Evidence map›Paper›PMID 37845017›Full record

ArticleHIV medicine2024

Longitudinal changes in body fat and metabolic complications in young people with perinatally acquired HIV.

Sahera Dirajlal-Fargo, Denise L Jacobson, Wendy Yu, Ayesha Mirza, Mitchell E Geffner, Grace A Mccomsey, Jennifer Jao, Pediatric HIV/AIDS Cohort Study (PHACS)

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in HIV medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01418014 (Adolescent Master Protocol), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.4field-weighted citation impact, top 11% 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.

NCT01418014 completednot on this map

Adolescent Master Protocol

TypeobservationalSponsorHarvard School of Public Health (HSPH)Ran2007 to 2021Enrolled678ConditionsHIV/AIDS
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Aging of adult lifetime survivors with perinatal HIV.Current opinion in HIV and AIDS · 2025
    Review
  2. Review
  3. Article
  4. Health-Related Physical Fitness Evaluation in HIV-Diagnosed Children and Adolescents: A Scoping Review.International journal of environmental research and public health · 2024
    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 1 country.

Sahera Dirajlal-FargoCase Western Reserve University, Cleveland, Ohio, USA.ORCID 0000-0001-9945-9062
Denise L JacobsonCenter for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Wendy YuCenter for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Ayesha MirzaUniversity of Florida Health, Jacksonville, Florida, USA.
Mitchell E GeffnerThe Saban Research Institute of Children's Hospital Los Angeles, Los Angeles, California, USA.
Grace A MccomseyCase Western Reserve University, Cleveland, Ohio, USA.
Jennifer JaoNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Pediatric HIV/AIDS Cohort Study (PHACS)
Cancer Research And Biostatistics · USNorthwestern University · USCase Western Reserve University · USChildren's Hospital of Los Angeles · USUniversity of Florida Health · US

Funding

PHACS - Data and Operations CenterU01HD052102 · NICHD · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI WILLIAMS, PAIGE L · 2005 to 2019
$242.7M
The Adolescent Master Protocol (AMP) Up Series ProjectP01HD103133 · NICHD · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI CHADWICK, ELLEN GOULD, HERNANDEZ-DIAZ, SONIA · 2020 to 2024
$88.3M
Clinical and Translational Science Collaborative of Northern Ohio, Catalyzing Linkages to Equity in Health (CLE Health)UM1TR004528 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI GRACE A MCCOMSEY · 2023 to 2026
$32.1M
Pediatric HIV/AIDS Cohort Study (PHACS): Understanding Maternal HIV Disease through Pregnancy and the Postpartum Period and its Role in Child Health OutcomesU01HD052104 · NICHD · TULANE UNIVERSITY OF LOUISIANA · PI VAN DYKE, RUSSELL B. · 2005 to 2019
$15.7M
NCATS NIH HHS UM1 TR004528NCI NIH HHSNHLBI NIH HHSNIAAA NIH HHSNICHD NIH HHS P01 HD103133NICHD NIH HHS U01 HD052102NICHD NIH HHS U01 HD052104NIDA NIH HHSNIDCD NIH HHSNIH HHSNIMH NIH HHSNINDS NIH HHS
6 · The paper itself

Abstract

backgroundThe role of body fat on metabolic complications remains poorly understood in young people living with perinatally acquired HIV (YPHIV).

objectiveOur objective was to assess the association of changes in adiposity over 2 years with metabolic outcomes in YPHIV.

methodsThe PHACS Adolescent Master Protocol (AMP) study enrolled YPHIV from 2007 to 2009 across 15 US sites, including Puerto Rico. We included YPHIV aged 7-19 years with body composition data assessed by whole-body dual-energy X-ray absorptiometry (DXA) at baseline and 2 years later. Metabolic outcomes included homeostatic model assessment of insulin resistance (HOMA-IR) and non-high-density lipoprotein cholesterol (non-HDL-C). We fitted linear regression models to assess the association of increase in body fat over 2 years with metabolic outcomes at years 2 and 3.

resultsIn all, 232 participants had a second DXA and either HOMA-IR or non-HDL-C measured at year 2. Participant characteristics at the first DXA were: age 12 years (9-14) [median (Q1-Q3)], 69% Black, and median CD4 count 714 cells/μL; 70% with HIV RNA <400 copies/mL. In adjusted analyses for every 1% increase in body fat from baseline to year 2, HOMA-IR was higher by 1.03-fold at year 3 (95% CI: 1.00, 1.05). We observed that for every 1% increase in body fat from baseline to year 2, non-HDL-C was 0.72 mg/dL higher at year 2 (95% CI: -0.04-1.49) and 0.81 mg/dL higher at year 3 (95% CI: -0.05-1.66).

conclusionsIncreases in adiposity over time may lead to downstream decreased insulin sensitivity and dyslipidaemia in YPHIV.

Indexed as

HIV InfectionsInsulin ResistanceAbsorptiometry, PhotonAdipose TissueAdiposityAdolescentCholesterolHumansObesityCholesteroladiposityadolescentsHIVmetabolic outcomesperinatally acquired

Identifiers

PMID37845017
PMCPMC10872855
OpenAlexW4387662514

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Registered trials

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.