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High prevalence of being Overweight and Obese HIV-infected persons, before and after 24 months on early ART in the ANRS 12136 Temprano Trial
HIV is usually associated with weight loss. World health Organization (WHO) recommends early antiretroviral (ART) initiation, but data on the progression of body mass index (BMI) in participants initiating early ART in Africa are scarce. The Temprano randomized trial was conducted in Abidjan to asse...
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Published in: | AIDS research and therapy 2016-02, Vol.13 (12), p.12-12, Article 12 |
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creator | Guehi, Calixte Badjé, Anani Gabillard, Delphine Ouattara, Eric Koulé, Serge Olivier Moh, Raoul Ekouevi, Didier Ahibo, Hugues N'Takpé, Jean Baptiste Menan, Gérard Kouamé Deschamps, Nina Lecarrou, Jerôme Eholié, Serge Anglaret, Xavier Danel, Christine |
description | HIV is usually associated with weight loss. World health Organization (WHO) recommends early antiretroviral (ART) initiation, but data on the progression of body mass index (BMI) in participants initiating early ART in Africa are scarce.
The Temprano randomized trial was conducted in Abidjan to assess the effectiveness of early ART and Isoniazid (INH) prophylaxis for tuberculosis in HIV-infected persons with high CD4 counts below 800 cells/mm(3) without any indication for starting ART. Patients initiating early ART before December 2010 were included in this sub-study. BMI was categorized as: underweight ( |
doi_str_mv | 10.1186/s12981-016-0094-y |
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The Temprano randomized trial was conducted in Abidjan to assess the effectiveness of early ART and Isoniazid (INH) prophylaxis for tuberculosis in HIV-infected persons with high CD4 counts below 800 cells/mm(3) without any indication for starting ART. Patients initiating early ART before December 2010 were included in this sub-study. BMI was categorized as: underweight (<18.5 kg/m(2)), normal weight (18.5-24.9 kg/m(2)), overweight (25-29.9 kg/m(2)) and obese (≥30 kg/m(2)). At baseline and after 24 months of ART, prevalence of being overweight or obese and factors associated with being overweight or obese were estimated using univariate and multivariate logistic regression.
At baseline, 755 participants (78 % women; median CD4 count 442/mm(3), median baseline BMI 22 kg/m(2)) initiated ART. Among them, 19.7 % were overweight, and 7.2 % were obese at baseline. Factors associated with being overweight or obese were: female sex aOR 2.3 (95 % CI 1.4-3.7), age, aOR for 5 years 1.01 (95 % CI 1.0-1.2), high living conditions aOR 2.6 (95 % CI 1.5-4.4), High blood pressure aOR 4.3 (95 % CI 2.0-9.2), WHO stage 2vs1 aOR 0.7 (95 % CI 0.4-1.0) and Hemoglobin ≥95 g/dl aOR 3.0 (95 % CI 1.6-5.8). Among the 597 patients who attended the M24 visit, being overweight or obese increased from 20.4 to 24.8 % (p = 0.01) and 7.2 to 9.2 % (p = 0.03) respectively and factor associated with being overweight or obese was immunological response measured as an increase of CD4 cell count between M0-M24 (for +50 cells/mm(3): aOR 1.01; 95 % CI 1.05-1.13, p = 0.01).
