Prevalence of metabolic syndrome among HIV-positive and HIV-negative populations in sub-Saharan Africa-a systematic review and meta-analysis

BACKGROUND: Metabolic syndrome (MetS) is a constellation of conditions that increase the risk of cardiovascular diseases. It is an emerging concern in sub-Saharan African (SSA) countries, particularly because of an increasingly aging population and lifestyle changes. There is an increased risk of MetS and its components among people living with Human immune deficiency syndrome (HIV) individuals; however, the prevalence of metabolic syndrome in the SSA population and its differential contribution by HIV status is not yet established. This systematic review and meta-analysis were conducted to estimate the pooled prevalence of metabolic syndrome in people living with HIV and uninfected populations, its variation by sub-components. METHODS: We performed a comprehensive search on major databases-MEDLINE (PubMed), EBSCOhost, and Cochrane Database of Systematic Reviews and Web of sciences for original epidemiological research articles that compared proportions of the MetS and its subcomponents between people living with HIV and uninfected patients and published between January 1990-December 2017. The inclusion criteria were adults aged ≥ 18 years, with confirmed HIV status. We assessed the risk of bias using a prevalence studies tool, and random effect meta-analyses were used to compute the pooled overall prevalence. RESULTS: A total of four cross-sectional studies comprising 496 HIV uninfected and 731 infected participants were included in the meta-analysis. The overall prevalence of MetS among people living with HIV was 21.5% (95% CI 15.09-26.86) versus uninfected 12.0% (95% CI 5.00-21.00%), with substantial heterogeneity. The reported relative risk estimate for MetS among the two groups was twofold (RR 1.83, 95% CI 0.98-3.41), with an estimated predictive interval of 0.15 to 22.43 and P = 0.055 higher for the infected population. Hypertension was the most prevalent MetS sub-components, with diverse proportions of people living with HIV (5.2-50.0%) and uninfected (10.0-59.0%) populations. CONCLUSIONS: The high range of MetS prevalence in the HIV-infected population compared to the uninfected population highlights the possible presence of HIV related drivers of MetS. Also, the reported high rate of MetS, irrespective of HIV status, indicates a major metabolic disorder epidemic that requires urgent prevention and management programs in SSA. Similarly, in the era of universal test and treat strategy among people living with HIV cohorts, routine check-up of MetS sub-components is required in HIV management as biomarkers. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42016045727

Genitalia morphometry and testicular characteristics of male white Japanese quails at three different age groups

An experiment was designed to evaluate genitalia morphometry of the male white Japanese quails at three different age groups. Fifty-four male Japanese quails were allotted to 3 treatment groups (Pubertal, Mature and Adult) in a completely randomized design. Pubertal (7-10 weeks), mature (15-20 weeks) and the adults (≥ 24 weeks). The initial weight of the quails was taken. All the animals were sacrificed and organs were carefully excised. The total length of reproductive tract and sections of the tract of male quails was taken. Total weight of reproductive tracts, right and left testicular weight, right and left epididymis, right and left testicular diameter and circumference were determined. The weight of the male genitalia tract of white Japanese quails was similar across different age groups. The length of the genitalia tract was significantly higher in the pubertal group than the adult and mature groups. Testicular circumference and diameter of white Japanese quails at puberty was significantly (P<0.05) higher than at adulthood. It was concluded that the male pubertal quail have well developed reproductive tracts and thus could have potential for high reproductive ability similar to later physiological ages. Farmers can do more breeding activity when the birds are at the pubertal age.Keywords: Reproductive tract, White quails, Testicular characteristics, Quail epididymi