Factors associated to neurocognitive impairment in older adults living with HIV
Gutierrez-San-Juan, Júlia (Universitat Autònoma de Barcelona. Departament de Medicina)
Arrieta-Aldea, Itziar (Institut Hospital del Mar d'Investigacions Mèdiques)
Arnau-Barrés, Isabel (Hospital del Mar (Barcelona, Catalunya))
García-Escobar, Greta (Hospital del Mar (Barcelona, Catalunya))
Lerma-Chippirraz, Elisabet (Institut Hospital del Mar d'Investigacions Mèdiques)
Pérez-García, Paula (Hospital del Mar (Barcelona, Catalunya))
Marcos, Agustin (Institut Hospital del Mar d'Investigacions Mèdiques)
Blasco-Hernando, Fabiola (Institut Hospital del Mar d'Investigacions Mèdiques)
Gonzalez-Mena, Alicia (Institut Hospital del Mar d'Investigacions Mèdiques)
Cañas-Ruano, Esperanza (Institut Hospital del Mar d'Investigacions Mèdiques)
Knobel Freud, Hernando (Institut Hospital del Mar d'Investigacions Mèdiques)
Güerri-Fernández, Robert (Universitat Autònoma de Barcelona. Departament de Medicina)

Date:	2022
Abstract:	The HIV infection is a chronic disease that causes neurocognitive impairment (NI) and has been related with early development of frailty. We aimed to study the main risk factors for neurocognitive disorders and frailty in HIV older adults. Cross-sectional study with 40 HIV individuals older than 65 years under antiretroviral therapy in Hospital del Mar (Barcelona) recruited between November 2019 and October 2020. Data has been obtained through clinical scores and a blood sample to evaluate NI and frailty and has been analyzed with non-parametric tests and a multivariate logistic regression model. Among the 40 patients admitted for the study, 14 (35%) had positive screening for NI. We found that HIV individuals with nadir CD4+ T-cell count lower than 350 cells/mm 3 had 39. 7 more risk for NI (95% CI 2. 49-632. 10; p = 0. 009). Those with a lower education level had 22. 78 more risk for neurocognitive disorders (95% CI 2. 13-242. 71; p = 0. 01) and suffering any comorbidity with a punctuation ≥ 1 in the Charlson Comorbidity index had an increased risk of 18. 26 of developing NI and frailty (95% CI 1. 30-256. 33; p = 0. 031), among them diabetes was significantly more frequent in NI. We observed that the main risk factors for a positive NI screening in HIV older adults were low education level, a nadir CD4+ T-cell count < 350 cells/mm 3 and the presence of any comorbidity, highlighting diabetes among them.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	HIV ; Aging ; Neurocognitive disorder ; Frailty ; Antiretroviral therapy
Published in:	European Journal of Medical Research, Vol. 27 (february 2022) , ISSN 2047-783X

DOI: 10.1186/s40001-022-00639-6
PMID: 35109939

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