Cognitive Impairment, HIV/AIDS, Memory Impairment
Conditions
Brief summary
Despite combined antiretroviral therapy (cART), milder forms of HIV-associated neurocognitive disorders (HAND) persist in 20-50% of persons living with HIV (PLHIV). Since more PLH are at risk for HAND due to aging, the frequency of HAND in PLHIV ≥ 65 years old is important to quantify for planning early intervention to attenuate both functional and occupational disabilities due to cognitive impairment.
Interventions
Measure of Global Deficit Score
Sponsors
Study design
Eligibility
Inclusion criteria
* Personal or familial cognitive complaints * Individual aged ≥ 65 years old and \< 81 years old * Instrumental activities of daily living (IADL) score between 3-4 * French speaking individual * Informed consent signed For PLHIV * HIV infection * Undetectable HIV viral load ≥ 1 year * Current cluster of differentiation (CD4) cell count \> 100/mm3 For controls * negative HIV serology ≤ 6 months
Exclusion criteria
* Opportunistic infection \< 5 years * Contraindications to MRI
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| cognitive impairment | baseline | cognitive impairment frequency, defined by a z-score ≤ 1.65 in at least 2 cognitive domains |
Countries
France