Executive function and processing speed in Brazilian HIV-infected children and adolescents

Vitor Geraldi Haase1, Nelsa Carol Nicolau2, Virgínia Nunes Viana3

  • 1Faculdade de Filosofia e Ciências Humanas - Universidade Federal de Minas Gerais, Minas Gerais, Brasil.

Insights

Children with vertically transmitted human immunodeficiency virus (HIV) show impaired executive function and processing speed. Antiretroviral therapy did not fully restore neuropsychological performance in these pediatric patients.

Area of Science:

  • Neuroscience
  • Pediatrics
  • Infectious Diseases

Background:

  • Cognitive deficits are a known complication in vertically HIV-infected infants and children.
  • Early recognition of these disorders is crucial for timely intervention.

Purpose of the Study:

  • To assess neuropsychological performance in Brazilian children and adolescents with vertically acquired HIV.
  • To evaluate executive function and processing speed in this cohort undergoing antiretroviral therapy.

Main Methods:

  • A cohort of 41 vertically HIV-infected children and adolescents (ages 5-17) in Brazil was studied.
  • Participants were categorized into mildly symptomatic (CDC class A/B) and advanced disease (CDC class C) groups.
  • Neuropsychological tasks focused on executive function and processing speed, compared against typically developing controls.

Main Results:

  • HIV-infected children and adolescents performed significantly worse on neuropsychological tests compared to controls.
  • Motor and cognitive processing speed, along with executive function, were the most affected domains.
  • Individuals with advanced HIV disease showed lower performance and greater variability.

Conclusions:

  • Vertically HIV-infected children and adolescents experience significant neuropsychological impairments, particularly in processing speed and executive function.
  • While more pronounced in advanced disease stages, these deficits did not strictly correlate with CDC staging.
  • Antiretroviral therapy's impact on fully normalizing these cognitive functions requires further investigation.
Abstract

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