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Review
. 2019 Jun 1;17(2):123-128.
doi: 10.1684/pnv.2019.0795.

[Frailty phenotype in older people living with HIV: concepts, prevention and issues]

[Article in French]
Frédérique Retornaz  1 , Nathalie Petit  2 , Albert Darque  3 , Laure de Decker  4 , Anaïs Farcet  5 , Laurent Chiche  6 , Isabelle Ravaux  7 , Patricia Enel  8
Affiliations
Review

[Frailty phenotype in older people living with HIV: concepts, prevention and issues]

[Article in French]
Frédérique Retornaz et al. Geriatr Psychol Neuropsychiatr Vieil. .

Abstract

The life-span of people aging with HIV (PHIV) tends to reach people without infection, reflecting the effectiveness and tolerance of antiretroviral treatment and improvement of multidisciplinary management. Comorbidities or HIV-inflammaging seems to be the main determinants of frailty phenotype in PHIV. Prevalence of frailty in PHIV is frequent (5% from 28%) and appears earlier than in general population (50 versus 65 years). Almost half of people with HIV present prefrail phenotype before 50 years. The usefulness of integrate routinely measures of frailty phenotype is not yet known but several data are encouraging in terms of feasibility and prediction. Early determination of frailty in PHIV could lead to target interventions to improve global health and decrease adverse outcomes such as incapacities and early death.

Keywords: HIV; aging; comorbidities; frailty.

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