4.6 Article

Impact of antiretroviral therapy on serum lipoprotein levels and dyslipidemias: A systematic review and meta-analysis

Journal

INTERNATIONAL JOURNAL OF CARDIOLOGY
Volume 199, Issue -, Pages 307-318

Publisher

ELSEVIER IRELAND LTD
DOI: 10.1016/j.ijcard.2015.07.052

Keywords

Antiretroviral therapy; Lipoproteins; Dyslipidemias; HIV

Funding

  1. University of Warwick Scholarship [1160088]
  2. FAS Marie Curie International PostDoc [2012-0064]

Ask authors/readers for more resources

Background: Antiretroviral drugs increase biosynthesis and reduce hepatic clearance of serum cholesterol. It is thus important to evaluate the impact of antiretroviral treatment on serum lipoprotein levels and the risk of dyslipidemia. Methods: We searched EMBASE and PubMed for articles comparing lipid profiles between HIV-infected adult patients naive and exposed to antiretroviral therapy (ART). Eligible studies were pooled by performing random-effects meta-analyses of mean serum lipoprotein levels and prevalence estimates of dyslipidemias. Results: 51 observational studies comprising 37,110 patients were included in the meta-analyses. ART-exposed patients had significantly higher concentrations of total cholesterol (45 studies, mean difference [MD] = 29.4 mg/dL, 95% confidence interval [CI] 26.5 to 32.4, I-2 = 82.2%), low density lipoprotein-cholesterol (37 studies, MD = 14.9 mg/dL, 95% CI 11.2 to 18.5, I-2 = 86.1%), and triglycerides (43 studies, MD = 46.8 mg/dL, 95% CI 37.8 to 55.8, I-2 = 97.1%), compared with ART-naive patients. The risks of hypercholesterolemia (25 studies, pooled odds ratio [OR] 3.8, 95% CI 3.1 to 4.7, I-2 = 60.0%) and hypertriglyceridemia (21 studies, OR 2.2, 95% CI 1.7 to 2.9, I-2 = 81.7%) were also significantly higher among ART-exposed patients, compared with ART-naive patients. Conclusion: Antiretroviral therapy is significantly associated with increase in serum lipid levels and increased risk of dyslipidemia. Whether or not these associations are causal should be investigated by future studies. (C) 2015 Elsevier Ireland Ltd. All rights reserved.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.6
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Education & Educational Research

Adolescents' sexual and reproductive health education: perspectives from secondary school teachers in Northern Nigeria

Nkechi W. Emenike, Franklin Onukwugha, Ahmed M. Sarki, Lesley Smith

Summary: Lack of sexual and reproductive health education contributes to poor outcomes for adolescents and young people in Sub-Saharan Africa. In Northern Nigeria, school-based comprehensive SRH education programs face opposition from community and religious institutions due to mistrust of Western ideologies. This study examined perceptions of such programs among secondary school staff, revealing conflicting views on their importance and barriers to delivery. Involving traditional and religious leaders and tailoring approaches may strengthen future implementation.

SEX EDUCATION-SEXUALITY SOCIETY AND LEARNING (2023)

Review Medicine, General & Internal

Global prevalence and trends in hypertension and type 2 diabetes mellitus among slum residents: a systematic review and meta-analysis

Olalekan Abdulrahman Uthman, Abimbola Ayorinde, Oyinlola Oyebode, Jo Sartori, Paramjit Gill, R. J. Lilford

Summary: This study provides estimates of prevalence of hypertension and type 2 diabetes in urban slums, and compares them with urban and rural areas. The burden of these conditions varies widely between countries and regions, as well as within countries.

