Evidence map›Paper›PMID 32629671›Full record

Observational studyMedicine2020

Metabolic syndrome and 10-year cardiovascular risk among HIV-positive and HIV-negative adults: A cross-sectional study.

Sarah J Masyuko, Stephanie T Page, John Kinuthia, Alfred O Osoti, Stephen J Polyak, Fredrick C Otieno, Joseph M Kibachio, Jerusha N Mogaka, Tecla M Temu, Jerry S Zifodya and 4 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 5 pooled it
5.9field-weighted citation impact, top 3% 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

21 citing papers in PubMed, 5 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
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  7. Article
  8. Article
  9. Weight Gain After HIV Therapy Initiation: Pathophysiology and Implications.The Journal of clinical endocrinology and metabolism · 2024 · on this map
    Review
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  18. Human Immunodeficiency Virus Is Associated With Higher Levels of Systemic Inflammation Among Kenyan Adults Despite Viral Suppression.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
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  19. 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

14 authors at 6 institutions in 3 countries.

Sarah J MasyukoMinistry of Health, Nairobi, Kenya.ORCID 0000-0002-9836-4616
Stephanie T PageDepartment of Global Health.
John KinuthiaDepartment of Research and Programs, Kenyatta National Hospital.
Alfred O OsotiDepartment of Global Health.
Stephen J PolyakDepartment of Laboratory Medicine, University of Washington, Seattle, WA.
Fredrick C OtienoDepartment of Clinical Medicine and Therapeutics, College of Health Sciences, University of Nairobi, Nairobi, Kenya.
Joseph M KibachioMinistry of Health, Nairobi, Kenya.
Jerusha N MogakaDepartment of Medicine, University of Washington, Seattle, WA.
Tecla M TemuDepartment of Global Health.
Jerry S ZifodyaDepartments of Medicine, Tulane University, New Orleans, LA.
Amos OtedoMinistry of Health, Nairobi, Kenya.
Damalie NakanjakoDepartment of Medicine, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
James P HughesDepartment of Biostatistics.
Carey FarquharDepartment of Global Health.
University of Washington · USMinistry of Health · KEUniversity of Nairobi · KEKenyatta National Hospital · KEMakerere University · UGTulane University · US

Funding

Promoting Diversity, Equity, and Inclusivity in Research Training to Optimize HIV Prevention and TreatmentD43TW009580 · FIC · UNIVERSITY OF WASHINGTON · PI CAREY FARQUHAR, John Kinuthia · 2013 to 2026
$4.8M
Predicting Early Cardiovascular Risk among HIV-Infected and Uninfected Kenyan AdultsR21TW010459 · FIC · UNIVERSITY OF WASHINGTON · PI FARQUHAR, CAREY, PAGE, STEPHANIE T · 2016 to 2017
$463k
FIC NIH HHS D43 TW009580FIC NIH HHS R21 TW010459
6 · The paper itself

Abstract

To determine the prevalence and correlates of metabolic syndrome (MetS) and compare 10-year cardiovascular disease (CVD) risk among Kenyan adults with and without HIV infection.We conducted a cross-sectional study among adults ≥30 years of age with and without HIV infection seeking care at Kisumu County Hospital. Participants completed a health questionnaire and vital signs, anthropomorphic measurements, and fasting blood were obtained. MetS was defined using 2009 Consensus Criteria and 10-year Atherosclerotic CVD (ASCVD) risk score was calculated. Chi-square, independent t tests, Wilcoxon ranksum test and multivariable logistic regression were used to determine differences and associations between HIV and MetS, CVD risk factors and ASCVD risk score.A total of 300 people living with HIV (PLWHIV) and 298 HIV-negative participants with median age 44 years enrolled, 50% of whom were female. The prevalence of MetS was 8.9% overall, but lower among PLWHIV than HIV-negative participants (6.3% vs 11.6%, respectively; P = .001). The most prevalent MetS components were elevated blood pressure, decreased high density lipoprotein, and abdominal obesity. Adjusting for covariates, PLWHIV were 66% less likely to have MetS compared to HIV-negative participants (adjusted odds ratio [aOR] 0.34; 95% confidence interval [95%CI] 0.18, 0.65; P = .005). Median ASCVD risk score was also lower among PLWHIV compared to HIV-negative participants (1.7% vs 3.0%, P = .002).MetS was more common among HIV-negative than HIV-positive adults, and HIV-negative adults were at greater risk for CVD compared to PLWHIV. These data support integration of routine CVD screening and management into health programs in resource-limited settings, regardless of HIV status.

Indexed as

AdultBlood GlucoseBody Weights and MeasuresCardiovascular DiseasesCross-Sectional StudiesFemaleHIV InfectionsHumansKenyaLipidsLogistic ModelsMaleMetabolic SyndromeMiddle AgedRisk FactorsBlood GlucoseLipids

Identifiers

PMID32629671
PMCPMC7337552
OpenAlexW3040448691

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.