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Logistic regression and students\u2019 t-test were used to identify associations, with significance set at\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Lipodystrophy prevalence was 11.4%, with lipohypertrophy (10.5%) more common than lipoatrophy (0.9%). Dyslipidemia affected 25.7% of participants. Participants who had entered puberty (as indicated by Tanner staging) were approximately 10 times more likely to have lipodystrophy (OR = 9.91; 95% CI: 1.32-74.23,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.026). Higher mid-upper arm circumference was associated with significantly lower odds of lipodystrophy (OR = 0.60; 95% CI: 0.36-0.99,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090. 046. Participants with lipodystrophy had lower odds of elevated triglycerides (OR: 0.1; 95% CI: 0.00-0.62\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.029). Previous lopinavir\/ritonavir use was significantly associated with reduced odds of dyslipidemia (OR: 0.21; 95% CI: 0.05-0.91,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.036).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The high prevalence of dyslipidemia and lipodystrophy emphasizes the need for routine lipid and other metabolic assessments among children and adolescents living with HIV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259582251397741","type":"journal-article","created":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T17:56:48Z","timestamp":1763575008000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Prevalence and Determinants of Dyslipidemia and Lipodystrophy in Children on Highly-Active Antiretroviral Therapy at a Ghanaian Teaching Hospital: A Cross-Sectional Study"],"prefix":"10.1177","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-6846-8793","authenticated-orcid":false,"given":"Gifty Araba","family":"Adadzeba Yawson","sequence":"first","affiliation":[{"name":"Kwame Nkrumah University of Science and Technology"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Amoako","sequence":"additional","affiliation":[{"name":"Kwame Nkrumah University of Science and Technology"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6659-9111","authenticated-orcid":false,"given":"Charles","family":"Martyn-Dickens","sequence":"additional","affiliation":[{"name":"Komfo Anokye Teaching Hospital"},{"name":"Charit\u00e9 Universit\u00e4tsmedizin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5002-312X","authenticated-orcid":false,"given":"Kenneth","family":"Ofori-Panyin","sequence":"additional","affiliation":[{"name":"Kwame Nkrumah University of Science and Technology"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serwah Bonsu","family":"Asafo-Agyei","sequence":"additional","affiliation":[{"name":"Komfo Anokye Teaching Hospital"},{"name":"Kwame Nkrumah University of Science and Technology"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0869-5703","authenticated-orcid":false,"given":"Jessica","family":"Ayensu","sequence":"additional","affiliation":[{"name":"University of Cape Coast"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6521-3400","authenticated-orcid":false,"given":"Anthony","family":"Enimil","sequence":"additional","affiliation":[{"name":"Komfo Anokye Teaching Hospital"},{"name":"Kwame Nkrumah University of Science and Technology"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,11,19]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2022.e10436"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-015-0853-8"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2014.18.25.3886"},{"key":"e_1_3_4_5_2","first-page":"1","article-title":"Managing dyslipidemia in HIV\/AIDS patients: Challenges and solutions","volume":"7","author":"Husain NEOS","year":"2015","unstructured":"Husain NEOS, Ahmed MH. 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