CLINICAL FACTORS ASSOCIATED WITH OVERWEIGHT/OBESITY AND THE RELATIONSHIP BETWEEN SOCIO-DEMOGRAPHIC FACTORS AND OVERWEIGHT/OBESITY AMONG PEOPLE LIVING WITH HIV AT KAJJANSI HEALTH CENTRE IV. A CROSS SECTIONAL STUDY

Frank  Kibuuka; Joseph Kungu; Elizabeth Okello; Jane Frank  Nalubega

Authors

Frank Kibuuka School of Applied Sciences, Mildmay Institute of Health Sciences
Joseph Kungu School of Applied Sciences, Mildmay Institute of Health Sciences ,Faculty of Agricultural Sciences, Uganda Christian University
Elizabeth Okello School of Applied Sciences, Mildmay Institute of Health Sciences, Faculty of Agricultural Sciences, Uganda Christian University.
Jane Frank Nalubega

Keywords:

Clinical and Socio-demographic factors, Obesity in PLWH, Kajjansi Health Centre IV

Abstract

Background

Overweight and obesity are predominant health distresses among people living with HIV (PLWH), impacting both their quality of life and treatment outcomes. The study aimed to determine the clinical factors associated with overweight/obesity and the relationship between socio-demographic factors and overweight/obesity among PLWH at Kajjansi Health Centre IV.

Methodology

A descriptive cross-sectional study with a mixed-methods approach was conducted on 50 PLWH. Data were collected through questionnaires, interviews, and medical record reviews. Descriptive statistics, chi-square tests, t-tests, and multiple logistic regression analyses were performed to examine associations between various factors and overweight/obesity status.

Results

On clinical factors, dyslipidemia demonstrated an inverse relationship with overweight/obesity status, strengthening over time (baseline: χ² = 7.031, p = 0.008; end line: χ² = 12.500, p < 0.001). BMI showed increasingly strong positive correlations with metabolic markers from baseline to end line. Among socio-demographic factors, only gender emerged as a significant predictor of BMI at the end line (B = 12.116, p = 0.012), with females showing higher BMI.

Conclusion

Notably, dyslipidemia showed an unexpected inverse association with obesity, strengthening over time, while BMI increasingly correlated with metabolic markers. Gender emerged as the only significant socio-demographic predictor of BMI at the end line.

Recommendation

There should be a need for comprehensive, gender-sensitive weight management approaches as well as the importance of regular metabolic monitoring for all HIV patients and suggest future longitudinal research to better understand these temporal dynamics and develop targeted interventions.

Author Biographies

Frank Kibuuka, School of Applied Sciences, Mildmay Institute of Health Sciences

is a student of Mildmay Institute of Health Sciences and Faculty of Agricultural Sciences, Uganda Christian University.

Joseph Kungu , School of Applied Sciences, Mildmay Institute of Health Sciences ,Faculty of Agricultural Sciences, Uganda Christian University

is a lecturer at the School of Applied Sciences, Mildmay Institute of Health

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