Prevalence and associated factors of metabolic syndrome among people living with HIV in a medical center of Northern Taiwan

Abstract HIV acquisition has been found to be associated with increased risk of cardiometabolic syndrome in the past. In this study, we attempt to delineate the associated factors of metabolic syndrome among persons living with HIV in a single medical center in Taiwan using mostly integrase inhibito...

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Main Authors: Chien-An Tu, Chien-Feng Kuo, Chun-Ming Lee, Chang-Pan Liu, Hsiang-Kuang Tseng, Tseng-Yu Huang, Chih-Chen Lin, Hsun Chang, Winter Yu-Ning Lee, Fang-Ju Sun, Zu-Yi Sun, Pei-Ching Lian, Ming-Wei Cheng, Alice Ying-Jung Wu
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-88552-w
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author Chien-An Tu
Chien-Feng Kuo
Chun-Ming Lee
Chang-Pan Liu
Hsiang-Kuang Tseng
Tseng-Yu Huang
Chih-Chen Lin
Hsun Chang
Winter Yu-Ning Lee
Fang-Ju Sun
Zu-Yi Sun
Pei-Ching Lian
Ming-Wei Cheng
Alice Ying-Jung Wu
author_facet Chien-An Tu
Chien-Feng Kuo
Chun-Ming Lee
Chang-Pan Liu
Hsiang-Kuang Tseng
Tseng-Yu Huang
Chih-Chen Lin
Hsun Chang
Winter Yu-Ning Lee
Fang-Ju Sun
Zu-Yi Sun
Pei-Ching Lian
Ming-Wei Cheng
Alice Ying-Jung Wu
author_sort Chien-An Tu
collection DOAJ
description Abstract HIV acquisition has been found to be associated with increased risk of cardiometabolic syndrome in the past. In this study, we attempt to delineate the associated factors of metabolic syndrome among persons living with HIV in a single medical center in Taiwan using mostly integrase inhibitors-based regimen as HAART. A cross-sectional study involving all people living with HIV (PLWH) aged ≥ 18 years who visited MacKay Memorial Hospital, Taipei, Taiwan between September 7, 2022 to January 31, 2023 was performed. A modified National Cholesterol Education Program ATP III definition of metabolic syndrome was used to define metabolic syndrome and body mass index was used as surrogate for waist circumference. 809 PLWH participated in the study, in which 81.3% of patients were on integrase inhibitor-based HAART regimen. The prevalence of metabolic syndrome was 10.0%, which is markedly lower than those reported in the literature. Age was a significant risk factor for metabolic syndrome. HIV-related factors (CD4, viral load, HAART regimen) did not affect the presence of metabolic syndrome. Prevalence rate of metabolic syndrome appeared to have declined among PLWH compared to previous reports, possibly secondary to widespread use of integrase inhibitors. Age remains a strong risk factor for the development of metabolic syndrome among PLWH.
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spelling doaj-art-d7df600c551b45eb8bb02e3f848da2a02025-02-09T12:34:39ZengNature PortfolioScientific Reports2045-23222025-02-011511810.1038/s41598-025-88552-wPrevalence and associated factors of metabolic syndrome among people living with HIV in a medical center of Northern TaiwanChien-An Tu0Chien-Feng Kuo1Chun-Ming Lee2Chang-Pan Liu3Hsiang-Kuang Tseng4Tseng-Yu Huang5Chih-Chen Lin6Hsun Chang7Winter Yu-Ning Lee8Fang-Ju Sun9Zu-Yi Sun10Pei-Ching Lian11Ming-Wei Cheng12Alice Ying-Jung Wu13Division of Infectious Diseases, Department of Internal Medicine, MacKay Memorial HospitalDivision of Infectious Diseases, Department of Internal Medicine, MacKay Memorial HospitalDivision of Infectious Diseases, Department of Internal Medicine, Cardinal Tien HospitalDivision of Infectious Diseases, Department of Internal Medicine, MacKay Memorial Hospital Department of Medicine, MacKay Medical CollegeDivision of Infectious Diseases, Department of Internal Medicine, MacKay Memorial HospitalDivision of Infectious Diseases, Department of Internal Medicine, MacKay Memorial HospitalDivision of Infectious Diseases, Department of Internal Medicine, MacKay Memorial HospitalDivision of Infectious Diseases, Department of Internal Medicine, MacKay Memorial HospitalDepartment of Medical Research, MacKay Memorial HospitalDivision of Infectious Diseases, Department of Internal Medicine, MacKay Memorial HospitalDivision of Infectious Diseases, Department of Internal Medicine, MacKay Memorial HospitalDivision of Infectious Diseases, Department of Internal Medicine, MacKay Memorial HospitalDivision of Infectious Diseases, Department of Internal Medicine, MacKay Memorial HospitalAbstract HIV acquisition has been found to be associated with increased risk of cardiometabolic syndrome in the past. In this study, we attempt to delineate the associated factors of metabolic syndrome among persons living with HIV in a single medical center in Taiwan using mostly integrase inhibitors-based regimen as HAART. A cross-sectional study involving all people living with HIV (PLWH) aged ≥ 18 years who visited MacKay Memorial Hospital, Taipei, Taiwan between September 7, 2022 to January 31, 2023 was performed. A modified National Cholesterol Education Program ATP III definition of metabolic syndrome was used to define metabolic syndrome and body mass index was used as surrogate for waist circumference. 809 PLWH participated in the study, in which 81.3% of patients were on integrase inhibitor-based HAART regimen. The prevalence of metabolic syndrome was 10.0%, which is markedly lower than those reported in the literature. Age was a significant risk factor for metabolic syndrome. HIV-related factors (CD4, viral load, HAART regimen) did not affect the presence of metabolic syndrome. Prevalence rate of metabolic syndrome appeared to have declined among PLWH compared to previous reports, possibly secondary to widespread use of integrase inhibitors. Age remains a strong risk factor for the development of metabolic syndrome among PLWH.https://doi.org/10.1038/s41598-025-88552-wMetabolic syndromeHIVTaiwanHAARTIntegrase inhibitor
spellingShingle Chien-An Tu
Chien-Feng Kuo
Chun-Ming Lee
Chang-Pan Liu
Hsiang-Kuang Tseng
Tseng-Yu Huang
Chih-Chen Lin
Hsun Chang
Winter Yu-Ning Lee
Fang-Ju Sun
Zu-Yi Sun
Pei-Ching Lian
Ming-Wei Cheng
Alice Ying-Jung Wu
Prevalence and associated factors of metabolic syndrome among people living with HIV in a medical center of Northern Taiwan
Scientific Reports
Metabolic syndrome
HIV
Taiwan
HAART
Integrase inhibitor
title Prevalence and associated factors of metabolic syndrome among people living with HIV in a medical center of Northern Taiwan
title_full Prevalence and associated factors of metabolic syndrome among people living with HIV in a medical center of Northern Taiwan
title_fullStr Prevalence and associated factors of metabolic syndrome among people living with HIV in a medical center of Northern Taiwan
title_full_unstemmed Prevalence and associated factors of metabolic syndrome among people living with HIV in a medical center of Northern Taiwan
title_short Prevalence and associated factors of metabolic syndrome among people living with HIV in a medical center of Northern Taiwan
title_sort prevalence and associated factors of metabolic syndrome among people living with hiv in a medical center of northern taiwan
topic Metabolic syndrome
HIV
Taiwan
HAART
Integrase inhibitor
url https://doi.org/10.1038/s41598-025-88552-w
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