Hypertension and obesity among HIV patients in a care programme in Nairobi

Abstract

Objective: To determine the prevalence of hypertension and obesity among HIV patients enrolled in the Sex Worker Outreach Programme (SWOP), Nairobi, Kenya.

Design: A retrospective astudy.

Setting: SWOP managed by the University of Manitoba, Nairobi team.

Subjects: We selected clinic visit records from HIV patients seen between 2011 and 2014, which had valid blood pressure and age entries.

Interventions: We analysed data to determine prevalence and correlates of hypertension and obesity in the study population. Associations were tested using chi-square for categorical variables and t-test for continuous variables.

Main outcome measures: Hypertension and obesity.

Results: Three thousand one hundred ninty seven subjects were included in the study. All were HIV-positive and most (97.8%) were on ART. The mean age was 39.7 years (standard deviation = 8.8) and 72.4% of the subjects were female. The prevalence of hypertension was 7.7% (246/3197) and 31% of the study cases (798/2590) were either overweight or obese. Males were more likely to have hypertension (p < 0.001) while females were more predisposed to obesity (p < 0.001).

Conclusion: Hypertension and obesity are important co-morbidities among HIV patients. Preventive and management strategies should be adopted as part of the comprehensive packages on offer at all existing HIV care and ART centres targeting those enrolled for services as well as their relatives and the community at large.