HIV and Age Do Not Substantially Interact in HIV-Associated Neurocognitive Impairment

被引:31
作者
Cysique, Lucette A. [1 ]
Maruff, Paul [2 ]
Bain, Margaret P.
Wright, Edwina [4 ]
Brew, Bruce J. [3 ,5 ]
机构
[1] Univ New S Wales, Fac Med, Sydney, NSW 2052, Australia
[2] Univ Melbourne, Ctr Neurosci, Melbourne, Vic 3086, Australia
[3] St Vincents Hosp, Dept Neurol, St Vincents Ctr Appl Med Res, Darlinghurst, NSW 2010, Australia
[4] Alfred Hosp, Dept Infect Dis, Melbourne, Vic 3004, Australia
[5] St Vincents Hosp, St Vincents Ctr Appl Med Res, Dept Infect Dis, Darlinghurst, NSW 2010, Australia
关键词
ACTIVE ANTIRETROVIRAL THERAPY; NEUROPSYCHOLOGICAL IMPAIRMENT; DEMENTIA; PREVALENCE; INFECTION;
D O I
10.1176/appi.neuropsych.23.1.83
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The authors investigated the combined age and HIV effects on cognitive functions in 146 individuals, 116 of whom had HIV infection. Forty-two percent had HIV-associated neurocognitive disorder, and all were receiving highly active antiretroviral therapy. Using linear and nonlinear regression modeling, the authors found only a trending effect of the quadratic term HIV status X age, both including dementia cases (p=0.12) and excluding dementia cases (p<0.06). Our results suggest that either this early-2000 cohort is not old enough to detect a clear interactive age and HIV effect or that there may be a survivor bias for individuals with long-term infection. Further longitudinal studies are warranted. (The Journal of Neuropsychiatry and Clinical Neurosciences 2011; 23:83-89)
引用
收藏
页码:83 / 89
页数:7
相关论文
共 21 条
[11]  
Korda RJ, 2007, INT J EPIDEMIOL, V36, P157, DOI [10.1093/ije/dyl282, 10.1093/ijc/dyl282]
[12]  
Lovibond S.H., 1995, Manual for the Depression Anxiety Stress Scales, V2
[13]   Human immunodeficiency virus-associated dementia: An evolving disease [J].
McArthur, JC ;
Haughey, N ;
Gartner, S ;
Conant, K ;
Pardo, C ;
Nath, A ;
Sacktor, N .
JOURNAL OF NEUROVIROLOGY, 2003, 9 (02) :205-221
[14]   Rapidly ageing HIV epidemic among men who have sex with men in Australia [J].
Murray, John M. ;
McDonald, Ann M. ;
Law, Matthew G. .
SEXUAL HEALTH, 2009, 6 (01) :83-86
[15]   The prevalence and incidence of neurocognitive impairment in the HAART era [J].
Robertson, Kevin R. ;
Smurzynski, Marlene ;
Parsons, Thomas D. ;
Wu, Kunling ;
Bosch, Ronald J. ;
Wu, Julia ;
McArthur, Justin C. ;
Collier, Ann C. ;
Evans, Scott R. ;
Ellis, Ron J. .
AIDS, 2007, 21 (14) :1915-1921
[16]   Neuropsychological test profile differences between young and old human immunodeficiency virus-positive individuals [J].
Sacktor, Ned ;
Skolasky, Richard ;
Selnes, Ola A. ;
Watters, Michael ;
Poff, Pamela ;
Shiramizu, Bruce ;
Shikuma, Cecilia ;
Valcour, Victor .
JOURNAL OF NEUROVIROLOGY, 2007, 13 (03) :203-209
[17]   Influence of cognitive reserve on neuropsychological functioning in asymptomatic human immunodeficiency virus-1 infection [J].
Stern, RA ;
Silva, SG ;
Chaisson, N ;
Evans, DL .
ARCHIVES OF NEUROLOGY, 1996, 53 (02) :148-153
[18]  
Tabachnick BG., 2019, Using multivariate statistics, V7
[19]   Higher frequency of dementia in older HIV-1 individuals - The Hawaii Aging with HIV-1 Cohort [J].
Valcour, V ;
Shikuma, C ;
Shiramizu, B ;
Watters, M ;
Poff, P ;
Selnes, O ;
Holck, P ;
Grove, J ;
Sacktor, N .
NEUROLOGY, 2004, 63 (05) :822-827
[20]   HIV infection and dementia in older adults [J].
Valcour, V ;
Paul, R .
CLINICAL INFECTIOUS DISEASES, 2006, 42 (10) :1449-1454