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

Journal: BMC pediatrics

Volume: 20

Issue: 1

Year of Publication: 2021

Affiliated Institutions:  Department of Paediatrics, Niger Foundation Hospital, Enugu, Nigeria. ijeomaohuche@gmail.com. Department of Paediatrics, University of Nigeria Teaching Hospital, Enugu, Nigeria. Paediatric Endocrinology Training Centre for West Africa, LUTH, Lagos, Nigeria. Mental Health Unit, Department of Internal Medicine, Nnamdi Azikiwe University, Nnewi, Anambra State, Nigeria.

Abstract summary 

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.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).FBG was significantly associated with the classes of HAART (=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.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.

Authors & Co-authors:  Ohuche Ijeoma Onyinye IO Chikani Ugo Nnenna UN Oyenusi Elizabeth Eberechi EE Onu Justus Uchenna JU Oduwole Abiola A

Study Outcome 

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Statistics
Citations :  NACA. (2017) ‘National Strategic Framework on HIV and AIDS: 2017–2020.
Authors :  5
Identifiers
Doi : 458
SSN : 1471-2431
Study Population
Male,Female
Mesh Terms
Antiretroviral Therapy, Highly Active
Other Terms
Children;Fasting;HIV;blood glucose
Study Design
Study Approach
Country of Study
Niger
Publication Country
England