Evidence map›Paper›PMID 26962236›Full record

Trial reportThe Journal of infectious diseases2016

Inflammation and Change in Body Weight With Antiretroviral Therapy Initiation in a Multinational Cohort of HIV-Infected Adults.

Vidya Mave, Kristine M Erlandson, Nikhil Gupte, Ashwin Balagopal, David M Asmuth, Thomas B Campbell, Laura Smeaton, Nagalingeswaran Kumarasamy, James Hakim, Breno Santos and 14 more

Open access · bronzeAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
9.1field-weighted citation impact, top 2% 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

49 citing papers in PubMed, 71 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Observational
  4. Article
  5. Article
  6. The miRNomics of antiretroviral therapy-induced obesity.Functional & integrative genomics · 2025
    Review
  7. Review
  8. Review
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  10. Oral Administration of Efavirenz Dysregulates thePharmaceuticals (Basel, Switzerland) · 2024
    Article
  11. Glycemic Control in Patients Living With HIV Initiated on Integrase Inhibitor-Based Three-Drug Antiretroviral Therapy.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2024
    Article
  12. Article
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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

24 authors at 14 institutions in 9 countries.

Vidya MaveJohns Hopkins University-BJ Medical College Clinical Research Site, Pune, India Division of Infectious Diseases, Johns Hopkins University, Baltimore, Maryland.
Kristine M ErlandsonDepartment of Medicine, University of Colorado Denver, Aurora.
Nikhil GupteJohns Hopkins University-BJ Medical College Clinical Research Site, Pune, India Division of Infectious Diseases, Johns Hopkins University, Baltimore, Maryland.
Ashwin BalagopalDivision of Infectious Diseases, Johns Hopkins University, Baltimore, Maryland.
David M AsmuthDepartment of Medicine, University California Davis, Sacramento.
Thomas B CampbellDepartment of Medicine, University of Colorado Denver, Aurora.
Laura SmeatonHarvard T. H. Chan School of Public Health, Boston, Massachusetts.
Nagalingeswaran KumarasamyY. R. Gaitonde Center for AIDS Research and Education, Chennai, India.
James HakimUniversity of Zimbabwe, Harare.
Breno SantosHospital Nossa Senhora de Conceição, Porto Alegre, Brazil.
Cynthia RiviereLes Centres GHESKIO, Port-Au-Prince, Haiti.
Mina C HosseinipourUniversity of North Carolina Project, Lilongwe, Malawi.
Patcharaphan SugandhavesaResearch Institute for Health Sciences, Chiang Mai, Thailand.
Rosa InfanteIMPACTA Peru, San Miguel.
Sandy PillayDurban International Clinical Research Site, Durban University of Technology, South Africa.
Sandra W CardosoSTD/AIDS Clinical Research Laboratory, Instituto de Pesquisa Clinica Evandro Chagas, Fundacao Oswaldo Cruz, Rio de Janeiro, Brazil.
Srikanth TripathyNational AIDS Research Institute, Pune, India.
Noluthando MwelaseDepartment of Medicine, University of Witwatersrand, Johannesburg, South Africa.
Sima BerendesMalawi College of Medicine-Johns Hopkins University Research Project, Blantyre Liverpool School of Tropical Medicine, United Kingdom.
Bruno B AndradeUnidade de Medicina Investigativa, Laboratório Integrado de Microbiologia e Imunorregulação, Centro de Pesquisas Gonçalo Moniz, Fundação Oswaldo Cruz, and Instituto Brasileiro para a Investigação da Tuberculose, Fundação José Silveira, Salvador, Brazil.
David L ThomasDivision of Infectious Diseases, Johns Hopkins University, Baltimore, Maryland.
Robert C BollingerDivision of Infectious Diseases, Johns Hopkins University, Baltimore, Maryland.
Amita GuptaJohns Hopkins University-BJ Medical College Clinical Research Site, Pune, India Division of Infectious Diseases, Johns Hopkins University, Baltimore, Maryland.
ACTG PEARLS and NWCS 319 Study Team
Johns Hopkins University · USFundação Oswaldo Cruz · BRUniversity of Colorado Denver · USAsociación Civil Impacta Salud y Educación · PEB. J. Medical College & Sassoon Hospital · INDurban University of Technology · ZAGheskio Centers · HTHarvard University · USHospital Nossa Senhora da Conceição · BRNational AIDS Research Institute · INUniversity of California, Davis · USUniversity of the Witwatersrand · ZAUniversity of Zimbabwe · ZWYR Gaitonde Centre for AIDS Research and Education · IN

