Early immunologic response and subsequent survival among malnourished adults receiving antiretroviral therapy in Urban Zambia

作者: John R Koethe , Mohammed I Limbada , Mark J Giganti , Christopher K Nyirenda , Lloyd Mulenga

DOI: 10.1097/QAD.0B013E32833B784A

关键词: Retrospective cohort studyBody mass indexCohortSurgeryYoung adultPopulation studyPharmacotherapyMedicineInternal medicinePopulationMalnutritionImmunologyImmunology and AllergyInfectious Diseases

摘要: Objective—To evaluate the relationship between early CD4 + lymphocyte recovery on antiretroviral therapy (ART) and subsequent survival among low body mass index (BMI) HIV-1 infected adults. Design—Retrospective analysis of a large programmatic cohort in Lusaka, Zambia. Methods—We evaluated ART treated adults enrolled care >6 months. We stratified this study population according to WHO malnutrition criteria: normal (BMI ≥18.5 kg/m 2 ), mild (17.00-18.49), moderate (16.00-16.99), severe (<16.0). used Cox proportional hazards regression estimate risk death associated with absolute count change over first 6 months ART. To account for effect modification baseline count, weighted summary measure was calculated.

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