1. Cross-sectional Comparison of the Prevalence of Age-Associated Comorbidities and Their Risk Factors Between HIV-Infected and Uninfected Individuals: The AGEhIV Cohort Study
- Author
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Schouten, Judith, Wit, Ferdinand W., Stolte, Ineke G., Kootstra, Neeltje A., van der Valk, Marc, Geerlings, Suzanne E., Prins, Maria, Reiss, Peter, Kooij, K. W., van Zoest, R. A., Elsenga, B. C., Stolte, I. G., Martens, M., Moll, S., Berkel, J., Möller, L., Visser, G. R., Welling, C., Zaheri, S., Gras, L. A. J., van Leeuwen, E., Godfried, M. H., Goorhuis, A., van der Meer, J. T. M., Nellen, F. J. B., van der Poll, T., Prins, J. M., Wiersinga, W. J., Postema, P. G., Bisschop, P. H. L. T., Serlie, M. J. M., Dekker, E., de Rooij, S. E. J. A., Vogt, L., Portegies, P., Schmand, B. A., Geurtsen, G. J., van Eck-Smit, B. L. F., de Jong, M., Richel, D. J., Verbraak, F. D., Demirkaya, N., Ruhé, H. G., Nieuwkerk, P. T., van Steenwijk, R. P., Majoie, C. B. L. M., Caan, M. W. A., van Lunsen, H. W., van den Born, B. J. H., Stroes, E. S. G., Graduate School, AII - Amsterdam institute for Infection and Immunity, Global Health, Experimental Immunology, Infectious diseases, APH - Amsterdam Public Health, Other departments, Other Research, Obstetrics and Gynaecology, General Internal Medicine, Center of Experimental and Molecular Medicine, ACS - Amsterdam Cardiovascular Sciences, Cardiology, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, AMS - Amsterdam Movement Sciences, Endocrinology, CCA -Cancer Center Amsterdam, ANS - Amsterdam Neuroscience, Geriatrics, Nephrology, Neurology, Medical Microbiology and Infection Prevention, Oncology, Biomedical Engineering and Physics, Ophthalmology, Adult Psychiatry, Medical Psychology, Pulmonology, Radiology and Nuclear Medicine, Vascular Medicine, and Pharmacy
- Subjects
Male ,Microbiology (medical) ,medicine.medical_specialty ,HIV Infections ,Disease ,Cohort Studies ,Risk Factors ,Internal medicine ,Prevalence ,Humans ,Medicine ,Family history ,Prospective cohort study ,Immunodeficiency ,Aged ,business.industry ,Odds ratio ,Middle Aged ,medicine.disease ,Comorbidity ,Cross-Sectional Studies ,Infectious Diseases ,Cardiovascular Diseases ,Hypertension ,Immunology ,Female ,Ritonavir ,business ,Cohort study ,medicine.drug - Abstract
Human immunodeficiency virus (HIV)-infected individuals may be at increased risk of age-associated noncommunicable comorbidities (AANCCs). Cross-sectional analyses of AANCC prevalence (including cardiovascular, metabolic, pulmonary, renal, bone, and malignant disease) and risk factors in a prospective cohort study of HIV type 1-infected individuals and HIV-uninfected controls, who were aged ≥45 years and comparable regarding most lifestyle and demographic factors. HIV-infected participants (n = 540) had a significantly higher mean number of AANCCs than controls (n = 524) (1.3 [SD, 1.14] vs 1.0 [SD, 0.95]; P < .001), with significantly more HIV-infected participants having ≥1 AANCC (69.4% vs 61.8%; P = .009). Hypertension, myocardial infarction, peripheral arterial disease, and impaired renal function were significantly more prevalent among HIV-infected participants. Risk of AANCC by ordinal logistic regression was independently associated with age, smoking, positive family history for cardiovascular/metabolic disease, and higher waist-to-hip ratio, but also with HIV infection (odds ratio, 1.58 [95% confidence interval, 1.23-2.03]; P < .001). In those with HIV, longer exposure to CD4 counts
- Published
- 2014