Evidence map›Paper›PMID 40882987›Full record

ArticleThe Journal of international medical research2025

Total cholesterol/high-density lipoprotein cholesterol ratio is a significant predictor of metabolic syndrome among people on dolutegravir-based antiretroviral therapy: A cross-sectional study in southwestern Uganda.

Charles Nkubi Bagenda, Carol Nantongo, Elastus Ssemwanga, Michael Junior Mugisa, Samuel Ojuko, Fred Sempijja, Daniel Nzaramba, Ritah Kiconco, Frank Ssedyabane, Benson Musinguzi and 4 more

Abstract read
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Article in The Journal of international medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

14 authors.

Charles Nkubi BagendaDepartment of Medical Laboratory Science, Faculty of Medicine, Mbarara University of Science and Technology, Uganda.ORCID 0009-0006-4235-1003
Carol NantongoDepartment of Medical Laboratory Science, Faculty of Medicine, Mbarara University of Science and Technology, Uganda.
Elastus SsemwangaDepartment of Medical Laboratory Technology, Mayanja Memorial Medical Training Institute, Uganda.
Michael Junior MugisaDepartment of Medical Laboratory Technology, Mayanja Memorial Medical Training Institute, Uganda.ORCID 0009-0008-3947-3864
Samuel OjukoDepartment of Medical Laboratory Science, School of Health Sciences, Soroti University, Uganda.
Fred SempijjaDepartment of Medical Laboratory Science, Uganda Institute of Allied Health and Management Sciences, Uganda.
Daniel NzarambaDepartment of Medical Laboratory Science, Faculty of Medicine, Mbarara University of Science and Technology, Uganda.
Ritah KiconcoDepartment of Medical Laboratory Science, Faculty of Medicine, Mbarara University of Science and Technology, Uganda.
Frank SsedyabaneDepartment of Medical Laboratory Science, Faculty of Medicine, Mbarara University of Science and Technology, Uganda.
Benson MusinguziDepartment of Medical Laboratory Science, Faculty of Health Science, Muni University, Uganda.
Winnie AkitengDepartment of Medical Laboratory Science, Faculty of Health Science, Muni University, Uganda.
Deusdedit TusubiraDepartment of Biochemistry, Faculty of Medicine, Mbarara University of Science and Technology, Uganda.
Lawrence Obado OsuwatDepartment of Medical Laboratory Science, School of Health Sciences, Soroti University, Uganda.
Simon Peter RugeraDepartment of Medical Laboratory Science, Faculty of Medicine, Mbarara University of Science and Technology, Uganda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ObjectiveThe total cholesterol/high-density lipoprotein cholesterol ratio is a predictor of nonalcoholic fatty liver disease-a hepatic manifestation of metabolic syndrome. This study investigated the association between total cholesterol/high-density lipoprotein cholesterol ratio and metabolic syndrome among people living with human immunodeficiency virus on dolutegravir-based antiretroviral therapy in southwestern Uganda.MethodsWe conducted a secondary analysis of data obtained from a cross-sectional study of 377 adults who had been on dolutegravir-based antiretroviral therapy for at least 1 year at Ruhoko Health Centre IV, southwestern Uganda.ResultsThe median total cholesterol/high-density lipoprotein cholesterol ratio was significantly higher in individuals with metabolic syndrome (3.92) than in those without (2.96, p < 0.001). A statistically significant association was observed between high total cholesterol/high-density lipoprotein cholesterol ratio and metabolic syndrome (adjusted odds ratios: 2.06, 95% confidence interval: 1.08-3.91, p = 0.028). The total cholesterol/high-density lipoprotein cholesterol ratio at an optimal cutoff of 3.30 had a significant ability (area under the curve  = 0.696, 95% confidence interval: 0.642-0.750) to differentiate participants with metabolic syndrome from those without at a sensitivity of 73% and specificity of 60%.ConclusionThe total cholesterol/high-density lipoprotein cholesterol ratio is a significant predictor of metabolic syndrome and serves as a potential blood-based biomarker.

Indexed as

CholesterolCholesterol, HDLHeterocyclic Compounds, 3-RingHIV InfectionsMetabolic SyndromeAdultBiomarkersCross-Sectional StudiesDolutegravirFemaleHumansMaleMiddle AgedOxazinesPiperazinesPyridonesBiomarkersCholesterolCholesterol, HDLDolutegravirHeterocyclic Compounds, 3-RingOxazinesPiperazinesPyridonesblood-based biomarkerdolutegravirmetabolic syndromepredictorTotal cholesterol/high-density lipoprotein cholesterol

Identifiers

PMID40882987
PMCPMC12576561

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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.