Evidence map›Paper›PMID 22155918›Full record

Trial reportAntiviral therapy2011

High prevalence of lipid abnormalities among antiretroviral-naive HIV-infected Asian children with mild-to-moderate immunosuppression.

Suparat Kanjanavanit, Thanyawee Puthanakit, Ung Vibol, Pope Kosalaraksa, Rawiwan Hansudewechakul, Chaiwat Ngampiyasakul, Jurai Wongsawat, Wicharn Luesomboon, Jiratchaya Wongsabut, Apicha Mahanontharit and 5 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Antiviral therapy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 27 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 7 institutions in 2 countries.

Suparat KanjanavanitNakornping Hospital, Chiang Mai, Thailand. skanjanavanit@gmail.com
Thanyawee Puthanakit
Ung Vibol
Pope Kosalaraksa
Rawiwan Hansudewechakul
Chaiwat Ngampiyasakul
Jurai Wongsawat
Wicharn Luesomboon
Jiratchaya Wongsabut
Apicha Mahanontharit
Tulathip Suwanlerk
Vonthanak Saphonn
Jintanat Ananworanich
Kiat Ruxrungtham
PREDICT study group
Chulalongkorn University · THHIV Netherlands Australia Thailand Research Collaboration · THBamrasnaradura Infectious Diseases Institute · THKhon Kaen University · THNakornping Hospital · THNational Center for HIV/AIDS, Dermatology and STD · KHPrapokklao Hospital · TH

Funding

Treatment of HIV/Tuberculosis Co-DiseaseU19AI053741 · NIAID · HIV-NAT, THE THAI RED CROSS AIDS RCH CTR · PI RUXRUNGTHAM, KIAT · 2004 to 2010
$6.3M
NIAID NIH HHS U19 AI053741
6 · The paper itself

Abstract

backgroundDyslipidaemia is a common complication among HIV-infected children after antiretroviral therapy (ART); however, HIV itself can cause abnormal lipid metabolism. There is limited information of lipid profiles among Asian HIV-infected children naive to ART.

methodsA total of 274 HIV-infected ART-naive Thai and Cambodian children aged 1-12 years with CD4% between 15% and 24% were included. Patients were fasted for ≥4 h before blood was drawn. Abnormal lipid levels were defined as triglyceride (TG)>130 mg/dl, total cholesterol (TC)>200 mg/dl, low-density lipoprotein (LDL)>130 mg/dl and high-density lipoprotein (HDL)≤40 mg/dl.

resultsThe mean (±SD) was 76.6 (33.8) months for age and -1.3 (1.0) for weight Z-score. Mean (±SD) CD4% was 19.9 (4.8) % and HIV RNA was 4.6 (0.6) log(10) copies/ml. The median (±SD) fasting time was 13.0 (2.7) h. Mean (±SD) for lipids were 116 (62) mg/dl for TG, 139 (29) mg/dl for TC, 73 (29) mg/dl for LDL and 45 (19) mg/dl for HDL. Overall 63.9% had dyslipidaemia with hypertriglyceridaemia and hypo-HDL being the most common (28% and 45%, respectively), while 2% had hypercholesterolaemia or hyper-LDL. After adjusting for age, having HIV RNA>5 log(10) copies/ml was associated with hypo-HDL with ORs of 8.1 (95% CI 2.7-24.3).

conclusionsUp to two-thirds of ART-naive, HIV-infected Asian children with mild-to-moderate immune suppression had dyslipidaemia. Low HDL was the most common and was associated with high HIV viraemia. The long-term consequence of low HDL deserves further investigation in children.

Indexed as

Immunocompromised HostCambodiaCD4 AntigensCD4 Lymphocyte CountChildChild, PreschoolCholesterolDyslipidemiasFemaleHIV-1HIV InfectionsHumansInfantLipid MetabolismLipoproteins, HDLLipoproteins, LDLCD4 AntigensCholesterolLipoproteins, HDLLipoproteins, LDLRNA, ViralTriglycerides

Identifiers

PMID22155918
PMCPMC3530027
OpenAlexW2053120870

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.