Diabetes, metabolic syndrome and dyslipidemia in people living with HIV in Africa: re-emerging challenges not to be forgotten
| Autor: | Dushyant Mital, Mohamed H. Ahmed, Heitham Awadalla, Sufian K. Noor, Clare Woodward, Ahmed O. Almobarak, Nazik Elmalaika Husain, Wadie M Elmadhoun |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Epidemiology Population 030209 endocrinology & metabolism Context (language use) Review Dermatology Type 2 diabetes Disease metabolic syndrome 03 medical and health sciences 0302 clinical medicine metabolic clinic NAFLD Virology Diabetes mellitus Health care Medicine 030212 general & internal medicine HIV services Intensive care medicine education education.field_of_study Traditional medicine business.industry cardiovascular Health Policy dyslipidemia medicine.disease Infectious Diseases diabetes mellitus Africa Metabolic syndrome business Dyslipidemia |
| Zdroj: | HIV/AIDS (Auckland, N.Z.) |
| ISSN: | 1179-1373 |
| Popis: | Background The current challenge in managing people living with human immunodeficiency virus (PLWHIV) includes the identification and monitoring for comorbid health risks associated with HIV and its treatment and longer survival. Dyslipidemia, diabetes mellitus and metabolic syndrome are increasingly seen in PLWHIV. Objective In this narrative review, we aimed to summarize the current knowledge about diabetes, dyslipidemia and metabolic syndrome in PLWHIV in Africa and also to discuss the challenges that patients as well as health authorities in Africa may face. Methods PubMed and Google scholar published-English literatures concerning earlier mentioned entities regardless of time limit were critically reviewed. Results The prevalence of metabolic disorders in HIV population in Africa was estimated to range from 2.1% to 26.5% for diabetes and 20.2% to 43.5% for pre-diabetes, 13% to 58% for metabolic syndrome and 13% to 70% for dyslipidemia. Conclusion The management of metabolic disorders and cardiovascular disease risks related to HIV is complex especially in Africa due to healthcare resources, but our experience suggests that metabolic clinic is beneficial to patients and staff and should be an important part of HIV services especially as the older HIV population is increasing. In this context, cardiovascular risk assessment of HIV-infected patients will become an important component of care in developing countries in Africa and strategies are needed to deal with progressive increase in the epidemic of type 2 diabetes, dyslipidemia and metabolic syndrome. |
| Databáze: | OpenAIRE |
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