Aging and HIV infection: A comparison between older HIV-infected persons and the general population

Nur Önen, E. Overton, Warren Seyfried, Emily Stumm, Mariea Snell, Kristin Mondy, Pablo Tebas

Research output: Contribution to journalArticle

102 Scopus citations

Abstract

Background: As HIV-infected persons age, the relative contribution of HIV infection, combination antiretroviral therapy (cART), and the normal aging process to the frequent comorbidities is unknown.Methods: We prospectively evaluated comorbidities, cardiovascular risk, cognitive function, and anthropomorphic and laboratory parameters of HIV-infected persons aged 50 years and over in two US urban clinics. Results were compared to controls from the National Health and Nutrition Examination Survey (NHANES) matched 1:1 by age, race, gender, smoking status, and body mass index (BMI).Results: We enrolled 122 HIV-infected persons; median age 55 years, 83% male, 57% Caucasian, 39% current smokers, mean BMI 26 kg/m2, and 92% on cART. Compared to controls, HIV-infected persons had a higher prevalence of hypertension (54% vs 38%), hypertriglyceridemia (51% vs 33%), low bone mineral density (BMD) (39% vs 0%), and lipodystrophy and greater receipt of antihypertensive and lipid-lowering medications (all Ps < .05). Groups were similar in prevalence of coronary heart disease, diabetes mellitus, chronic viral hepatitis, non-AIDS-defining malignancies and Framingham Risk and cognitive function scores.Conclusions: Older HIV-infected persons have a higher prevalence of hypertension, hypertriglyceridemia, low BMD, and lipodystrophy than matched controls, suggesting that HIV and treatment-related factors exceed "normal" aging in the development of those problems.

Original languageEnglish (US)
Pages (from-to)100-109
Number of pages10
JournalHIV Clinical Trials
Volume11
Issue number2
DOIs
StatePublished - Jan 1 2010

Keywords

  • Aging population
  • Antiretroviral therapy
  • HIV

ASJC Scopus subject areas

  • Infectious Diseases
  • Pharmacology (medical)

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    Önen, N., Overton, E., Seyfried, W., Stumm, E., Snell, M., Mondy, K., & Tebas, P. (2010). Aging and HIV infection: A comparison between older HIV-infected persons and the general population. HIV Clinical Trials, 11(2), 100-109. https://doi.org/10.1310/hct1102-100