Trends in body mass index for people with and without HIV: Pooled analysis of nationally-representative health surveys from 10 countries and 173,800 adults in Africa

• DOI: 10.1371/journal.pgph.0003640
• Publication Date: 2024-09-17T17:26:21Z
• Authors: Rodrigo M. Carril...; Caroline A. Bulstra; Jennifer Manne-Go...; Mark J. Siedner; Leslie C. M. Johnson; Vincent C. Marconi; Michael H. Chung; Willem Daniel Fra...; Erica Kocher; Samanta Lalla-Edward; Nomathemba C. Cha...; Jacob K. Kariuki; Mohammed K. Ali

It remains unclear if and how body mass index (BMI) levels have changed over time in HIV endemic regions. We described trends mean BMI prevalence of overweight between 2003–2019 10 countries Africa including people living with (PLWH) without (PLWoH) HIV. pooled Demographic Health Surveys (DHS) from where ≥2 surveys >4 years apart were available height/weight measurements tests. status was ascertained a finger-prick dried blood spot (DBS) specimen tested laboratory. The DBS is taken as part the regular DHS procedures. summarized age socioeconomic standardized sex-specific (kg/m 2 ) (BMI ≥25 kg/m by status. fitted country-level meta-regressions to ascertain changes ART coverage correlated BMI. Before 2011, women LWH (22.9 [95% CI: 22.2–23.6]) LWoH (22.6 22.3–22.8]) had similar Over time, increased more (+0.8 0.7–0.8] units) than (+0.2 0.2–0.3]). 2013, men (21.1 (95% 20.3–21.9)) (20.8 20.6–21.1)). (+0.3 0.3–0.3]) (+0.1 0.1–0.1]). same profile observed for overweight. not strongly associated changes. Mean PLWH PLWoH, yet some cases estimates PWLH on track catch up those PLWoH. monitoring programs are warranted address rising trends.