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ArticleAIDS research and therapy2025

Hypoalbuminemia in HIV-infected patients: its determinants and correlation with CD4 count in Northern Uganda.

Abukar Ali Ahmed, Hanan Asad Hassan, Venance Emmanuel Mswelo, Awil Abdulkadir Abdi, Onyanga Nixson, Hanaa Mohamed Shiekh Omar, Mohamed Jayte, Mohamed Elmalik Musa, Abishir Mohamud Hirsi

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Article in AIDS research and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

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9 authors.

Abukar Ali AhmedDepartment of Internal Medicine, Faculty of Clinical Medicine and Dentistry, Kampala International University, Ishaka, Bushenyi, Uganda. ahmed.abukar@studwc.kiu.ac.ug.ORCID 0009-0005-8710-8421
Hanan Asad HassanDepartment of Internal Medicine, Faculty of Clinical Medicine and Dentistry, Kampala International University, Ishaka, Bushenyi, Uganda.ORCID 0009-0005-2161-7290
Venance Emmanuel MsweloDepartment of Internal Medicine, Faculty of Clinical Medicine and Dentistry, Kampala International University, Ishaka, Bushenyi, Uganda.ORCID 0009-0009-9362-9943
Awil Abdulkadir AbdiDepartment of Internal Medicine, Faculty of Clinical Medicine and Dentistry, Kampala International University, Ishaka, Bushenyi, Uganda.ORCID 0009-0001-1983-3470
Onyanga NixsonDepartment of Internal Medicine, Faculty of Clinical Medicine and Dentistry, Kampala International University, Ishaka, Bushenyi, Uganda.
Hanaa Mohamed Shiekh OmarDepartment of Internal Medicine, Faculty of Clinical Medicine and Dentistry, Kampala International University, Ishaka, Bushenyi, Uganda.
Mohamed JayteDepartment of Internal Medicine, Faculty of Clinical Medicine and Dentistry, Kampala International University, Ishaka, Bushenyi, Uganda.ORCID 0009-0008-2204-0384
Mohamed Elmalik MusaDepartment of Internal Medicine, Faculty of Clinical Medicine and Dentistry, Kampala International University, Ishaka, Bushenyi, Uganda.
Abishir Mohamud HirsiDepartment of Internal Medicine, Faculty of Clinical Medicine and Dentistry, Kampala International University, Ishaka, Bushenyi, Uganda.ORCID 0009-0002-0188-6512

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHypoalbuminemia is linked to an earlier onset of acquired immune deficiency syndrome and increased mortality in patients living with HIV infection. Serum albumin is therefore an independent factor for the prediction of disease progression and mortality in People Living With HIV.

methodsThis was a cross-sectional study conducted at Lira Regional Referral Hospital in northern Uganda that targeted HIV-positive outpatients attending the ART clinic with a sample size of 373 patients. Data were collected through structured interviews and laboratory tests in which the serum albumin concentration, viral load, and CD4 count were measured.

resultsThe prevalence of hypoalbuminemia was 19.6% (73/373). A moderate positive correlation was observed between the serum albumin concentration and the CD4 count (rs = 0.43, p < 0.001). Patients with no formal education [AOR = 2.03, 95%CI = 1.69-2.07, P = 0.03] were 2.03 times more likely to have hypoalbuminemia than those who had a tertiary/university education level. The odds of having hypoalbuminemia [AOR = 2.17, CI = 1.80-3.06, P = 0.02] were 2.17 higher among HIV-infected patients who were naïve ART than among those who were on ART. Additionally, the odds of having hypoalbuminemia [AOR = 2.91, CI = 2.13-3.66, P = 0.01] were 2.91 higher among HIV-infected patients who were in stage four than among those who were in stage 1.

conclusionHypoalbuminemia prevalence was high in PLWHIV, and a moderate positive correlation was found between the serum albumin level and the CD4 cell count. Lower education level, not being ART, and advanced HIV disease were independently associated with hypoalbuminemia.

Indexed as

HIV InfectionsHypoalbuminemiaAdultCD4 Lymphocyte CountCross-Sectional StudiesFemaleHumansMaleMiddle AgedPrevalenceSerum AlbuminUgandaViral LoadYoung AdultSerum AlbuminAIDSARTCD4 cell countCorrelationHIVHypoalbuminemiaViral load

Identifiers

PMID40898300
PMCPMC12406449

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