Non-AIDS-related comorbidities in people living with HIV-1 aged 50 years and older: The AGING POSITIVE study
Objective: To characterize the profile of non-AIDS-related comorbidities (NARC) in the older HIV-1-infected population and to explore the factors associated with multiple NARC. Methods: This was a multicentre, cross-sectional study including HIV-1-infected patients aged ≥50 years, who were virologic...
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doaj-7d3a430981594f96bbe2063f6a6ff2252020-11-25T01:46:55ZengElsevierInternational Journal of Infectious Diseases1201-97122019-02-017994100Non-AIDS-related comorbidities in people living with HIV-1 aged 50 years and older: The AGING POSITIVE studyRosário Serrão0Carmela Piñero1Jorge Velez2Daniel Coutinho3Fernando Maltez4Sara Lino5Rui Sarmento e Castro6Ana Paula Tavares7Patrícia Pacheco8Maria João Lopes9Kamal Mansinho10Ana Cláudia Miranda11Isabel Neves12Ricardo Correia de Abreu13Joana Almeida14Leonor Pássaro15Department of Infectious Diseases, Centro Hospitalar de São João, Porto, PortugalDepartment of Infectious Diseases, Centro Hospitalar de São João, Porto, PortugalDepartment of Infectious Diseases, Centro Hospitalar do Baixo Vouga, Aveiro, PortugalDepartment of Infectious Diseases, Centro Hospitalar do Baixo Vouga, Aveiro, PortugalDepartment of Infectious Diseases, Centro Hospitalar Lisboa Central, Hospital Curry Cabral, Lisboa, PortugalDepartment of Infectious Diseases, Centro Hospitalar Lisboa Central, Hospital Curry Cabral, Lisboa, PortugalDepartment of Infectious Diseases, Centro Hospitalar do Porto, Porto, PortugalDepartment of Infectious Diseases, Centro Hospitalar do Porto, Porto, PortugalDepartment of Infectious Diseases, Hospital Prof. Doutor Fernando Fonseca EPE, Amadora, PortugalDepartment of Infectious Diseases, Hospital Prof. Doutor Fernando Fonseca EPE, Amadora, PortugalDepartment of Infectious Diseases, Centro Hospitalar Lisboa Ocidental, Hospital Egas Moniz, Lisboa, PortugalDepartment of Infectious Diseases, Centro Hospitalar Lisboa Ocidental, Hospital Egas Moniz, Lisboa, PortugalDepartment of Infectious Diseases, Unidade Local de Saúde de Matosinhos, Matosinhos, PortugalDepartment of Infectious Diseases, Unidade Local de Saúde de Matosinhos, Matosinhos, PortugalMSD Lda, Quinta da Fonte, Paço de Arcos, Portugal; Corresponding author at: MSD Lda, Quinta da Fonte, Edifício Vasco da Gama 19, 2770-192 Paço de Arcos, Portugal.MSD Lda, Quinta da Fonte, Paço de Arcos, PortugalObjective: To characterize the profile of non-AIDS-related comorbidities (NARC) in the older HIV-1-infected population and to explore the factors associated with multiple NARC. Methods: This was a multicentre, cross-sectional study including HIV-1-infected patients aged ≥50 years, who were virologically suppressed and had been on a stable antiretroviral therapy (ART) regimen for at least 6 months. A multiple regression model explored the association between demographic and clinical variables and the number of NARC. Results: Overall, 401 patients were enrolled. The mean age of the patients was 59.3 years and 72.6% were male. The mean duration of HIV-1 infection was 12.0 years and the median exposure to ART was 10.0 years. The mean number of NARC was 2.1, and 34.7% of patients had three or more NARC. Hypercholesterolemia was the most frequent NARC (60.8%), followed by arterial hypertension (39.7%) and chronic depression/anxiety (23.9%). Arterial hypertension and diabetes mellitus were the most frequently treated NARC (95.6% and 92.6% of cases, respectively). The linear regression analysis showed a positive relationship between age and NARC (B = 0.032, 95% confidence interval 0.015–0.049; p = 0.0003) and between the duration of HIV-1 infection and NARC (B = 0.039, 95% confidence interval 0.017–0.059; p = 0.0005). Conclusions: A high prevalence of NARC was found, the most common being metabolic, cardiovascular, and psychological conditions. NARC rates were similar to those reported for the general population, suggesting a larger societal problem beyond HIV infection. A multidisciplinary approach is essential to reduce the burden of complex multi-morbid conditions in the HIV-1-infected population. Keywords: Aging, HIV-1 infection, Non-AIDS comorbiditieshttp://www.sciencedirect.com/science/article/pii/S1201971218345570 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Rosário Serrão Carmela Piñero Jorge Velez Daniel Coutinho Fernando Maltez Sara Lino Rui Sarmento e Castro Ana Paula Tavares Patrícia Pacheco Maria João Lopes Kamal Mansinho Ana Cláudia Miranda Isabel Neves Ricardo Correia de Abreu Joana Almeida Leonor Pássaro |
