Correlates of fasting blood glucose among children living with hiv in a Nigerian tertiary hospital: a cross-sectional study.

Abstract:

BACKGROUND:There is growing concern as regards the emergence of metabolic disorders among children living with the Human Immunodeficiency Virus (HIV) worldwide. However, there is paucity of data on the correlates of metabolic indices among HIV-positive children in Africa. METHODS:This study examined 84 HIV-positive children on HAART recruited from the paediatric infectious diseases clinic of the University of Nigeria Teaching Hospital for blood glucose levels using finger-prick testing with an Accu-check glucose meter and test strips. Clinical information was obtained via clinical history and medical records. Data was analyzed to examine the relationship between FBG and the classes of HAART, duration of illness and treatment using analysis of variance (ANOVA). RESULTS:FBG was significantly associated with the classes of HAART (x2=12.4, p = 0.017). In addition, there was a significant association between FBG and duration of illness [F(2, 81) = 6.0; P = 0.004], as well as FBG and duration on HAART [F(2, 81) = 7.9; P = 0.001]. However, duration on HAART and type of HAART were the significant predictors of FBG in this study accounting for 10.5% and 4.1% of the variance, respectively. CONCLUSIONS:There is a greater risk of dysglycemia in paediatric patients with a longer cumulative exposure to HAART. Routine blood glucose checks among children on HAART, especially those who have received HAART for a longer duration of time may therefore be useful in their management.

journal_name

BMC Pediatr

journal_title

BMC pediatrics

authors

Ohuche IO,Chikani UN,Oyenusi EE,Onu JU,Oduwole A

doi

10.1186/s12887-020-02335-y

subject

Has Abstract

pub_date

2020-10-02 00:00:00

pages

458

issue

1

issn

1471-2431

pii

10.1186/s12887-020-02335-y

journal_volume

20

pub_type

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