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老年人中艾滋病毒感染者衰弱表型的流行率:来自巴西的一项横断面研究。

Prevalence of Frailty Phenotypes in Older People Living with HIV: A Cross-Sectional Study from Brazil.

机构信息

Division of Infectious Diseases, Internal Medicine Department, Universidade Estadual de Londrina, Londrina, Brazil.

Postgraduate Program in Public Health, Universidade Estadual de Londrina, Londrina, Brazil.

出版信息

J Int Assoc Provid AIDS Care. 2024 Jan-Dec;23:23259582241241169. doi: 10.1177/23259582241241169.

Abstract

BACKGROUND

Frailty may affect people living with HIV (PLHIV) prematurely. Fried's frailty phenotype, composed of 5 criteria, is one of the most used instruments for its assessment. This study aimed to determine the prevalence of these criteria among PLHIV classified as prefrail and frail in Brazil.

METHODS

A cross-sectional study analyzed the prevalence of the Frailty Phenotype in Brazil with 670 individuals aged ≥ 50 years and undetectable viral load.

RESULTS

The prevalence of prefrail and frail individuals was 50.7% and 13.6%, respectively. A low level of physical activity was the most prevalent criterion (50.9%). Except for unintentional weight loss, all other criteria were more prevalent among individuals with lower education levels. All criteria were more prevalent among individuals of lower socioeconomic status than among those of moderate or high status ( < .05).

CONCLUSIONS

A low level of physical activity was the component that most contributed to PLHIV being considered prefrail or frail.

摘要

背景

衰弱可能会使 HIV 感染者(PLHIV)过早出现。弗里德的衰弱表型由 5 项标准组成,是评估衰弱的最常用工具之一。本研究旨在确定巴西将被分类为衰弱前期和衰弱的 PLHIV 中这些标准的流行率。

方法

一项横断面研究分析了巴西衰弱表型的流行率,共纳入 670 名年龄≥50 岁且病毒载量不可检测的个体。

结果

衰弱前期和衰弱个体的比例分别为 50.7%和 13.6%。体力活动水平低是最常见的标准(50.9%)。除了非故意体重减轻外,所有其他标准在受教育程度较低的个体中更为常见。与中高社会经济地位者相比,所有标准在社会经济地位较低者中更为常见(<0.05)。

结论

体力活动水平低是导致 PLHIV 被认为衰弱前期或衰弱的主要因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2d0/11078087/84fd1918ade6/10.1177_23259582241241169-fig1.jpg

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