BMJ OPEN (2022)

Review Environmental Sciences

Food Insecurity and Health Outcomes Other than Malnutrition in Southern Africa: A Descriptive Systematic Review

Elias M. A. Militao, Elsa M. Salvador, Olalekan A. Uthman, Stig Vinberg, Gloria Macassa

Summary: Food insecurity is a major cause of malnutrition and is associated with negative health outcomes in low and middle-income countries. This review of 14 studies found that food insecurity is mainly associated with hypertension, diabetes, anxiety, depression, and increased risk of HIV acquisition in southern Africa. Future research is needed to address and improve food insecurity and health outcomes in the region.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2022)

Article Environmental Sciences

Household Air Pollution and High Blood Pressure: A Secondary Analysis of the 2016 Albania Demographic Health and Survey Dataset

Mustapha S. Abba, Chidozie U. Nduka, Seun Anjorin, Olalekan A. Uthman

Summary: This study using data from the 2016 Albania Demographic Health and Survey (DHS) found a significant association between household air pollution and hypertension, particularly among women, rural residents, and participants aged >24 years.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2022)

Review Public, Environmental & Occupational Health

Examining vulnerability and resilience in maternal, newborn and child health through a gender lens in low-income and middle-income countries: a scoping review

Fatima Abdulaziz Sule, Olalekan A. Uthman, Emmanuel Olawale Olamijuwon, Nchelem Kokomma Ichegbo, Ifeanyi C. Mgbachi, Babasola Okusanya, Olusesan Ayodeji Makinde

Summary: The application of a gender lens is crucial in addressing vulnerability and resilience in maternal and child health. This scoping review identified six key gendered dimensions of vulnerability and resilience, providing insights for the design and implementation of effective maternal and child health programs in low-income and middle-income countries.

BMJ GLOBAL HEALTH (2022)

Article Emergency Medicine

A CROSS-SECTIONAL STUDY OF SELF-PERCEIVED EDUCATIONAL NEEDS OF EMERGENCY NURSES IN TWO TERTIARY HOSPITALS IN NAIROBI, KENYA

Anthony Ndung, Eunice Ndirangu, Ahmed Sarki, Lilian Isiaho

Summary: Many low-and middle-income countries lack resources for well-functioning emergency care systems. Emergency nurses in Nairobi, Kenya have educational needs and gaps in providing ideal emergency care, especially in trauma, cardiovascular, respiratory, and neurological illnesses. Suggestions for addressing these needs include specialty training in emergency nursing through continuing professional development and short courses.

JOURNAL OF EMERGENCY NURSING (2022)

Review Medicine, General & Internal

Ethnic differences between South Asians and white Caucasians in cardiovascular disease-related mortality in developed countries: a systematic literature review protocol

Mubarak Patel, Salim Abatcha, Olalekan Abdulrahman Uthman

Summary: Cardiovascular disease has worse outcomes in ethnic minorities, especially South Asians, compared to the prevailing white ethnic group in developed countries. This article outlines a systematic literature review protocol to investigate the inequalities in cardiovascular disease outcomes between South Asian and white Caucasian ethnic groups.

BMJ OPEN (2022)

Article Environmental Sciences

Does Shiftwork Impact Cognitive Performance? Findings from the Canadian Longitudinal Study on Aging (CLSA)

Rea Alonzo, Kelly K. Anderson, Rebecca Rodrigues, Neil Klar, Paolo Chiodini, Manuel Montero-Odasso, Saverio Stranges

Summary: Few large nationwide studies have explored the relationship between shiftwork and cognitive performance as well as the potential moderating effect of psychological distress. This study found a significant association between shiftwork and executive functioning, with differences by sex and retirement status, but no evidence of a moderating effect by psychological distress. These findings confirm the impact of shiftwork on cognitive performance and highlight important health correlates.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2022)

Article Green & Sustainable Science & Technology

Coping Strategies for Household Food Insecurity, and Perceived Health in an Urban Community in Southern Mozambique: A Qualitative Study

Elias M. A. Militao, Elsa M. Salvador, Jose P. Silva, Olalekan A. Uthman, Stig Vinberg, Gloria Macassa

Summary: Food insecurity is a significant issue in Mozambique, with many households resorting to various coping strategies. The perception of health among food-insecure households is negatively affected, highlighting the importance of creating employment opportunities, empowering women, and implementing appropriate policies and programs to alleviate this problem.