The weight categories overweight and obese are highly prevalent in HIV-infected persons with high CD4 cell counts at baseline, and increased over 24 months on ART in this Sub-Saharan African population.</description><identifier>ISSN: 1742-6405</identifier><identifier>EISSN: 1742-6405</identifier><identifier>DOI: 10.1186/s12981-016-0094-y</identifier><identifier>PMID: 26925155</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adult ; AIDS/HIV ; Analysis ; Anti-HIV Agents - therapeutic use ; Antiretroviral drugs ; Antitubercular Agents - therapeutic use ; Antiviral agents ; Body Mass Index ; Clinical trials ; Cote d'Ivoire - epidemiology ; Drug therapy ; Female ; Health aspects ; HIV ; HIV Infections - complications ; HIV Infections - drug therapy ; Human immunodeficiency virus ; Humans ; Isoniazid - therapeutic use ; Life Sciences ; Male ; Obesity ; Obesity - complications ; Obesity - epidemiology ; Overweight - complications ; Overweight - epidemiology ; Tuberculosis, Pulmonary - prevention & control ; Weight ; Weight Loss - drug effects</subject><ispartof>AIDS research and therapy, 2016-02, Vol.13 (12), p.12-12, Article 12</ispartof><rights>COPYRIGHT 2016 BioMed Central Ltd.</rights><rights>Copyright BioMed Central 2016</rights><rights>Attribution</rights><rights>Guehi et al. 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c526t-a5b4624c0d6e7b94a711ecb2b9002cf1cb32d522712d242aca95638c840e4abd3</citedby><cites>FETCH-LOGICAL-c526t-a5b4624c0d6e7b94a711ecb2b9002cf1cb32d522712d242aca95638c840e4abd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4768327/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1773604025?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,25731,27901,27902,36989,36990,44566,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26925155$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://inserm.hal.science/inserm-01322515$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Guehi, Calixte</creatorcontrib><creatorcontrib>Badjé, Anani</creatorcontrib><creatorcontrib>Gabillard, Delphine</creatorcontrib><creatorcontrib>Ouattara, Eric</creatorcontrib><creatorcontrib>Koulé, Serge Olivier</creatorcontrib><creatorcontrib>Moh, Raoul</creatorcontrib><creatorcontrib>Ekouevi, Didier</creatorcontrib><creatorcontrib>Ahibo, Hugues</creatorcontrib><creatorcontrib>N'Takpé, Jean Baptiste</creatorcontrib><creatorcontrib>Menan, Gérard Kouamé</creatorcontrib><creatorcontrib>Deschamps, Nina</creatorcontrib><creatorcontrib>Lecarrou, Jerôme</creatorcontrib><creatorcontrib>Eholié, Serge</creatorcontrib><creatorcontrib>Anglaret, Xavier</creatorcontrib><creatorcontrib>Danel, Christine</creatorcontrib><title>High prevalence of being Overweight and Obese HIV-infected persons, before and after 24 months on early ART in the ANRS 12136 Temprano Trial</title><title>AIDS research and therapy</title><addtitle>AIDS Res Ther</addtitle><description>HIV is usually associated with weight loss. World health Organization (WHO) recommends early antiretroviral (ART) initiation, but data on the progression of body mass index (BMI) in participants initiating early ART in Africa are scarce.
The Temprano randomized trial was conducted in Abidjan to assess the effectiveness of early ART and Isoniazid (INH) prophylaxis for tuberculosis in HIV-infected persons with high CD4 counts below 800 cells/mm(3) without any indication for starting ART. Patients initiating early ART before December 2010 were included in this sub-study. BMI was categorized as: underweight (<18.5 kg/m(2)), normal weight (18.5-24.9 kg/m(2)), overweight (25-29.9 kg/m(2)) and obese (≥30 kg/m(2)). At baseline and after 24 months of ART, prevalence of being overweight or obese and factors associated with being overweight or obese were estimated using univariate and multivariate logistic regression.
At baseline, 755 participants (78 % women; median CD4 count 442/mm(3), median baseline BMI 22 kg/m(2)) initiated ART. Among them, 19.7 % were overweight, and 7.2 % were obese at baseline. Factors associated with being overweight or obese were: female sex aOR 2.3 (95 % CI 1.4-3.7), age, aOR for 5 years 1.01 (95 % CI 1.0-1.2), high living conditions aOR 2.6 (95 % CI 1.5-4.4), High blood pressure aOR 4.3 (95 % CI 2.0-9.2), WHO stage 2vs1 aOR 0.7 (95 % CI 0.4-1.0) and Hemoglobin ≥95 g/dl aOR 3.0 (95 % CI 1.6-5.8). Among the 597 patients who attended the M24 visit, being overweight or obese increased from 20.4 to 24.8 % (p = 0.01) and 7.2 to 9.2 % (p = 0.03) respectively and factor associated with being overweight or obese was immunological response measured as an increase of CD4 cell count between M0-M24 (for +50 cells/mm(3): aOR 1.01; 95 % CI 1.05-1.13, p = 0.01).
