African Health Sciences
Makerere University Medical School
Vol. 14, No. 2, 2014, pp. 408-413
Bioline Code: hs14060
Full paper language: English
Document type: Research Article
Document available free of charge
African Health Sciences, Vol. 14, No. 2, 2014, pp. 408-413
© African Health Sciences
Lipodystrophy syndrome among HIV infected children on highly active antiretroviral therapy in northern India|
Bhutia, Euden; Hemal, Alok; Pal Yadav, Tribhuvan & K.L., Ramesh
Background: It is estimated that about 2.5 million people are living with HIV infection in India. Although antiretroviral drugs have been able to reduce the mortality, these drugs have serious side effects one of which is lipodystrophy syndrome. Most of the drugs used in HAART viz, protease inhibitors, stavudine and nevirapine are associated with lipodystrophy. Hence we conducted this study to assess the prevalence of lipodystrophy in HIV infected children on HAART and its associated risk factors.
Methods: A cross sectional study was conducted on 80 HIV infected children aged 2-18 years of age who were on stavudine based HAART for ≥2 years. These children were assessed for presence of lipodystrophy, its metabolic complications and associated risk factors.
Results: Lipodystrophy was observed in 33.7% of children with lipoatrophy being the commonest subtype followed by lipohypertrophy. Older age, increased duration of treatment and dyslipidaemia were found to be associated in patients with lipodystrophy than those without. On further multivariate analysis of independent risk factors only increased duration of treatment was significantly associated with lipodystrophy. No association was found with insulin resistance.
Conclusion: We observed that lipodystrophy is a common finding in HIV patients treated with HAART for long duration.
lipodystrophy syndrome; lipoatrophy; HAART; HIV;