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Metabolic Syndrome and Associated Factors Among HIV-infected Patients at Bafoussam Regional Hospital, Cameroon
European Journal of Clinical and Biomedical Sciences
Volume 6, Issue 4, August 2020, Pages: 63-70
Received: Aug. 12, 2020; Accepted: Aug. 22, 2020; Published: Sep. 7, 2020
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Joel Martial Diesse, Department of Biochemistry, University of Dschang, Dschang, Cameroon
Cyril Wilfried Missinga, HIV Care Centre, Bafoussam Regional Hospital, Bafoussam, Cameroon
Aude Ngueguim Dougue, Department of Biochemistry, University of Yaounde 1, Yaounde, Cameroon
Emeline Zogning Makemjio, Department of Public Health, University of Dschang, Dschang, Cameroon
Stephen Tamekou Lacmata, Department of Biochemistry, University of Dschang, Dschang, Cameroon
Jean Paul Dzoyem, Department of Biochemistry, University of Dschang, Dschang, Cameroon
Jules-Roger Kuiate, Department of Biochemistry, University of Dschang, Dschang, Cameroon
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The use of highly active antiretroviral therapy (HAART) transformed HIV infection to a chronic disease, and the complexity of the physiological disorders generated leads to the disruption of body fat distribution and insulin resistance. The resulting metabolic syndrome has rarely been investigated among people living with HIV/AIDS in Cameroon. The aim of the current work was to determine the prevalence of metabolic syndrome and associated factors among people living with HIV/AIDS under HAART at the Bafoussam Regional Hospital in Cameroon. A retrospective, cross-sectional study was conducted to collect demographic, clinical and therapeutic data from 371 people living with HIV/AIDS and who are under HAART at the Bafoussam Regional Hospital from November 2017 to February 2019. Abbott Real-time HIV-1 system, FACSCOUNT cytometer and FULLYSMART automates were used to determine HIV RNA level, CD4 cell count and biochemical parameters respectively. The metabolic syndrome was defined according to the International Diabetes Federation (IDF) and the National Cholesterol Education Program -Adult Treatment Panel III (NCEP-ATPIII) criteria. The overall prevalence of metabolic syndrome was 37.74% by IDF and 28.84% by ATPIII. Among patients with metabolic syndrome, HDL-hypocholesterolemia was the most prevalent feature (92.14%). We found that aging (OR, 1.05; p, 0.005), HIV RNA level (OR, 3.42; p, 0.001), family history of metabolic and coronary heart disease (OR, 2.24; P, 0.04), alcohol consumption (OR, 4; P, 0.004) and nutritional supplements (OR, 3.5; P<0.001) were the independent predictors of metabolic syndrome. Male sex (OR, 0.22; p,<0.001), use of traditional medicines (OR, 0.28; P<0.001), Cotrimoxazole prophylaxis (OR, 0.45; p, 0.007) and Lamivudine-Tenofovir-Efavirenz antiretroviral regimen (OR, 0.26; p<0.001) were protective factors. The prevalence of metabolic syndrome is on the increase among people living with HIV/AIDS in our study population. Both HIV related factors and traditional risk factors were associated with metabolic syndrome.
Metabolic Syndrome, People Living with HIV/AIDS, HAART, Traditional Risk Factors
To cite this article
Joel Martial Diesse, Cyril Wilfried Missinga, Aude Ngueguim Dougue, Emeline Zogning Makemjio, Stephen Tamekou Lacmata, Jean Paul Dzoyem, Jules-Roger Kuiate, Metabolic Syndrome and Associated Factors Among HIV-infected Patients at Bafoussam Regional Hospital, Cameroon, European Journal of Clinical and Biomedical Sciences. Vol. 6, No. 4, 2020, pp. 63-70. doi: 10.11648/j.ejcbs.20200604.13
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