Background The association between HIV and cardiovascular disease (CVD) has been reported in several studies. However, there is paucity of information on the prevalence of subclinical disease as well as its associated risk factors in sub-Saharan African population. The aim of this study was to determine the prevalence and associated risk factors of peripheral artery disease (PAD) among virologically suppressed HIV-infected participants in Kwara State, Nigeria. Methods This study was conducted between July 2018 and December 2018. A total of 150 HIV-infected participants aged between 20 and 55 years and 50 HIV non-infected age-matched controls were randomly recruited in the study. Sociodemographic, anthropometric and clinical data were collected using a well-structured questionnaire. Ankle brachial index (ABI) was measured, PAD was defined as ABI of < 0.9. Cryopreserved serum was used to evaluate lipid profile parameters. Student’s t-test and Chi-square were used to compare continuous and categorical variables. Associations of CVD risk factors and clinical data, and lipid profile with low ABI were assessed using logistic regression analysis. Results The study participants had a mean age of 43.73 ± 8.74, majority were females (72.7%) with a mean duration on ART of 7.73 ± 3.52 years. Hypertension was present in 15.9%, diabetes 4%, family history of CVD 8.6% and metabolic syndrome 17.3% in the study group. The study participants recorded significantly lower mean values for ABI, HDL-C and significantly higher mean values of TG ( P < 0.05) compared to the control group. The prevalence of low ABI (14.6%) was higher in the study group compared to the control group (2%). A significantly negative correlation between ABI and duration on ART ( r = − 0.163, P = 0.041) and a positive correlation between viral load and TG were observed in the study group. TC (OR 1.784, P = 0.011), LDL-C (OR 1.824, P = 0.010) and CD4 cell count < 200 cells/mm 3 (OR 2.635, P = 0.364) were associated with low ABI in the participants. Conclusion Viral suppression with combined antiretroviral therapy and long term treatment is associated with dyslipidaemia, with increased risk of PAD. Prevalence of PAD in virologically-suppressed individuals does not differ from the controls in the population studied. Electronic supplementary material The online version of this article (10.1186/s12889-019-7496-4) contains supplementary material, which is available to authorized users.
not by increased levels of LDL-C have been associated with HAART (1). Insulin resistance, impaired glucose tolerance, impaired fasting glucose and diabetes mellitus are glucose metabolism disorders also reported in persons with HIV infection with and without HAART (2). The exact etiologic mechanisms for development of these disorders are still uncertain because not all of the patients exposed to the same HAART regimens are similarly affected. Alterations in acute phase response proteins in response to acute or chronic inflammation and
Background COVID-19 has affected almost every country in the world, especially in terms of health system capacity and economic burden. People from sub-Saharan Africa (SSA) often face interaction between human immunodeficiency virus (HIV) infection and non-communicable diseases such as cardiovascular disease. Role of HIV infection and anti-retroviral treatment (ART) in altered cardiovascular risk is questionable and there is still need to further carry out research in this field. However, thus far it is unclear, what impact the COVID-19 co-infection in people living with HIV (PLHIV), with or without therapy will have. The ENDOCOVID project aims to investigate whether and how HIV-infection in COVID-19 patients modulates the time course of the disease, alters cardiovascular risk, and changes vascular endothelial function and coagulation parameters/ thrombosis risk. Methods A total of 1026 patients will be included into this study. Cardiovascular research PLHIV with (n = 114 in each of the three recruiting centers) - or without - ART (n = 114 in each of the three recruiting centers) with COVID-19 and HIV-negative with COVID-19 (n = 114 in each of the three recruiting centers) will be carried out via clinical and biochemical measurements for cardiovascular risk factors and biomarkers of cardiovascular disease (CVD). Vascular and endothelial function will be measured by brachial artery flow-mediated dilatation (FMD), carotid intima-media thickness (IMT) assessments, and retinal blood vessel analyses, along with vascular endothelial biomarkers and cogualation markers. The correlation between HIV-infection in COVID-19 PLHIV with or without ART and its role in enhancement of cardiovascular risk and endothelial dysfunction will be assessed at admission, weekly, at discharge and, 4 weeks post-discharge (if possible). Impact of project The ENDOCOVID project aims to evaluate in the long-term the cardiovascular risk and vascular endothelial function in PLHIV thus revealing an important transitional cardiovascular phenotype in COVID-19. The study was registered under clinicaltrials.gov (NCT04709302).
| Oxidative stress has been implicated in obesity-associated dyslipidemia and microvascular complications. In this study, the lipid profile and oxidative stress indices were evaluated in obese women. Ninety women (22-55 years) comprising 40 obese, 20 overweight and 30 controls were studied. Total cholesterol (TC), triglycerides (TG), high-density lipoprotein (HDL), malondialdehyde (MDA), lipid hydroperoxides, total antioxidant capacity (TAC), reduced form of glutathione (GSH), and nitric oxide (NO) were estimated colorimetrically, and low-density lipoprotein (LDL), very low-density lipoprotein (VLDL), oxidative stress index (OSI), and atherogenic index of plasma (AIP) were determined by calculation. Anthropometric indices and blood pressure (BP) were also obtained. Our results showed that obese women had lower antioxidants and higher BP, lipid peroxidation, and OSI with unfavorable lipid profile (higher TC, TG, LDL, VLDL, and AIP; lower HDL) compared to overweight and controls (p < 0.05). Overweight women had higher BP, lipid peroxidation, and decreased antioxidants compared to controls (p < 0.05). Positive correlations were observed between MDA and TC (r = 0.336, p = 0.034) and LDL (r = 0.322, p = 0.043), and negative correlation between HDL and AIP (r = -0.636, p < 0.001) in obese women. In conclusion, obesity is associated with increased LDL-C, lipid peroxidation, and reduced antioxidants which may lead to oxidative stress and increased risk for atherosclerosis in obese women studied.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.