The University of Southampton
University of Southampton Institutional Repository

Hiding in the shadows of the HIV epidemic: obesity and hypertension in a rural population with very high HIV prevalence in South Africa

Hiding in the shadows of the HIV epidemic: obesity and hypertension in a rural population with very high HIV prevalence in South Africa
Hiding in the shadows of the HIV epidemic: obesity and hypertension in a rural population with very high HIV prevalence in South Africa
We conducted a large population-based survey of body mass and blood pressure nested within an HIV survey in rural KwaZulu-Natal, South Africa, to measure the prevalence of obesity and hypertension in a community with very high HIV prevalence and to investigate the effect of HIV on body mass and blood pressure in a general population in rural Africa before antiretroviral treatment was widely available. Crude prevalence of overweight, obesity, stage-I and stage-II hypertension was 58% (95% confidence interval (CI) 56–60%), 32% (95% CI 30–33%), 24% (95% CI 22–26%) and 9% (95% CI 8–10%), respectively. Controlling for age, sex, education, household wealth, marital status and rural vs urban residence in multiple regression (after multiple imputation of missing values), HIV infection reduced body mass index by 1.9 units (P<0.001) and––when additionally controlling for body mass––systolic blood pressure by 3.0?mm?Hg (P=0.005).

0950-9240
236-239
Bärnighausen, T.
55897d8c-b79c-4706-89f7-e9a8340f981f
Welz, T.
eb98277b-cb1a-4f2c-ad99-fd382ace2df3
Hosegood, V.
c59a89d5-5edc-42dd-b282-f44458fd2993
Bätzing-Feigenbaum, J.
1ce96afd-9007-4f5d-a1e7-07ac224569bd
Tanser, F.
b4ce79a2-0bf2-4021-89ad-0e759e2e2fc8
Herbst, K.
2f558167-fbfc-478f-9170-f632d1bcfa9b
Hill, C.
f8e9fa28-fd5a-4ad1-9c1d-b1acd846c94e
Newell, M-L.
e4596336-c634-4c12-a43a-331f91c469da
Bärnighausen, T.
55897d8c-b79c-4706-89f7-e9a8340f981f
Welz, T.
eb98277b-cb1a-4f2c-ad99-fd382ace2df3
Hosegood, V.
c59a89d5-5edc-42dd-b282-f44458fd2993
Bätzing-Feigenbaum, J.
1ce96afd-9007-4f5d-a1e7-07ac224569bd
Tanser, F.
b4ce79a2-0bf2-4021-89ad-0e759e2e2fc8
Herbst, K.
2f558167-fbfc-478f-9170-f632d1bcfa9b
Hill, C.
f8e9fa28-fd5a-4ad1-9c1d-b1acd846c94e
Newell, M-L.
e4596336-c634-4c12-a43a-331f91c469da

Bärnighausen, T., Welz, T., Hosegood, V., Bätzing-Feigenbaum, J., Tanser, F., Herbst, K., Hill, C. and Newell, M-L. (2008) Hiding in the shadows of the HIV epidemic: obesity and hypertension in a rural population with very high HIV prevalence in South Africa. Journal of Human Hypertension, 22 (3), 236-239. (doi:10.1038/sj.jhh.1002308). (PMID:18046436)

Record type: Article

Abstract

We conducted a large population-based survey of body mass and blood pressure nested within an HIV survey in rural KwaZulu-Natal, South Africa, to measure the prevalence of obesity and hypertension in a community with very high HIV prevalence and to investigate the effect of HIV on body mass and blood pressure in a general population in rural Africa before antiretroviral treatment was widely available. Crude prevalence of overweight, obesity, stage-I and stage-II hypertension was 58% (95% confidence interval (CI) 56–60%), 32% (95% CI 30–33%), 24% (95% CI 22–26%) and 9% (95% CI 8–10%), respectively. Controlling for age, sex, education, household wealth, marital status and rural vs urban residence in multiple regression (after multiple imputation of missing values), HIV infection reduced body mass index by 1.9 units (P<0.001) and––when additionally controlling for body mass––systolic blood pressure by 3.0?mm?Hg (P=0.005).

This record has no associated files available for download.

More information

Published date: March 2008

Identifiers

Local EPrints ID: 184653
URI: http://eprints.soton.ac.uk/id/eprint/184653
ISSN: 0950-9240
PURE UUID: b1bc610e-3a19-4cfe-82e3-ecfd1f3117d5
ORCID for V. Hosegood: ORCID iD orcid.org/0000-0002-2244-2518

Catalogue record

Date deposited: 06 May 2011 15:22
Last modified: 15 Mar 2024 03:37

Export record

Altmetrics

Contributors

Author: T. Bärnighausen
Author: T. Welz
Author: V. Hosegood ORCID iD
Author: J. Bätzing-Feigenbaum
Author: F. Tanser
Author: K. Herbst
Author: C. Hill
Author: M-L. Newell

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×