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. 2023 Aug 21;13(8):e075673. doi: 10.1136/bmjopen-2023-075673

Table 3.

Clinical measurements and methods

Measurements Description
Body weight Measured after minimum 6 hours of fasting and without cloth
Scale: Seca 701 7021099
Blood tests (fasting) Peripheral venous blood
Transient liver elastography/Controlled Attenuated Parameter FibroScan, M-XL probe
(Echosens, Paris, France)
Carotid intima-media thickness Sonosite M-Turbo (Sonosite, Bothell, Washington, USA), analysed with a 13.6 MHz linear transducer and automated software (SonoCalc IMT 5.0; Sonosite)
CT scans CT chest, CT upper abdomen and coronary calcium scan
Aquillion ONE scanner, Toshiba Medical Systems, (Otawara-shi, Tochigi-ken, Japan)
DEXA scan Dual energy X-ray absorptiometry (DEXA)
Whole-body DEXA scanning
Hologic QDR-2000 W (Bedford, Massachusetts, USA)
Cardiac MRI MAGNETOM Prisma 3 Tesla scan
Siemens Healthineers (Erlangen Germany)
Metabolic syndrome* Central obesity: waist circumference ≥94 cm for men and ≥80 cm for women (Europids), or body mass index >30 kg/m², plus any two of the following four factors:
  • Raised triglycerides: >1.7 mmol/L.

  • Reduced high-density lipoprotein cholesterol: ≤1.03 mmol/L in men, <1.29 mmol/L in women.

  • Raised blood pressure (BP): Systolic BP≥130 mm Hg or diastolic BP≥85 mm Hg or treatment of previously diagnosed hypertension.

  • Raised fasting plasma glucose: ≥5.6 mmol/L or previously diagnosed type 2 diabetes.

Insulin resistance and β-cell function Homeostatic Model Assessment of Insulin Resistance (HOMA-IR):
HOMAIR=FPG(mmol/L)FPI(mU/L)22.5
HOMA%B=20FPI(mU/L)FPG(mmol/L)3,5
Type 2 diabetes†
  • Fasting plasma glucose concentration ≥7.0 mmol/L, or

  • A random venous plasma glucose concentration ≥11.1 mmol/L, or

  • Glycated haemoglobin >48 mmol/mol.

Cardiovascular disease risk scores:
  • Framingham Risk Score

  • D:A:D CVD risk score

Online calculation tool,
CHIP Centre of Excellence for Health and Framingham Heart Study
Survey
  • 12-Item Short term Survey.

  • Questionnaire on dietary and activity patterns.

*Metabolic syndrome defined in accordance with The International Diabetes Federations definition.

†WHO definition.

CHIP, Centre of Excellence for Health, Immunity and Infections; D:A:D, Data Collection on Adverse Effects of Anti-HIV Drugs Cohort.