Table 1: Prevalence of arterial hypertension, and associated factors in bivariate analyzes and multivariate models, in HIV/AIDS carriers.

Author/Year

Country

N

Prevalence AH

Associated variables in the bivariate analysis with AH.

Associated variables in multivariate models with AH

1

 

Arruda, et al. [10]

 

Brazil

 

958

 

25.6%

 

High TG, male sex, high BMI, CD4 count ≥ 200 cells / ml.

 

2

 

 

 

Bernardino, et al. [34]

Spain

310

39.0%

Central obesity, ART, family history of AH, advanced age and CD4 count ≥ 200 cells/ml.

Family history of AH OR = 2.24 (p = 0.027), age increase OR = 1.08 (P < 0.001), number of different antiretroviral regimens OR = 1.2 (p = 0.001), and female gender OR = 0.27 (p = 0.02).

3

 

 

 

 

Malaza, et al. [39]

 

 

 

 

South Africa

 

 

 

 

14198

 

 

 

 

27.9%

 

 

 

 

 

Obesity in men OR = 2.99 95% CI (2.00-4.48), in women OR = 1.64 95% CI (1.39-1.92) and obesity (BMI > 30) for men OR = 1.53 95% CI (1.14-2.06).

4

 

 

Mateen, et al. [11]

 

 

Uganda

 

 

5563

 

 

27.9%

 

 

Black ethnicity, DM, high BMI, CD4 count ≥ 200 cells/ml, older age, and time of HIV/AIDS illness.

 

5

 

Krauskopf, et al. [14]

United States

 

2390

22.0%

Smoking, high cholesterol, older age, and ART based PIs

 

6

 

Nuesch, et al. [35]

 

Switzerland

 

10361

 

25.0%

 

Smoking, high total cholesterol, older age, and ART based PIs

 

7

De Socio, et al. [12]

Italy

1182

29.3%

Age ≥ 50 years, BMI ≥ 25 kg/m2, family history of CVD, previous cardiovascular event, central obesity, metabolic syndrome, diabetes, time of HIV diagnosis (years) and time of exposure to ART.

Age ≥ 50 years OR = 1.94 95% CI (1.46-2.56); men vs. women OR = 1.63 95% CI (1.18–2.26); BMI ≥ 25 kg/m2 OR = 2.52 95% CI (1.91–3.33); family history of CVD OR = 1.58 95% CI (1.18-2.12); previous cardiovascular event OR = 3.14 95% CI (1.65-5.99); central obesity OR = 1.42 95% CI (1.03-1.97); Metabolic Syndrome OR = 5.67 95% CI: (4.16-7.73); DM OR = 2.66 95% CI (1.65-4.27); time to HIV diagnosis (years) OR = 1.20 95% CI (1.05-1.36) and time to ART OR = 1.22 95% CI (1.08-1.36).

8

 

Hejazi, et al. [18]

 

Malaysia

 

340

 

45.6%

 

 

Male gender OR = 3.03 95% CI (1.18 - 7.79) and BMI OR = 1.26 95% CI (1.03 - 1.55).

9

 

Ogunmola, et al. [31]

Nigeria

 

403

 

19.0%

 

Obesity

 

Obesity (p < 0.05)

10

 

 

 

 

 

Peck, et al. [29]

Tanzania

150

28.7%

 

 

Age OR = 1.07 95% CI (1.04-1.09), current alcohol consumption OR = 0.13 95% CI (0.02-0.99), high BMI OR = 1.09 95% CI (1.03- 1.15) and CD4 count ≥ 200 cells/ml OR = 4.33 95% CI (1.51-12.40)

11

 

 

 

Antonello, et al. [13]

 

 

Brazil

 

 

 

1009

 

 

 

22.5%

 

 

 

Older age, smoking, cocaine use, obesity, diabetes, dyslipidemia, and viral load < 50 copies/ml

 

Age > 40 years and prevalence of HA = 1.99 95% CI (1.17 - 3.34).

 

 

12

 

 

Dimala, et al. [20]

 

Cameroon

 

 

200

 

 

28.5%

 

 

Advanced age, male sex, smoking, obesity, ART, and HIV infection over 30 months

Male gender OR = 2.77 95% CI (1.09 - 7.03) and obesity OR = 2.75 (1.09 - 6.91)

13

 

Menanga, et al.  [7]

Cameroon

 

53

 

43.2%

 

HDL low cholesterol and high total cholesterol.

 

14

 

Nsagha, et al. [9]

Cameroon

 

160

 

29.4%

 

ART and ART time.

 

 

15

Sander, et al. [15]

Uganda

426

 

26.3%

 

High BMI and CD4 between 200 to 350 cells/cc.

Age OR = 1.08 95% CI (1.04 - 1.12) and high BMI OR = 1.15 95% CI (1.05 - 1.26).

16

 

Rabkin, et al. [17]

 

South Africa

 

175

 

37.7%

 

Smoking, ART, high BMI and family history.