The weight categories overweight and obese are highly prevalent in HIV-infected persons with high CD4 cell counts at baseline, and increased over 24 months on ART in this Sub-Saharan African population.</description><subject>Adult</subject><subject>AIDS/HIV</subject><subject>Analysis</subject><subject>Anti-HIV Agents - therapeutic use</subject><subject>Antiretroviral drugs</subject><subject>Antitubercular Agents - therapeutic use</subject><subject>Antiviral agents</subject><subject>Body Mass Index</subject><subject>Clinical trials</subject><subject>Cote d'Ivoire - epidemiology</subject><subject>Drug therapy</subject><subject>Female</subject><subject>Health aspects</subject><subject>HIV</subject><subject>HIV Infections - complications</subject><subject>HIV Infections - drug therapy</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Isoniazid - therapeutic use</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Obesity</subject><subject>Obesity - complications</subject><subject>Obesity - epidemiology</subject><subject>Overweight - complications</subject><subject>Overweight - epidemiology</subject><subject>Tuberculosis, Pulmonary - prevention & control</subject><subject>Weight</subject><subject>Weight Loss - drug effects</subject><issn>1742-6405</issn><issn>1742-6405</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNptkt9u0zAUxiMEYmPwANwgS0gIpGX4X5zmBqmagFarKBqFW8txThpPid3ZSaEPwTvwLDwZLt1GOyFf2LJ_33esc74keU7wGSEj8TYQWoxIiolIMS54unmQHJOc01RwnD3cOx8lT0K4wpgJSrLHyREVBc1Ilh0nPydm2aCVh7VqwWpArkYlGLtE8zX47xBfe6RsheYlBECT6bfU2Bp0DxVagQ_OhtMoqJ2Hv5iqe_CI8t-_Omf7JiBnESjfbtD4coGMRX0DaPzp8gsilDCBFtCtvLIOLbxR7dPkUa3aAM9u9pPk64f3i_NJOpt_nJ6PZ6nOqOhTlZVcUK5xJSAvC65yQkCXtCwwpromumS0yijNCa0op0qrIhNspEccA1dlxU6Sdzvf1VB2UGmwvVetXHnTKb-RThl5-GJNI5duLXkuRozm0eB0Z9Dck03GM2lsAN9JTBjddnlNIv76pp531wOEXnYmaGhbZcENQZJcFIIUhLKIvryHXrnB29iNSOVMYI5p9o9axrHFgrWL39RbUznmnDPGcrylzv5DxVVBZ7SzUJt4fyB4cyCITA8_-qUaQpAXn6eH7Ks9tgHVxnG7duhNzMQhSHag9i4ED_VdwwiW2xzLXY5jw4Tc5lhuoubF_oDuFLfBZX8ATkzqGQ</recordid><startdate>20160225</startdate><enddate>20160225</enddate><creator>Guehi, Calixte</creator><creator>Badjé, Anani</creator><creator>Gabillard, Delphine</creator><creator>Ouattara, Eric</creator><creator>Koulé, Serge Olivier</creator><creator>Moh, Raoul</creator><creator>Ekouevi, Didier</creator><creator>Ahibo, Hugues</creator><creator>N'Takpé, Jean Baptiste</creator><creator>Menan, Gérard Kouamé</creator><creator>Deschamps, Nina</creator><creator>Lecarrou, Jerôme</creator><creator>Eholié, Serge</creator><creator>Anglaret, Xavier</creator><creator>Danel, Christine</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>KPI</scope><scope>3V.</scope><scope>7T2</scope><scope>7T5</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><scope>5PM</scope></search><sort><creationdate>20160225</creationdate><title>High prevalence of being Overweight and Obese HIV-infected persons, before and after 24 months on early ART in the ANRS 12136 Temprano Trial</title><author>Guehi, Calixte ; Badjé, Anani ; Gabillard, Delphine ; Ouattara, Eric ; Koulé, Serge Olivier ; Moh, Raoul ; Ekouevi, Didier ; Ahibo, Hugues ; N'Takpé, Jean Baptiste ; Menan, Gérard Kouamé ; Deschamps, Nina ; Lecarrou, Jerôme ; Eholié, Serge ; Anglaret, Xavier ; Danel, Christine</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c526t-a5b4624c0d6e7b94a711ecb2b9002cf1cb32d522712d242aca95638c840e4abd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>AIDS/HIV</topic><topic>Analysis</topic><topic>Anti-HIV Agents - therapeutic use</topic><topic>Antiretroviral drugs</topic><topic>Antitubercular Agents - therapeutic use</topic><topic>Antiviral agents</topic><topic>Body Mass Index</topic><topic>Clinical trials</topic><topic>Cote d'Ivoire - epidemiology</topic><topic>Drug therapy</topic><topic>Female</topic><topic>Health aspects</topic><topic>HIV</topic><topic>HIV Infections - complications</topic><topic>HIV Infections - drug therapy</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Isoniazid - therapeutic use</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Obesity</topic><topic>Obesity - complications</topic><topic>Obesity - epidemiology</topic><topic>Overweight - complications</topic><topic>Overweight - epidemiology</topic><topic>Tuberculosis, Pulmonary - prevention & control</topic><topic>Weight</topic><topic>Weight Loss - drug effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guehi, Calixte</creatorcontrib><creatorcontrib>Badjé, Anani</creatorcontrib><creatorcontrib>Gabillard, Delphine</creatorcontrib><creatorcontrib>Ouattara, Eric</creatorcontrib><creatorcontrib>Koulé, Serge Olivier</creatorcontrib><creatorcontrib>Moh, Raoul</creatorcontrib><creatorcontrib>Ekouevi, Didier</creatorcontrib><creatorcontrib>Ahibo, Hugues</creatorcontrib><creatorcontrib>N'Takpé, Jean Baptiste</creatorcontrib><creatorcontrib>Menan, Gérard Kouamé</creatorcontrib><creatorcontrib>Deschamps, Nina</creatorcontrib><creatorcontrib>Lecarrou, Jerôme</creatorcontrib><creatorcontrib>Eholié, Serge</creatorcontrib><creatorcontrib>Anglaret, Xavier</creatorcontrib><creatorcontrib>Danel, Christine</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Global Issues</collection><collection>ProQuest Central (Corporate)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biological Sciences</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>AIDS research and therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Guehi, Calixte</au><au>Badjé, Anani</au><au>Gabillard, Delphine</au><au>Ouattara, Eric</au><au>Koulé, Serge Olivier</au><au>Moh, Raoul</au><au>Ekouevi, Didier</au><au>Ahibo, Hugues</au><au>N'Takpé, Jean Baptiste</au><au>Menan, Gérard Kouamé</au><au>Deschamps, Nina</au><au>Lecarrou, Jerôme</au><au>Eholié, Serge</au><au>Anglaret, Xavier</au><au>Danel, Christine</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High prevalence of being Overweight and Obese HIV-infected persons, before and after 24 months on early ART in the ANRS 12136 Temprano Trial</atitle><jtitle>AIDS research and therapy</jtitle><addtitle>AIDS Res Ther</addtitle><date>2016-02-25</date><risdate>2016</risdate><volume>13</volume><issue>12</issue><spage>12</spage><epage>12</epage><pages>12-12</pages><artnum>12</artnum><issn>1742-6405</issn><eissn>1742-6405</eissn><abstract>HIV is usually associated with weight loss. World health Organization (WHO) recommends early antiretroviral (ART) initiation, but data on the progression of body mass index (BMI) in participants initiating early ART in Africa are scarce.
