Association between HIV and blood pressure in adults and role of body weight as a mediator: Cross-sectional study in Uganda.

Association between HIV and blood pressure in adults and role of body weight as a mediator: Cross-sectional study in Uganda.
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DOI:
10.1111/jch.13092
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发表时间:
2017-11
期刊:
Journal of clinical hypertension (Greenwich, Conn.)
影响因子:
--
通讯作者:
Danaei G
Danaei G
中科院分区:
其他
文献类型:
--
作者:
Okello S;Ueda P;Kanyesigye M;Byaruhanga E;Kiyimba A;Amanyire G;Kintu A;Fawzi WW;Muyindike WR;Danaei G

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We sought to describe the association between HIV and blood pressure levels, and determined the extent to which this relationship is mediated by body weight in a cross-sectional study of HIV-infected and HIV-uninfected controls matched by age, gender, and neighborhood. We fit mixed-effects models to determine the association between HIV and BP and amount of effect of HIV on BP mediated through BMI. We analyzed data from 577 HIV-infected and 538 matched HIV-uninfected participants. HIV infection was associated with 3.3 mmHg lower SBP (1.2 to 5.3), 1.5 mmHg lower DBP (0.2 to 2.9), 0.3 m/s lower PWV (0.1 to 0.4), and 30% lower odds of hypertension (10 to 50%). BMI mediated 25% of the association between HIV and SBP. HIV infection was inversely associated with SBP, DBP and pulse-wave velocity. Comprehensive community-based programs to routinely screen for cardiovascular risk factors irrespective of HIV status should be operationalized in HIV-endemic countries.
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