is on the rise worldwide, not only in the general population but also in PLWHA. Being overweight and obese are themselves risk factors for cardiovascular and other diseases. Despite this, few studies have been conducted to determine the magnitude of obesity/overweight and its associated factors among HIV/AIDS patients in Ethiopia, which necessitates this study.Methods: Hospital-based cross-sectional study was conducted from December to January 2019 at selected Jimma zone hospitals. WHO STEP-wise approach to chronic disease risk factor surveillance (STEPS) questionnaire and document review for HIV-related clinical factors was applied. Weight, height and waist circumference and hip circumference were measured. Data were analyzed using SPSS version 20.Results: A total of 252 participants with a response rate of 95.8% were included. The prevalence of obesity/overweight was 21%. After adjusting for these variables, age category of greater than 50 years [AOR = 0.4, 95% CI (0.2, 0.9), p = 0.03], WHO clinical stage III and above [AOR = 0.04, 95% CI (0.002,  0.6), p = 0.02], presence of mild to moderate physical activity [AOR = 1.3, 95% CI (5.5,  33.3), p ≤  0.001)], plasma CD4 count between 351 and  500 copies/mL [AOR=0.15, 95% CI (0.04,  0.6) p=0.024], and female sex [AOR = 2.6, 95% CI (1.25,  10) p=0.03)] were significantly associated with obesity/overweight.Conclusion: There was a high prevalence of obesity/overweight among HIV/AIDS patients. It was found that older age, female sex, early stage of the disease, lower CD4 count and presence of mild to moderate physical activity were significant predictors of obesity/overweight. Clinicians should be aware of the health consequence of obesity and consider instituting targeted weight management programs as a part of routine HIV care.Keywords: overweight, HIV/AIDS, associated factors, Ethiopia
format	article
author	Yitbarek GY Engidaw MT Ayele BA Tiruneh SA Alamir MT
author_facet	Yitbarek GY Engidaw MT Ayele BA Tiruneh SA Alamir MT
author_sort	Yitbarek GY
title	Magnitude of Obesity/Overweight and Its Associated Factors Among HIV/AIDS Patients on Antiretroviral Therapy in Jimma Zone Hospitals, South West Ethiopia: Hospital-Based Cross-Sectional Study
title_short	Magnitude of Obesity/Overweight and Its Associated Factors Among HIV/AIDS Patients on Antiretroviral Therapy in Jimma Zone Hospitals, South West Ethiopia: Hospital-Based Cross-Sectional Study
title_full	Magnitude of Obesity/Overweight and Its Associated Factors Among HIV/AIDS Patients on Antiretroviral Therapy in Jimma Zone Hospitals, South West Ethiopia: Hospital-Based Cross-Sectional Study
title_fullStr	Magnitude of Obesity/Overweight and Its Associated Factors Among HIV/AIDS Patients on Antiretroviral Therapy in Jimma Zone Hospitals, South West Ethiopia: Hospital-Based Cross-Sectional Study
title_full_unstemmed	Magnitude of Obesity/Overweight and Its Associated Factors Among HIV/AIDS Patients on Antiretroviral Therapy in Jimma Zone Hospitals, South West Ethiopia: Hospital-Based Cross-Sectional Study
title_sort	magnitude of obesity/overweight and its associated factors among hiv/aids patients on antiretroviral therapy in jimma zone hospitals, south west ethiopia: hospital-based cross-sectional study
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/d6c25f3566844dfb9b00e2d576769264
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Magnitude of Obesity/Overweight and Its Associated Factors Among HIV/AIDS Patients on Antiretroviral Therapy in Jimma Zone Hospitals, South West Ethiopia: Hospital-Based Cross-Sectional Study

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