Obesity and diabetes in people of African ancestry with HIV.
Laura CechinClaire NorcrossAmelia OliveiraDavid HopkinsBarbara McGowanFrank A PostPublished in: HIV medicine (2022)
Obesity is a chronic disease with multiple adverse effects on health. The prevalence of obesity is increasing worldwide, and people of African ancestry are disproportionally affected. Several widely used antiretrovirals have been associated with weight gain and contribute to the rising burden of obesity in people with HIV. Obesity and weight gain on antiretroviral therapy are risk factors for the development of type 2 diabetes mellitus, a condition which also disproportionally affects black populations. In this review, we discuss recent data on weight gain in relation to initiating or switching antiretroviral therapy and advances in the management of obesity. Availability of highly effective treatments for obesity have the potential to address, and potentially reverse, the epidemics of obesity and diabetes mellitus in people with HIV.
Keyphrases
- weight gain
- antiretroviral therapy
- body mass index
- birth weight
- weight loss
- hiv infected
- insulin resistance
- metabolic syndrome
- human immunodeficiency virus
- hiv positive
- type diabetes
- high fat diet induced
- hiv aids
- hepatitis c virus
- healthcare
- risk assessment
- risk factors
- social media
- glycemic control
- physical activity
- south africa
- machine learning
- climate change
- gestational age