SUSTAINABILITY (2022)

Review Psychiatry

Mental health interventions for adolescents in sub-Saharan Africa: A scoping review

Adam Mabrouk, Gideon Mbithi, Esther Chongwo, Ezra Too, Ahmed Sarki, Mary Namuguzi, Joseph Atukwatse, Derrick Ssewanyana, Amina Abubakar

Summary: The review findings show that there are various interventions available in sub-Saharan Africa that promote mental health among adolescents. These interventions encompass different implementation strategies such as economic-based, family strengthening, and psychoeducation, and can be implemented in diverse settings.

FRONTIERS IN PSYCHIATRY (2022)

Article Public, Environmental & Occupational Health

Capacity building among nursing and midwifery professional associations in East Africa

Stephen Ruhmel, Eunice Ndirangu-Mugo, Joseph Mwizerwa, Ahmed Sarki, Eunice Pallangyo

Summary: Despite improvements in education, policy changes, and pay raises, poor working conditions and a lack of respect still exist in the nursing and midwifery professions in East Africa. This study highlights the importance of strengthening health professional associations in addressing these issues.

GLOBAL HEALTH ACTION (2022)

Article Pediatrics

Neonatal Mortality and Education Related Inequality in Cesarean Births in Sub-Saharan Africa: Multi-Country Propensity Score Matching and Meta-Analysis

Tawa O. Olukade, Olalekan A. Uthman

Summary: In Sub-Saharan African countries, neonates from uneducated women are twice as likely to die following cesarean section delivery compared to neonates from educated women. This highlights the importance of improving education and socio-economic conditions in reducing neonatal and child mortality.

CHILDREN-BASEL (2022)

Article Nutrition & Dietetics

Food Insecurity and Associated Factors among Households in Maputo City

Elias M. A. Militao, Olalekan A. Uthman, Elsa M. Salvador, Stig Vinberg, Gloria Macassa

Summary: This study investigated the prevalence of food insecurity and its associated factors in southern Mozambique. The findings revealed that 79% of households in the rural area were food insecure, with low-income households, less educated heads, and those engaged in informal work being more prone to food insecurity. These results highlight the importance of joint efforts from government, the private sector, and international institutions to provide decent work opportunities and alleviate household food insecurity and malnutrition in Mozambique.

NUTRIENTS (2023)

Article Cardiac & Cardiovascular Systems

Socioeconomic Macro-Level Determinants of Hypertension: Ecological Analysis of 138 Low- and Middle-Income Countries

Mustapha S. Abba, Chidozie U. Nduka, Seun Anjorin, Fatima H. Zanna, Olalekan A. Uthman

Summary: This study used data from 138 countries to analyze the correlation between socioeconomic factors and the prevalence of hypertension. The findings showed that an increase in unemployment rate was associated with an increase in the prevalence of hypertension, while an increase in the percentage of urban population was associated with a decrease in the prevalence of hypertension.

JOURNAL OF CARDIOVASCULAR DEVELOPMENT AND DISEASE (2023)

Article Health Care Sciences & Services

One Hundred Years of Hypertension Research: Topic Modeling Study

Mustapha Abba, Chidozie Nduka, Seun Anjorin, Shukri Mohamed, Emmanuel Agogo, Olalekan Uthman

Summary: This study used topic modeling to uncover hidden topics and subtopics from 100 years of hypertension publications, identifying temporal trends. Most articles had negative valency, with positive and neutral valency articles increasing between 1980 and 2000. The research also found that the majority of topics can be grouped into preclinical, epidemiology, complications, and treatment-related studies categories.

JMIR FORMATIVE RESEARCH (2022)

No Data Available