Evidence map›Paper›PMID 34007011›Full record

ArticleInternational journal of obesity (2005)2021

Association between obesity and combination antiretroviral therapy (cART) adherence among persons with early-stage HIV infection initiating cART.

Nicholas Musinguzi, Fatima Cody Stanford, Adeline A Boatin, Catherine Orrell, Stephen Asiimwe, Mark Siedner, Jessica E Haberer, META team

Open access · greenAbstract read
In one paragraph

Article in International journal of obesity (2005), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 44% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Weight gain, obesity, and the impact of lifestyle factors among people living with HIV: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Pooled it
  2. Article
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

8 authors at 5 institutions in 3 countries.

Nicholas MusinguziGlobal Health Collaborative, Mbarara University of Science and Technology, Mbarara, Uganda. nmusinguzi@gmail.com.
Fatima Cody StanfordDepartment of Medicine- Neuroendocrine Unit, Department of Pediatrics- Endocrine, Nutrition Obesity Research Center at Harvard (NORCH) Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0003-4616-533X
Adeline A BoatinDepartment of Obstetrics and Gynecology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Catherine OrrellDesmond Tutu HIV Centre, Department of Medicine & Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Observatory, Cape Town, South Africa.
Stephen AsiimweGlobal Health Collaborative, Mbarara University of Science and Technology, Mbarara, Uganda.
Mark SiednerCenter for Global Health, Massachusetts General Hospital, Boston, MA, USA.
Jessica E HabererCenter for Global Health, Massachusetts General Hospital, Boston, MA, USA.
META team
Mbarara University of Science and Technology · UGHarvard University · USDesmond Tutu HIV Foundation · ZAPortland State University · USBrigham and Women's Hospital · US

Funding

ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI MARTIN TORRIANI · 1994 to 2026
$31.6M
Wireless Physiologic Monitoring in Postpartum Women in rural UgandaK23HD097300 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI BOATIN, ADELINE ADWOA · 2018 to 2022
$863k
Optimizing mHealth for adherence monitoring and interventionK24MH114732 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI HABERER, JESSICA ELIZABETH · 2017 to 2021
$800k
NICHD NIH HHS K23 HD097300NIDDK NIH HHS L30 DK118710NIDDK NIH HHS P30 DK040561NIMH NIH HHS K24 MH114732
6 · The paper itself

Abstract

backgroundObesity is common among people living with HIV (PLWH) and early-stage infection, yet associations with combination antiretroviral (cART) adherence are unclear.

methodsAmong PLWH initiating cART in Uganda and South Africa, body mass index (BMI) was assessed at cART initiation, and cART adherence was monitored in real-time over 12 months. The association of obesity (BMI ≥ 30 kg/m

resultsAmong 322 participants, median age was 32 years, 70% were female, and 54% were from Uganda. Prevalence of obesity was 12% in Uganda and 28% in South Africa. Mean overall cART adherence was 83% in Uganda and 66% in South Africa. Participants with obesity had higher adherence than those without obesity: +3.6% (p = 0.44) in Uganda and +11.4% (p = 0.02) in South Africa.

conclusionObesity at cART initiation was common and associated with higher adherence, although only significantly in South Africa.

Indexed as

Antiretroviral Therapy, Highly ActiveDrug MonitoringHIV InfectionsObesityAdultAnti-Retroviral AgentsFemaleHumansMaleSouth AfricaUgandaAnti-Retroviral Agents

Identifiers

PMID34007011
PMCPMC8316269
OpenAlexW3162873242

What OpenQuestion holds

Textmetadata
LicenceTDM
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.