Weight as predictors of clinical progression and treatment failure: results from the TREAT Asia Pediatric HIV Observational Database

J Acquir Immune Defic Syndr. 2014 Sep 1;67(1):71-6. doi: 10.1097/QAI.0000000000000227.

Abstract

Objective: To evaluate the value of time-updated weight and height in predicting clinical progression, and immunological and virological failure in children receiving combination antiretroviral therapy (cART).

Methods: We used Cox regression to analyze data of a cohort of Asian children.

Results: A total of 2608 children were included; median age at cART was 5.7 years. Time-updated weight for age z score < -3 was associated with mortality (P < 0.001) independent of CD4% and < -2 was associated with immunological failure (P ≤ 0.03) independent of age at cART.

Conclusions: Weight monitoring provides useful data to inform clinical management of children on cART in resource-limited settings.

Publication types

  • Multicenter Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Anti-HIV Agents / therapeutic use*
  • Asia
  • Body Height / physiology*
  • Body Weight / physiology*
  • CD4 Lymphocyte Count
  • Child
  • Child, Preschool
  • Cohort Studies
  • Disease Progression
  • Female
  • HIV Infections / drug therapy*
  • HIV Infections / physiopathology*
  • HIV Infections / virology
  • HIV-1 / isolation & purification*
  • Humans
  • Kaplan-Meier Estimate
  • Male
  • Proportional Hazards Models
  • Treatment Failure
  • Viral Load

Substances

  • Anti-HIV Agents