spellingShingle |
Rosário Serrão Carmela Piñero Jorge Velez Daniel Coutinho Fernando Maltez Sara Lino Rui Sarmento e Castro Ana Paula Tavares Patrícia Pacheco Maria João Lopes Kamal Mansinho Ana Cláudia Miranda Isabel Neves Ricardo Correia de Abreu Joana Almeida Leonor Pássaro Non-AIDS-related comorbidities in people living with HIV-1 aged 50 years and older: The AGING POSITIVE study International Journal of Infectious Diseases |
author_facet |
Rosário Serrão Carmela Piñero Jorge Velez Daniel Coutinho Fernando Maltez Sara Lino Rui Sarmento e Castro Ana Paula Tavares Patrícia Pacheco Maria João Lopes Kamal Mansinho Ana Cláudia Miranda Isabel Neves Ricardo Correia de Abreu Joana Almeida Leonor Pássaro |
author_sort |
Rosário Serrão |
title |
Non-AIDS-related comorbidities in people living with HIV-1 aged 50 years and older: The AGING POSITIVE study |
title_short |
Non-AIDS-related comorbidities in people living with HIV-1 aged 50 years and older: The AGING POSITIVE study |
title_full |
Non-AIDS-related comorbidities in people living with HIV-1 aged 50 years and older: The AGING POSITIVE study |
title_fullStr |
Non-AIDS-related comorbidities in people living with HIV-1 aged 50 years and older: The AGING POSITIVE study |
title_full_unstemmed |
Non-AIDS-related comorbidities in people living with HIV-1 aged 50 years and older: The AGING POSITIVE study |
title_sort |
non-aids-related comorbidities in people living with hiv-1 aged 50 years and older: the aging positive study |
publisher |
Elsevier |
series |
International Journal of Infectious Diseases |
issn |
1201-9712 |
publishDate |
2019-02-01 |
description |
Objective: To characterize the profile of non-AIDS-related comorbidities (NARC) in the older HIV-1-infected population and to explore the factors associated with multiple NARC. Methods: This was a multicentre, cross-sectional study including HIV-1-infected patients aged ≥50 years, who were virologically suppressed and had been on a stable antiretroviral therapy (ART) regimen for at least 6 months. A multiple regression model explored the association between demographic and clinical variables and the number of NARC. Results: Overall, 401 patients were enrolled. The mean age of the patients was 59.3 years and 72.6% were male. The mean duration of HIV-1 infection was 12.0 years and the median exposure to ART was 10.0 years. The mean number of NARC was 2.1, and 34.7% of patients had three or more NARC. Hypercholesterolemia was the most frequent NARC (60.8%), followed by arterial hypertension (39.7%) and chronic depression/anxiety (23.9%). Arterial hypertension and diabetes mellitus were the most frequently treated NARC (95.6% and 92.6% of cases, respectively). The linear regression analysis showed a positive relationship between age and NARC (B = 0.032, 95% confidence interval 0.015–0.049; p = 0.0003) and between the duration of HIV-1 infection and NARC (B = 0.039, 95% confidence interval 0.017–0.059; p = 0.0005). Conclusions: A high prevalence of NARC was found, the most common being metabolic, cardiovascular, and psychological conditions. NARC rates were similar to those reported for the general population, suggesting a larger societal problem beyond HIV infection. A multidisciplinary approach is essential to reduce the burden of complex multi-morbid conditions in the HIV-1-infected population. Keywords: Aging, HIV-1 infection, Non-AIDS comorbidities |
url |
http://www.sciencedirect.com/science/article/pii/S1201971218345570 |
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