Funding

Leadership and Operations Center (LOC), AIDS Clinical Trials Group (ACTG); LOC 1/UM1AI068636 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph J Eron, RAJESH T GANDHI · 2011 to 2026
$1073.1M
Statistical and Data Management Center (SDMC), AIDS Clinical Trials Group (ACTG)UM1AI068634 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Marlene Ann Cooper, Michael David Hughes · 2011 to 2026
$246.6M
AIDS Clinical Trials Group NetworkU01AI068636 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI KURITZKES, DANIEL R. · 2006 to 2010
$147.1M
Statistical and Data Management Center for the AIDS Clinical Trials GroupU01AI068634 · NIAID · HARVARD SCHOOL OF PUBLIC HEALTH · PI HUGHES, MICHAEL DAVID · 2006 to 2010
$71.9M
University of North Carolina Global HIV Prevention and Treatment Clinical Trials Unit 2024 SupplementUM1AI069423 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph J Eron, MINA CHRISTINE HOSSEINIPOUR · 2012 to 2026
$71.8M
Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
UCLA AIDS Prevention and Treatment Clinical Trials UnitUM1AI069424 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Judith S. Currier, RAPHAEL J LANDOVITZ · 2012 to 2026
$51.8M
PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Wendy M Kohrt · 1995 to 2026
$32.6M
Wits HIV Research Group CLINICAL TRIAL UNIT (CTU) reapplicationUM1AI069463 · NIAID · WITS HEALTH CONSORTIUM (PTY), LTD · PI REES, HELEN, SANNE, IAN MATTHIAS · 2012 to 2025
$31.8M
The FIOCRUZ Therapeutic and Prevention HIV/AIDS Clinical Trials Unit (FioTrials)UM1AI069476 · NIAID · FUNDACAO OSWALDO CRUZ · PI BEATRIZ GRINSZTEJN · 2012 to 2026
$26.3M
The Progression of Hepatitis C Among IDUs with HIVR01DA016078 · NIDA · JOHNS HOPKINS UNIVERSITY · PI BALAGOPAL, ASHWIN, THOMAS, DAVID L · 2002 to 2016
$10.9M
Colorado AIDS Clinical Trials UnitU01AI069450 · NIAID · UNIVERSITY OF COLORADO DENVER · PI CAMPBELL, THOMAS B. · 2007 to 2011
$8.3M
NIAID NIH HHS P30 AI094189NIAID NIH HHS R01 AI045462NIAID NIH HHS U01 AI068634NIAID NIH HHS U01 AI068636NIAID NIH HHS U01 AI069450NIAID NIH HHS UM1 AI068634NIAID NIH HHS UM1 AI068636NIAID NIH HHS UM1 AI069423NIAID NIH HHS UM1 AI069424NIAID NIH HHS UM1 AI069450NIAID NIH HHS UM1 AI069463NIAID NIH HHS UM1 AI069476NIA NIH HHS K23 AG050260NIDA NIH HHS R01 DA016078
6 · The paper itself

Abstract

backgroundBoth wasting and obesity are associated with inflammation, but the extent to which body weight changes influence inflammation during human immunodeficiency virus infection is unknown.

methodsAmong a random virologically suppressed participants of the Prospective Evaluation of Antiretrovirals in Resource-Limited Settings trial, inflammatory markers were measured at weeks 0, 24, and 48 after antiretroviral therapy (ART) initiation. Associations between both baseline and change in body mass index (BMI; calculated as the weight in kilograms divided by the height in meters squared) and changes in inflammation markers were assessed using random effects models.

resultsOf 246 participants, 27% were overweight/obese (BMI, ≥ 25), and 8% were underweight (BMI < 18.5) at baseline. After 48 weeks, 37% were overweight/obese, and 3% were underweight. While level of many inflammatory markers decreased 48 weeks after ART initiation in the overall group, the decrease in C-reactive protein (CRP) level was smaller in overweight/obese participants (P = .01), and the decreases in both CRP (P = .01) and interleukin 18 (P = .02) levels were smaller in underweight participants. Each 1-unit gain in BMI among overweight/obese participants was associated with a 0.02-log10 increase in soluble CD14 level (P = .05), while each 1-unit BMI gain among underweight participants was associated with a 9.32-mg/L decrease in CRP level (P = .001).

conclusionsBeing either overweight or underweight at ART initiation was associated with heightened systemic inflammation. While weight gain among overweight/obese persons predicted increased inflammation, weight gain among underweight persons predicted reduced inflammation.

Indexed as

AdultAnti-HIV AgentsBody WeightBrazilCohort StudiesFemaleHaitiHIV InfectionsHumansIndiaInflammationMalawiMalePeruProspective StudiesSouth AfricaAnti-HIV Agentsbody mass indexHAART clinical outcomesHIV/AIDSimmune activation/inflammationnoncommunicable diseases

Identifiers

PMID26962236
PMCPMC4907416
OpenAlexW2296255946

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.