Evidence map›Paper›PMID 40597749›Full record

ArticleBMC infectious diseases2025

Prolonged antiretroviral therapy use and hypertension in a retrospective cross-sectional study-Rakai, Uganda.

Grace Mongo Bua, Victor Ssempijja, Anthony Ndyanabo, Dorean Nabukalu, Jesca Basiima, Edward Nelson Kankaka, Fred Nalugoda, Gertrude Nakigozi, Joseph Kagaayi, Larry W Chang and 6 more

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Article in BMC infectious diseases, 2025. 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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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

16 authors.

Grace Mongo BuaRakai Health Sciences Program, Kalisizo, Uganda.
Victor SsempijjaRakai Health Sciences Program, Kalisizo, Uganda. victor.ssempijja@nih.gov.
Anthony NdyanaboRakai Health Sciences Program, Kalisizo, Uganda.
Dorean NabukaluRakai Health Sciences Program, Kalisizo, Uganda.
Jesca BasiimaRakai Health Sciences Program, Kalisizo, Uganda.
Edward Nelson KankakaRakai Health Sciences Program, Kalisizo, Uganda.
Fred NalugodaRakai Health Sciences Program, Kalisizo, Uganda.
Gertrude NakigoziRakai Health Sciences Program, Kalisizo, Uganda.
Joseph KagaayiRakai Health Sciences Program, Kalisizo, Uganda.
Larry W ChangRakai Health Sciences Program, Kalisizo, Uganda.
Wendy S PostDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Thomas C QuinnDivision of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.
Ron GrayDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Maria WawerDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Godfrey KigoziRakai Health Sciences Program, Kalisizo, Uganda.
Steven J ReynoldsRakai Health Sciences Program, Kalisizo, Uganda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile antiretroviral therapy (ART) reduces AIDS-related morbidity and mortality, it is unclear if prolonged ART use among people living with HIV (PLHIV) increases the risk of hypertension.

objectiveWe assessed the association between the duration of ART use and hypertension in the Rakai Community Cohort Study (RCCS).

designWe conducted a cross-sectional study among PLHIV (35-49 years old) on ART in the RCCS who were surveyed between August 2016 and May 2018.

methodsSystolic and diastolic blood pressure (BP) was measured twice, averaged, and classified as any hypertension (systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg), severe or worse hypertension (systolic BP ≥ 160 mmHg or diastolic BP ≥ 100 mmHg), or hypertensive crisis (systolic BP ≥ 180 mmHg or diastolic BP ≥ 110 mmHg). ART duration was categorized as short (0-2 years), moderate (> 2-5 years), or prolonged (> 5 years). We used log-binomial regression to estimate the adjusted prevalence ratio (adjPR) of hypertension associated with ART duration.

resultsA total of 1,144 PLHIV on ART with documented BP information were identified in the RCCS, of whom 173 (15.1%) had any hypertension, 64 (5.6%) had at least severe hypertension, and 44 (3.8%) had hypertensive crisis. After controlling for age, sex, and body mass index, the prevalence of having all stages of high BP was increased by at least 42% in participants with more than five years of ART use (any hypertension adjPRs = 1.42 [95% CI = 0.99-2.03]; severe hypertension adjPRs = 1.79 [95% CI = 1.01-3.15]; and hypertensive crisis adjPRs = 2.56 [95% CI = 1.14-5.77]).

conclusionsPLHIV on long-term ART have a higher burden of hypertension, highlighting the need for enhanced screening and integrated management in HIV programs.

Indexed as

Anti-HIV AgentsAnti-Retroviral AgentsHIV InfectionsHypertensionAdultBlood PressureCross-Sectional StudiesFemaleHumansMaleMiddle AgedPrevalenceRetrospective StudiesUgandaAnti-HIV AgentsAnti-Retroviral AgentsAntiretroviral therapy (ART)HIV/AIDSHypertensionNon-communicable diseaseSub-Saharan Africa

Identifiers

PMID40597749
PMCPMC12217811

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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.