Introduction: Understanding the intersection of HIV, aging and health is crucial due to the increasing number of people aging with HIV. Objective: The objective of the study was to assess the prevalence of, and risk factors for individual comorbidities and multi-morbidity in people living with HIV with similar duration of HIV infection, notwithstanding a 25-year difference at the time of HIV acquisition. Methods: In a cross-sectional multicentre retrospective study, we compared three match-control age groups. The "Young" were selected from Romania and included HIV-positive patients prenatally infected and assessed at the age of 25-30 years. The "Old" and the "Geriatric" were selected from Italy. These respectively included subjects infected with HIV at the age of 25 years and assessed at the age of 50-55 years, and those infected at the age of 50 years and assessed at the age of 75-80 years. Each group was sex and age matched in a 1: 5 ratio with controls selected from the CINECA ARNO database from Italy. We described non-infectious comorbidities (NICM), including cardiovascular disease, hypertension, dyslipidaemia, diabetes, chronic kidney disease, and multi-morbidity (MM >= 3 NICM). Results: MM prevalence in the "Young" group compared to controls was 6.2% vs 0%, while in the "Geriatric" was "68.2% vs 3.6%. Using "Young" as a reference, in multivariate analyses, predictors for MM were as follows: HIV serostatus (OR=47.75, IQR 14.78-154.25, p<0.01) and "Geriatric" vs "Young" (OR=30.32, IQR 5.89-155.98, p<0.01). Conclusion: These data suggest that age at acquisition of HIV should be considered as a risk factor for NICM and MM.

Age of HIV Acquisition Affects the Risk of Multi-Morbidity after 25 Years of Infection Exposure / Guaraldi, G; Malagoli, A; Milic, J; Pintassilgo, I; Rossi, E; Riva, N; Franconi, I; Santoro, A; Sorin, P; Streinu-Cercel, A; De Rosa, M; Mussini, C. - In: THE JOURNAL OF FRAILTY & AGING. - ISSN 2260-1341. - 8:2(2019), pp. 88-92. [10.14283/jfa.2019.6]

Age of HIV Acquisition Affects the Risk of Multi-Morbidity after 25 Years of Infection Exposure

Guaraldi, G;Malagoli, A;Milic, J;Franconi, I;Santoro, A;Mussini, C
2019

Abstract

Introduction: Understanding the intersection of HIV, aging and health is crucial due to the increasing number of people aging with HIV. Objective: The objective of the study was to assess the prevalence of, and risk factors for individual comorbidities and multi-morbidity in people living with HIV with similar duration of HIV infection, notwithstanding a 25-year difference at the time of HIV acquisition. Methods: In a cross-sectional multicentre retrospective study, we compared three match-control age groups. The "Young" were selected from Romania and included HIV-positive patients prenatally infected and assessed at the age of 25-30 years. The "Old" and the "Geriatric" were selected from Italy. These respectively included subjects infected with HIV at the age of 25 years and assessed at the age of 50-55 years, and those infected at the age of 50 years and assessed at the age of 75-80 years. Each group was sex and age matched in a 1: 5 ratio with controls selected from the CINECA ARNO database from Italy. We described non-infectious comorbidities (NICM), including cardiovascular disease, hypertension, dyslipidaemia, diabetes, chronic kidney disease, and multi-morbidity (MM >= 3 NICM). Results: MM prevalence in the "Young" group compared to controls was 6.2% vs 0%, while in the "Geriatric" was "68.2% vs 3.6%. Using "Young" as a reference, in multivariate analyses, predictors for MM were as follows: HIV serostatus (OR=47.75, IQR 14.78-154.25, p<0.01) and "Geriatric" vs "Young" (OR=30.32, IQR 5.89-155.98, p<0.01). Conclusion: These data suggest that age at acquisition of HIV should be considered as a risk factor for NICM and MM.
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Age of HIV Acquisition Affects the Risk of Multi-Morbidity after 25 Years of Infection Exposure / Guaraldi, G; Malagoli, A; Milic, J; Pintassilgo, I; Rossi, E; Riva, N; Franconi, I; Santoro, A; Sorin, P; Streinu-Cercel, A; De Rosa, M; Mussini, C. - In: THE JOURNAL OF FRAILTY & AGING. - ISSN 2260-1341. - 8:2(2019), pp. 88-92. [10.14283/jfa.2019.6]
Guaraldi, G; Malagoli, A; Milic, J; Pintassilgo, I; Rossi, E; Riva, N; Franconi, I; Santoro, A; Sorin, P; Streinu-Cercel, A; De Rosa, M; Mussini, C
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11380/1177702
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