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衰老与HIV感染。

Aging and HIV infection.

作者信息

Kohli Rakhi, Klein Robert S, Schoenbaum Ellie E, Anastos Kathryn, Minkoff Howard, Sacks Henry S

机构信息

Division of Geographic Medicine and Infectious Disease, Department of Medicine, Tufts-New England Medical Center, 750 Washington Street #41, Boston, MA 02111, USA.

出版信息

J Urban Health. 2006 Jan;83(1):31-42. doi: 10.1007/s11524-005-9005-6.

DOI:10.1007/s11524-005-9005-6
PMID:16736353
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2258332/
Abstract

With the advent of highly active antiretroviral therapy (HAART) in mid-1995, the prognosis for HIV-infected individuals has brightened dramatically. However, the conjunction of potent antiviral therapy and longer life expectancy may engender a variety of health risks that, heretofore, HIV specialists have not had to confront. The long-term effects of HIV infection itself and exposure to antiretroviral agents is unknown. Several aspects of aging, including psychiatric disease, neurocognitive impairment, and metabolic and hormonal disorders, may be influenced by chronic exposure to HIV and/or HIV therapeutics. In this paper, we discuss the health issues confronting HIV-infected older adults and areas for future research.

摘要

随着1995年年中高效抗逆转录病毒疗法(HAART)的出现,HIV感染者的预后显著改善。然而,强效抗病毒疗法与更长的预期寿命相结合,可能会引发各种健康风险,而这些风险是迄今为止HIV专家无需面对的。HIV感染本身以及接触抗逆转录病毒药物的长期影响尚不清楚。衰老的几个方面,包括精神疾病、神经认知障碍以及代谢和激素紊乱,可能会受到长期接触HIV和/或HIV治疗药物的影响。在本文中,我们讨论了HIV感染的老年成年人面临的健康问题以及未来的研究领域。

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Clin Infect Dis. 2005 Nov 15;41(10):1517-24. doi: 10.1086/497270. Epub 2005 Oct 13.
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Insulin resistance among HIV-infected patients: unraveling the mechanism.HIV感染患者中的胰岛素抵抗:揭示其机制
Clin Infect Dis. 2005 Nov 1;41(9):1341-2. doi: 10.1086/496990. Epub 2005 Sep 29.
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Clin Infect Dis. 2005 Nov 1;41(9):1335-40. doi: 10.1086/496981. Epub 2005 Sep 29.
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