Frailty, Sarcopenia
Conditions
Keywords
HIV Infections
Brief summary
People living with HIV are experiencing longer life expectancy due to effective antiretroviral therapy; however, they may develop age-related conditions earlier than the general population. This prospective observational study aims to evaluate frailty, sarcopenia, nutritional status, cognitive function, and functional performance in adults aged 40 years and older living with HIV and to compare them with age- and sex-matched healthy controls.
Detailed description
With the widespread use of antiretroviral therapy, individuals living with HIV have achieved near-normal life expectancy. However, emerging evidence suggests that chronic inflammation, immune activation, and long-term treatment exposure may contribute to accelerated or premature aging processes. Frailty, sarcopenia, cognitive decline, and functional impairment have been increasingly reported in middle-aged and older adults living with HIV. This prospective observational cohort study aims to perform a comprehensive geriatric assessment in adults aged 40 years and older living with HIV and to compare the findings with age- and sex-matched healthy controls. The assessment will include evaluation of frailty, sarcopenia, nutritional status, cognitive function, and functional performance using standardized clinical tools. The primary objective is to determine the prevalence and characteristics of geriatric vulnerabilities in adults aged ≥40 years living with HIV. Secondary objectives include identifying factors associated with frailty and functional impairment in this population.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
Age ≥ 40 years Confirmed diagnosis of HIV infection (for HIV group) On stable antiretroviral therapy for at least 6 months (for HIV group) HIV-negative status confirmed by medical history or testing (for control group) Ability to provide informed consent
Exclusion criteria
Acute infection or hospitalization within the last 4 weeks Known active malignancy under treatment Severe psychiatric disorder interfering with assessment Severe cognitive impairment preventing participation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Prevalence of Frailty | Baseline | Frailty status assessed using a validated frailty assessment tool and defined according to established criteria in adults aged 40 years and older living with HIV and age- and sex-matched healthy controls. |