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Weight gain and health-related quality of life in people living with HIV on antiretroviral therapy in the United States

Bibliographic Data

ID19442453
AuthorsBekana K Tadese (0000-0001-5173-5427, Merck & Co., Inc., Rahway, NJ, USA (United States), corresponding author), Fritha Hennessy (0000-0002-3387-5423, Adelphi Group (United Kingdom)), Tim Holbrook (Adelphi Group (United Kingdom)), Girish Prajapati (Merck & Co., Inc., Rahway, NJ, USA (United States))
Year2025
Volume37
Issue8
Pages1283-1291
Publication date2025-08-03
Open AccessYes
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2025.2534116
PMID40726406
OpenAlexW4412725034
LanguageEN
Citations received1
References cited26

Adverse weight gain has been reported to be associated with certain antiretroviral drugs. This study evaluated the association between weight gain and health-related quality of life (HRQoL) among people living with HIV (PLWH) using real-world data. Data were derived from the Adelphi HIV Disease Specific Programme (DSP)TM, a real-world, cross-sectional survey of physicians and virologically suppressed PLWH under their treatment, conducted in the U.S. between June 2021 and July 2022. Physicians reported demographic and clinical characteristics of PLWH, including weight. Health-related quality of life was assessed using the Impact of Weight on Quality of Life–Lite-Clinical Trials (IWQoL-Lite-CT) questionnaire. Propensity score matching (PSM) and weighted regression was utilized to compare health-related quality of life in PLWH with 12-month weight gain of ≥5% and <5%. Among 225 PLWH (≥5%: 54 and <5%:171) analysed, mean age was 46.3 years, 80.1% were male, 31.0% Black, mean Charlson Comorbidity Index was 4.2 (SD = 0.5). After PSM and regression adjustment, PLWH with ≥5% weight gain had on average, a lower IWQoL-Lite-CT composite score (65.8 vs 74.4; p < 0.001) and sub-domain scores, indicating poorer quality of life. The study findings demonstrate the humanistic impact of weight gain in PLWH, highlighting the need to consider weight gain in the management of HIV, including selection of appropriate antiretroviral therapy

Antiretroviral therapy · Body weight · Family medicine · Logistic regression · Obesity · Propensity score matching · Viral load · Weight change · Weight gain · Weight loss · Demography · HIV-related health complications and treatments · HIV/AIDS Research and Interventions · Medicine · Nutrition and Health in Aging · Gerontology · Internal Medicine

  • Factors associated with quality of life among people living with HIV in Malaysia

    Open Access•Kelly Phang, Nur Ajirah Abdul Manaf et al.•AIDS Care•2026

  • Body mass index and quality of life in people living with HIV

    Jennifer Ken-Opurum, Girish Prajapati et al.•AIDS Care•2023

Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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