Evidence map›Paper›PMID 38777850›Full record

SynthesisScientific reports2024

Prevalence of metabolic syndrome among people living with human immunodeficiency virus in sub-Saharan Africa: a systematic review and meta-analysis.

Yordanos Sisay Asgedom, Tsegaye Melaku Kebede, Amanuel Yosef Gebrekidan, Mengistu Meskele Koyira, Gedion Asnake Azeze, Afework Alemu Lombebo, Amelework Gonfa Efa, Kirubel Eshetu Haile, Gizachew Ambaw Kassie

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Protective association of theFrontiers in medicine · 2026
    Article
  10. Observational
  11. Article
  12. Review
  13. Low metformin concentrations in obese people with HIV treated with dolutegravir.African journal of primary health care & family medicine · 2025
    Article
  14. Article
  15. Role of HIV-encoded proteins in cardiovascular disease.American journal of physiology. Cell physiology · 2025
    Review
  16. Observational
  17. Review
  18. Review
  19. Metabolic syndrome.Nature reviews. Disease primers · 2024
    Review
  20. Prevalence of metabolic syndrome among adults treated at a district hospital outpatient department.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 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

9 authors.

Yordanos Sisay AsgedomDepartment of Epidemiology, Wolaita Sodo University, Wolaita Sodo, Ethiopia. yordusisay@gmail.com.
Tsegaye Melaku KebedeInstitute of Health, Jimma University, Oromia, Ethiopia.
Amanuel Yosef GebrekidanSchool of Public Health, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Mengistu Meskele KoyiraSchool of Public Health, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Gedion Asnake AzezeSchool of Nursing and Midwifery, Hawassa University, Sidama, Ethiopia.
Afework Alemu LombeboSchool of Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Amelework Gonfa EfaSchool of Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Kirubel Eshetu HaileSchool of Nursing, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Gizachew Ambaw KassieDepartment of Epidemiology, Wolaita Sodo University, Wolaita Sodo, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Metabolic syndrome (MetS) poses a significant clinical challenge for individuals living with HIV (PLHIV). In sub-Saharan Africa (SSA), this condition is becoming a growing concern, owing to lifestyle changes and an increasingly aging population. Several SSA countries have reported on the prevalence of MetS. However, these estimates may be outdated because numerous recent studies have updated MetS prevalence among PLHIV in these countries. Moreover, prior research has focused on various study designs to report the pooled prevalence, which is a methodological limitation. Therefore, this systematic review and meta-analysis aimed to determine the pooled estimates of MetS in PLHIV in SSA by addressing these gaps. We systematically searched Google Scholar, Science Direct, Scopus, Web of Sciences, EMBASE, and PubMed/Medline for the prevalence of MetS and its subcomponents among people with HIV in sub-Saharan Africa. The estimated pooled prevalence was presented using a forest plot. Egger's and Begg's rank regression tests were used to assess evidence of publication bias. Twenty-five studies fulfilled the inclusion criteria after review of the updated PRISMA guidelines. The pooled prevalence of MetS was 21.01% [95% CI: (16.50, 25.51)] and 23.42% [95% CI: (19.16, 27.08)] to the National Cholesterol Education Program Adult Treatment Panel III (NCEP/ATP III) and International Diabetes Federation (IDF) criteria, respectively. Low levels of high-density lipoprotein cholesterol (Low HDL) at 47.25% [95% CI: 34.17, 60.33)] were the highest reported individual subcomponent, followed by abdominal obesity at 38.44% [95% CI: (28.81, 48.88)]. The prevalence of MetS is high in sub-Saharan Africa. Low HDL levels and increased waist circumference/abdominal obesity were the most prevalent components of MetS. Therefore, early screening for MetS components and lifestyle modifications is required. Policymakers should develop strategies to prevent MetS before an epidemic occurs.PROSPERO: CRD42023445294.

Indexed as

HIV InfectionsMetabolic SyndromeAfrica South of the SaharaFemaleHumansMalePrevalenceRisk FactorsAIDSHIVMeta-analysisMetabolic syndromeSub-Saharan AfricaSystematic review

Identifiers

PMID38777850
PMCPMC11111734

What OpenQuestion holds

Textmetadata
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.