Evidence map›Paper›PMID 37114944›Full record

ArticleAntiviral therapy2023

Lipid and glucose abnormalities and associated factors among children living with HIV in Asia.

Tulathip Suwanlerk, Dhanushi Rupasinghe, Watsamon Jantarabenjakul, Vu T An, Jeremy L Ross, Azar Kariminia, Nguyen Van Lam, Aarti Kinikar, Pradthana Ounchanum, Thanyawee Puthanakit and 14 more

Abstract read
In one paragraph

Article in Antiviral therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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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.

Tulathip SuwanlerkTREAT Asia, amfAR - The Foundation for AIDS Research, Bangkok, Thailand.ORCID 0000-0001-5801-0760
Dhanushi RupasingheThe Kirby Institute, UNSW Sydney, Sydney, Australia.
Watsamon JantarabenjakulDepartment of Pediatrics, Faculty of Medicine and Center of Excellence for Pediatric Infectious Diseases and Vaccines, Chulalongkorn University, Bangkok, Thailand.
Vu T AnInfectious Diseases Department, Children's Hospital 2, Ho Chi Minh City, Vietnam.
Jeremy L RossTREAT Asia, amfAR - The Foundation for AIDS Research, Bangkok, Thailand.
Azar KariminiaThe Kirby Institute, UNSW Sydney, Sydney, Australia.
Nguyen Van LamInfectious Diseases Department, National Hospital of Pediatrics, Hanoi, Vietnam.
Aarti KinikarBJ Medical College and Sassoon General Hospitals, Maharashtra, India.
Pradthana OunchanumDepartment of Pediatrics, Chiangrai Prachanukroh Hospital, Chiang Rai, Thailand.
Thanyawee PuthanakitDepartment of Pediatrics, Faculty of Medicine and Center of Excellence for Pediatric Infectious Diseases and Vaccines, Chulalongkorn University, Bangkok, Thailand.
Nik K Nik YusoffDepartment of Pediatrics, Hospital Raja Perempuan Zainab II, Kelantan, Malaysia.
Pagakrong LumbiganonDepartment of Pediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Kulkanya ChokephaibulkitDepartment of Pediatrics, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Do C VietInfectious Diseases Department, Children's Hospital 2, Ho Chi Minh City, Vietnam.
Tavitiya SudjaritrukDepartment of Pediatrics, Faculty of Medicine, and Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand.
Fong S MoyDepartment of Pediatrics, Hospital Likas, Kota Kinabalu, Malaysia.
Dewi K WatiDepartment of Pediatrics, Prof. Dr. I.G.N.G Ngoerah Hospital, Udayana University, Bali, Indonesia.
Thahira J MohamedDepartment of Pediatrics, Women and Children Hospital Kuala Lumpur (WCHKL), Kuala Lumpur, Malaysia.
Revathy NallusamyDepartment of Pediatrics, Penang Hospital, Penang, Malaysia.
Nagalingeswaran KumarasamyVHS-Infectious Diseases Medical Centre, Chennai Antiviral Research and Treatment Clinical Research Site (CART CRS), Voluntary Health Services, Chennai, India.
Vohith KholNational Centre for HIV/AIDS, Dermatology and STDs, Phnom Penh, Cambodia.
Truong H KhanhInfectious Diseases Department, Children's Hospital 1, Ho Chi Minh City, Vietnam.
Nia KurniatiDepartment of Child Health, Universitas Indonesia - Cipto Mangunkusumo General Hospital, Indonesia.
TREAT Asia pediatric HIV Observational Database (TApHOD)

Funding

The Asia-Pacific HIV Research CollaborationU01AI069907 · NIAID · FOUNDATION FOR AIDS RESEARCH · PI ANNETTE H SOHN · 2006 to 2026
$44.8M
NIAID NIH HHS U01 AI069907
6 · The paper itself

Abstract

backgroundChildren living with HIV (CLHIV) on prolonged antiretroviral therapy (ART) are at risk for lipid and glucose abnormalities. Prevalence and associated factors were assessed in a multicentre, Asian longitudinal paediatric cohort.

methodsCLHIV were considered to have lipid or glucose abnormalities if they had total cholesterol ≥200 mg/dL, high-density lipoprotein (HDL) ≤35 mg/dL, low-density lipoprotein (LDL) ≥100 mg/dL, triglycerides (TG) ≥110 mg/dL, or fasting glucose >110 mg/dL. Factors associated with lipid and glucose abnormalities were assessed by logistic regression.

resultsOf 951 CLHIV, 52% were male with a median age of 8.0 (interquartile range [IQR] 5.0-12.0) years at ART start and 15.0 (IQR 12.0-18.0) years at their last clinic visit. 89% acquired HIV perinatally, and 30% had ever used protease inhibitors (PIs). Overall, 225 (24%) had hypercholesterolemia, 105 (27%) low HDL, 213 (58%) high LDL, 369 (54%) hypertriglyceridemia, and 130 (17%) hyperglycemia. Hypercholesterolemia was more likely among females (versus males, aOR 1.93, 95% CI 1.40-2.67). Current PIs use was associated with hypercholesterolemia (current use: aOR 1.54, 95% CI 1.09-2.20); low HDL (current use: aOR 3.16, 95% CI 1.94-5.15; prior use: aOR 10.55, 95% CI 2.53-43.95); hypertriglyceridemia (current use: aOR 3.90, 95% CI 2.65-5.74; prior use: aOR 2.89, 95% CI 1.31-6.39); high LDL (current use: aOR 1.74, 95% CI 1.09-2.76); and hyperglycemia (prior use: aOR 2.43, 95% CI 1.42-4.18).

conclusionMore than half and one-fifth of CLHIV have dyslipidemia and hyperglycemia, respectively. Routine paediatric HIV care should include metabolic monitoring. The association between PIs use and dyslipidemia emphasizes the importance of rapidly transitioning to integrase inhibitor-containing regimens.

Indexed as

DyslipidemiasHIV InfectionsHypercholesterolemiaHyperglycemiaHyperlipidemiasHypertriglyceridemiaAsiaChildChild, PreschoolCholesterol, HDLFemaleGlucoseHumansLipoproteins, LDLMaleTriglyceridesCholesterol, HDLGlucoseLipoproteins, LDLTriglyceridesAsiachildren living with HIVlipid and glucose abnormalities

Identifiers

PMID37114944
PMCPMC10825667

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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.