Evidence map›Paper›PMID 39925575›Full record

ArticleCureus2025

Low Aspartate Aminotransferase/Alanine Aminotransferase Ratio as an Indicator of Metabolic Syndrome Among HIV Patients on Dolutegravir Therapy in Southwestern Uganda.

Daniel Nzaramba, Charles Nkubi Bagenda, Hope Mudondo, Jazira Tumusiime, Elastus Ssemwanga, Darlington Muhwezi, Sylvia Achieng Lumumba, Ritah Kiconco, Simon Peter Rugera

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

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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.

Daniel NzarambaDepartment of Medical Laboratory Science, Mbarara University of Science and Technology, Mbarara, UGA.
Charles Nkubi BagendaDepartment of Medical Laboratory Science, Mbarara University of Science and Technology, Mbarara, UGA.
Hope MudondoDepartment of Medical Laboratory Science, Mbarara University of Science and Technology, Mbarara, UGA.
Jazira TumusiimeDepartment of Medical Laboratory Science, Mbarara University of Science and Technology, Mbarara, UGA.
Elastus SsemwangaSchool of Medical Laboratory Technology, Mayanja Memorial Medical Training Institute, Mbarara, UGA.
Darlington MuhweziMunicipal Health Department, Ibanda Municipality, Ibanda, UGA.
Sylvia Achieng LumumbaDepartment of Medical Laboratory Sciences, Technical University of Mombasa, Mombasa, KEN.
Ritah KiconcoBiochemistry, Soroti University, Soroti, UGA.
Simon Peter RugeraDepartment of Medical Laboratory Science, Mbarara University of Science and Technology, Mbarara, UGA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to investigate the association between the aspartate aminotransferase-to-alanine aminotransferase (AST/ALT) ratio and metabolic syndrome (MetS) among HIV-infected patients on dolutegravir-based antiretroviral therapy (ART). PATIENTS AND

methodsA cross-sectional study was conducted on 377 adults on dolutegravir-based ART for at least one year. Data were collected from July 1 to August 15, 2024. Participants were systematically sampled, data were collected using a pre-tested questionnaire, anthropometric measurements were taken, and blood samples were collected for biochemical analysis. A low AST/ALT ratio was defined as ≤ 1 and MetS as the presence of at least three of the following: central obesity, fasting hyperglycemia, elevated triglycerides, low HDL-C, and hypertension (International Diabetes Federation (IDF) Consensus worldwide definition, 2006). Logistic regression was used to assess the association between low AST/ALT ratio and MetS, and receiver operating curve (ROC) analysis was conducted to evaluate its predictive performance.

resultsThe median age of the participants was 44 years (interquartile range (IQR): 30-59), with 56.2% being female. The prevalence of MetS was 35.3% (133/377, 95%CI: 30.6-40.3). A significant association was found between low AST/ALT ratio and MetS (aOR: 2.19, 95% CI: 1.28-3.73, p = 0.004). Female gender (adjusted odds ratio (aOR): 3.68, 95% CI: 2.07-6.55, p < 0.001) and smoking (aOR: 3.96, 95% CI: 1.77-8.86, p < 0.001) were also significantly associated with MetS. The ALT/AST ratio had a significant predictive power for MetS (AUC = 0.583, 95% CI: 0.523-0.643).

conclusionThe prevalence of MetS is high. A low AST/ALT ratio is significantly associated with MetS, making it a potential biomarker among HIV patients on ART.

Indexed as

metabolic syndrome (mets)predictive powerproportionratioserum transaminases

Identifiers

PMID39925575
PMCPMC11806242

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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.