Evidence map›Paper›PMID 38373940›Full record

Observational studyBMC infectious diseases2024

The effect of a treatment switch to integrase Strand transfer inhibitor-based regimens on weight gain and other metabolic syndrome-related conditions.

Omer Maman, Wiessam Abu Ahmad, Ofer Perzon, Keren Mahlab-Guri, Daniel Elbirt, Hila Elinav

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
2.8field-weighted citation impact, top 12% 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

0 citing papers in PubMed, 4 citations in OpenAlex.

No citing paper in PubMed yet.

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

6 authors at 3 institutions in 1 country.

Omer Maman *Medical School, Hebrew University, Jerusalem, Israel.
Wiessam Abu Ahmad *Braun School of Public Health and Community Medicine, Hebrew University, Jerusalem, Israel.
Ofer PerzonInternal medicine ward B, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
Keren Mahlab-GuriDepartment of Allergy, Immunology and HIV, Kaplan Medical Center, Rehovot, Israel.
Daniel Elbirt *Department of Allergy, Immunology and HIV, Kaplan Medical Center, Rehovot, Israel.
Hila Elinav *Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel. hilaelinav@gmail.com.
Hebrew University of Jerusalem · ILHadassah Medical Center · ILKaplan Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to assess weight gain associated with treatment switching to INSTI-based regimens in people living with HIV (PLWH) and to determine whether it is accompanied by worsening features of hypertension, dyslipidemia, or hyperglycemia.

methodsIn this two-center retrospective observational study, we assessed weight gain and metabolic features in PLWH who switched to an INSTI-based regimen (study group) as compared to patients who remained on a non-INSTI regimen (control group) over a 24-month follow-up period.

resultsOne-hundred seventy-four PLWH were included in the study group, and 175 were included in the control group. The study group gained 2.51 kg ± 0.31 (mean ± standard deviation) over the 2 years of follow-up, while the control group gained 1.1 ± 0.31 kg over the same time course (p < 0.001). INSTI treatment, Caucasian origin, and lower BMI were risk factors associated with excessive weight gain during the 2 years of follow-up. Among metabolic parameters, only glucose levels increased after initiating INSTI-based regimens, although limited to males of African origin (p = 0.009).

conclusionsWe observed a mild weight gain after switching to INSTI-based regimens, with no major impact on metabolic parameters over 2 years of follow-up. Longer follow-up might be needed to observe the adverse metabolic effects of INSTI-based regimens. The impact on weight gain should be discussed with every patient before the treatment switch to ensure a balanced diet and physical activity to prevent excessive weight gain that might hamper compliance with ART.

Indexed as

HIV InfectionsHIV Integrase InhibitorsMetabolic SyndromeHumansIntegrasesMaleWeight GainHIV Integrase InhibitorsIntegrasesHyperglycemiaINSTIRisk factorsSwitchWeight gain

Identifiers

PMID38373940
PMCPMC10877751
OpenAlexW4391932879

What OpenQuestion holds

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LicenceCC BY
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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.