The Temprano randomized trial was conducted in Abidjan to assess the effectiveness of early ART and Isoniazid (INH) prophylaxis for tuberculosis in HIV-infected persons with high CD4 counts below 800 cells/mm(3) without any indication for starting ART. Patients initiating early ART before December 2010 were included in this sub-study. BMI was categorized as: underweight (<18.5 kg/m(2)), normal weight (18.5-24.9 kg/m(2)), overweight (25-29.9 kg/m(2)) and obese (≥30 kg/m(2)). At baseline and after 24 months of ART, prevalence of being overweight or obese and factors associated with being overweight or obese were estimated using univariate and multivariate logistic regression.
At baseline, 755 participants (78 % women; median CD4 count 442/mm(3), median baseline BMI 22 kg/m(2)) initiated ART. Among them, 19.7 % were overweight, and 7.2 % were obese at baseline. Factors associated with being overweight or obese were: female sex aOR 2.3 (95 % CI 1.4-3.7), age, aOR for 5 years 1.01 (95 % CI 1.0-1.2), high living conditions aOR 2.6 (95 % CI 1.5-4.4), High blood pressure aOR 4.3 (95 % CI 2.0-9.2), WHO stage 2vs1 aOR 0.7 (95 % CI 0.4-1.0) and Hemoglobin ≥95 g/dl aOR 3.0 (95 % CI 1.6-5.8). Among the 597 patients who attended the M24 visit, being overweight or obese increased from 20.4 to 24.8 % (p = 0.01) and 7.2 to 9.2 % (p = 0.03) respectively and factor associated with being overweight or obese was immunological response measured as an increase of CD4 cell count between M0-M24 (for +50 cells/mm(3): aOR 1.01; 95 % CI 1.05-1.13, p = 0.01).
The weight categories overweight and obese are highly prevalent in HIV-infected persons with high CD4 cell counts at baseline, and increased over 24 months on ART in this Sub-Saharan African population.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>26925155</pmid><doi>10.1186/s12981-016-0094-y</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult AIDS/HIV Analysis Anti-HIV Agents - therapeutic use Antiretroviral drugs Antitubercular Agents - therapeutic use Antiviral agents Body Mass Index Clinical trials Cote d'Ivoire - epidemiology Drug therapy Female Health aspects HIV HIV Infections - complications HIV Infections - drug therapy Human immunodeficiency virus Humans Isoniazid - therapeutic use Life Sciences Male Obesity Obesity - complications Obesity - epidemiology Overweight - complications Overweight - epidemiology Tuberculosis, Pulmonary - prevention & control Weight Weight Loss - drug effects |
title | High prevalence of being Overweight and Obese HIV-infected persons, before and after 24 months on early ART in the ANRS 12136 Temprano Trial |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-29T03%3A04%3A09IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=High%20prevalence%20of%20being%20Overweight%20and%20Obese%20HIV-infected%20persons,%20before%20and%20after%2024%C2%A0months%20on%20early%20ART%20in%20the%20ANRS%2012136%20Temprano%20Trial&rft.jtitle=AIDS%20research%20and%20therapy&rft.au=Guehi,%20Calixte&rft.date=2016-02-25&rft.volume=13&rft.issue=12&rft.spage=12&rft.epage=12&rft.pages=12-12&rft.artnum=12&rft.issn=1742-6405&rft.eissn=1742-6405&rft_id=info:doi/10.1186/s12981-016-0094-y&rft_dat=%3Cgale_pubme%3EA444333705%3C/gale_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c526t-a5b4624c0d6e7b94a711ecb2b9002cf1cb32d522712d242aca95638c840e4abd3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1773604025&rft_id=info:pmid/26925155&rft_galeid=A444333705&rfr_iscdi=true |