 

17

 

 

Dimala, et al. [28]

 

 

Cameroon

 

 

 

100

 

 

 

38.0%

 

 

 

Male gender and older age.

 

 

 

Age > 40 years OR = 2.29 (p = 0.001); male sex OR = 3.08 (p = 0.004) and obesity OR = 2.48 (p = 0.014).

18

 

 

 

 

 

Divala, et al. [25]

 

 

Malawi

952

23.7%

Advanced age, duration of ART greater than 24 months, overweight, obesity and proteinuria

Age between 45 - 54 OR = 4.50 95% CI (2.55 - 7.95), Age greater than 55 years OR = 7.46 95% CI (4.02 - 13.84), Obesity OR = 3, 67 95% CI (1.56 - 8.64) and proteinuria 2+ OR = 8.25 95% CI (1.25 - 54.44).

19

 

Okpa, et al. [22]

Nigeri

112

19.5%

Older age, overweight, obesity, and family history of AH

 

20

 

 

 

 

Rogalska-Płońska, et al. [38]

 

 

Poland

 

 

 

 

417

 

 

 

 

28.0%

 

 

 

 

Older age, male, BMI > 30, high LDL, fasting hyperglycemia and high TG.

 

 

 

Age ≥ 50 years OR = 12.8 95% CI (4.26 - 38.75), male sex OR = 1.86 95% CI (1.05 - 3.30), BMI > 30 OR = 11.34 95% CI (1.22 - 104.89) and time of HIV infection +10 years OR = 1.86 95% CI 1.14 - 3.04)

21

 

 

 

 

 

 

 

 

Ataro, et al. [21]

 

 

 

 

 

 

 

Ethiopia

 

 

 

 

 

 

 

 

425

 

 

 

 

 

 

 

 

12.7%

 

 

 

 

 

 

 

 

Advanced age, increased abdominal circumference, increased waist / hip ratio, hyperglycemia, ART ≥ 5 years, total cholesterol ≥ 200 mg/dl, LDL cholesterol greater than 130 mg/dl, BMI ≥ 25 and drinking alcohol

 

Increased waist/hip ratio OR = 4.6 95% CI (1.6 - 13.3), Glycaemia ≥ 126 OR = 3.5 95% CI (1.1 - 11.4), ART ≥ 5 years OR = 2.3 95% CI (1.1 - 5.1), Cholesterol total ≥ 200 OR = 3.9 95% CI (1.3 - 1.9), current CD4 < 500 cells/cc OR = 2.7 95% CI (1.3 - 5.6) and drink alcohol OR = 3.4 95% CI (1.5 - 8.1)

22

 

 

 

 

 

Ngu, et al. [26]

 

 

 

 

 

Cameroon

 

 

 

 

 

311

 

 

 

 

 

24.8%

 

 

 

 

 

Central overweight and obesity.

 

 

 

 

 

Age > 45 years OR = 1.56 95% CI (0.89 - 2.74), Overweight OR = 1.76 95% CI (0.92 - 3.40), central obesity OR = 1.62 95% CI ( 0.82 - 3.18) and family history of AH OR = 0.64 95% CI (0.37-1.10)

23

 

 

 

Chireshe, et al. [24]

 

 

South Africa

 

 

 

600

 

 

 

29.9%

 

 

 

Older age, alcohol consumption, overweight, smoking, longer duration of ART and family history of hypertension

Participants aged 60 years and older and those who had been on ART between 5 and 10 years OR: 8.77 95% CI (3.28 - 23.47)

24

 

Pangmekeh, et al. [23]

Cameroon

 

315

 

36.4%

 

Use of ART and ART including Tenofovir/Lamivudine/Efavirenz

Use of ART OR = 3.86 95% CI (1.98 - 7.50)

25

 

 

 

 

 

 

 

 

Vargas-Pacherrez, et al. [27]

 

 

 

 

 

 

Brazil

 

 

 

 

 

 

 

 

196

 

 

 

 

 

 

 

 

41.8%

 

 

 

 

 

 

 

 

Older age, overweight, increased abdominal circumference, family history of AH, AIDS-defining disease, HIV diagnosis > 12 years, > 2 ART regimens and ART based on PIs.

 

 

 

Age OR = 1.09 95% CI (1.04 - 1.13), overweight OR = 4.20 95% CI (1.84 - 9.61), increased abdominal circumference OR = 2.77 95% CI (1.12 - 6.89), family history of AH OR = 2.94 95% CI (1.25 - 6.89) and use of more than 2 ART regimens OR = 3.84 95% CI (1.31 - 11.30)

 

OR: Odds Ratio; BMI: Body Mass Index; AH: Arterial Hypertension; HDL: High-Density Cholesterol; LDL: Low-Density Cholesterol; ART: Antiretroviral Therapy, PIs: Protease Inhibitors; DM: Diabetes Mellitus; CVD: Cardiovascular Disease; MS: Metabolic Syndrome; TG: Triglyceride; AIDS: Acquired Immunodeficiency Syndrome; HIV: Human Immunodeficiency Virus.