{"doi":"10.1111/hiv.13351","title":"<scp>BMI</scp> as a predictor of high fasting blood glucose among people living with <scp>HIV</scp> in the Asia‐Pacific region","abstract":"Abstract Background Non‐Asian body mass index (BMI) classifications are commonly used as a risk factor for high fasting blood glucose (FBG). We investigated the incidence and factors associated with high FBG among people living with HIV in the Asia‐Pacific region, using a World Health Organization BMI classification specific to Asian populations. Methods This study included people living with HIV enrolled in a longitudinal cohort study from 2003 to 2019, receiving antiretroviral therapy (ART), and without prior tuberculosis. BMI at ART initiation was categorized using Asian BMI classifications: underweight (&lt;18.5 kg/m 2 ), normal (18.5–22.9 kg/m 2 ), overweight (23–24.9 kg/m 2 ), and obese (≥25 kg/m 2 ). High FBG was defined as a single post‐ART FBG measurement ≥126 mg/dL. Factors associated with high FBG were analyzed using Cox regression models stratified by site. Results A total of 3939 people living with HIV (63% male) were included. In total, 50% had a BMI in the normal weight range, 23% were underweight, 13% were overweight, and 14% were obese. Median age at ART initiation was 34 years (interquartile range 29–41). Overall, 8% had a high FBG, with an incidence rate of 1.14 per 100 person‐years. Factors associated with an increased hazard of high FBG included being obese (≥25 kg/m 2 ) compared with normal weight (hazard ratio [HR] = 1.79; 95% confidence interval [CI] 1.31–2.44; p &lt; 0.001) and older age compared with those aged ≤30 years (31–40 years: HR = 1.47; 95% CI 1.08–2.01; 41–50 years: HR = 2.03; 95% CI 1.42–2.90; ≥51 years: HR = 3.19; 95% CI 2.17–4.69; p &lt; 0.001). Conclusion People living with HIV with BMI &gt;25 kg/m 2 were at increased risk of high FBG. This indicates that regular assessments should be performed in those with high BMI, irrespective of the classification used.","journal":"HIV Medicine","year":2022,"id":283635,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":6,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8727,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":960465,"name":"Dhanushi Rupasinghe","orcid":"0000-0002-4014-3570","position":1,"is_corresponding":false},{"id":766795,"name":"Vonthanak Saphonn","orcid":"0000-0002-5620-0517","position":2,"is_corresponding":false},{"id":960936,"name":"Tsz‐Shan Kwong","orcid":null,"position":3,"is_corresponding":false},{"id":569942,"name":"Alvina Widhani","orcid":"0000-0002-1848-6227","position":4,"is_corresponding":false},{"id":760666,"name":"Romanee Chaiwarith","orcid":"0000-0002-1241-5954","position":5,"is_corresponding":false},{"id":382015,"name":"Penh Sun Ly","orcid":null,"position":6,"is_corresponding":false},{"id":760664,"name":"Cuong Duy","orcid":"0000-0002-1565-642X","position":7,"is_corresponding":false},{"id":424033,"name":"Anchalee Avihingsanon","orcid":"0000-0003-3222-9611","position":8,"is_corresponding":false},{"id":760667,"name":"Suwimon Khusuwan","orcid":"0000-0001-6975-057X","position":9,"is_corresponding":false},{"id":461687,"name":"Tuti Parwati Merati","orcid":"0000-0001-7592-2729","position":10,"is_corresponding":false},{"id":960937,"name":"Kinh Van Nguyen","orcid":null,"position":11,"is_corresponding":false},{"id":380562,"name":"Nagalingeswaran Kumarasamy","orcid":"0009-0006-2252-5731","position":12,"is_corresponding":false},{"id":760665,"name":"Yu‐Jiun Chan","orcid":"0000-0001-8065-7421","position":13,"is_corresponding":false},{"id":376621,"name":"Iskandar Azwa","orcid":"0000-0003-1977-6709","position":14,"is_corresponding":false},{"id":66073,"name":"Oon Tek Ng","orcid":"0000-0002-9569-2315","position":15,"is_corresponding":false},{"id":36862,"name":"Sasisopin Kiertiburanakul","orcid":"0000-0003-4379-4704","position":16,"is_corresponding":false},{"id":697804,"name":"Junko Tanuma","orcid":"0000-0002-1697-7364","position":17,"is_corresponding":false},{"id":960466,"name":"Sanjay Pujari","orcid":"0000-0002-4571-650X","position":18,"is_corresponding":false},{"id":377763,"name":"Rossana Ditangco","orcid":null,"position":19,"is_corresponding":false},{"id":437842,"name":"Fujie Zhang","orcid":"0000-0001-6386-9879","position":20,"is_corresponding":false},{"id":369962,"name":"Jun Yong Choi","orcid":"0000-0002-2775-3315","position":21,"is_corresponding":false},{"id":761339,"name":"Yasmin Gani","orcid":null,"position":22,"is_corresponding":false},{"id":535468,"name":"Shashikala Sangle","orcid":"0000-0001-5844-3849","position":23,"is_corresponding":false},{"id":376619,"name":"Jeremy Ross","orcid":"0000-0003-3183-2451","position":24,"is_corresponding":false},{"id":355569,"name":"Pamina M. 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