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Updated: May 28, 2026

Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty

Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty

Published on: October 6, 2016

A Multidisciplinary Healthy Aging Program in Comprehensive HIV Care: Multidomain Screening, Clinical Interventions,

Steven Y Hong^1,2, Deborah Woodley^1,2, Megan Pao^1,2,3

¹Karin and Dayton Brown, Jr. Division of Infectious Diseases, Northwell Health, New Hyde Park, NY 11030, USA.

|May 27, 2026

Summary

This summary is machine-generated.

Aging with HIV presents significant vulnerabilities, even with controlled infections. Multidomain geriatric screening in people living with HIV (PLWH) aged 50+ reveals common cognitive, functional, and sensory impairments, underscoring the need for integrated care models.

Keywords:

HIV aging geriatric screening healthy aging multidomain screening people living with HIV

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Last Updated: May 28, 2026

Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty

Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty

Published on: October 6, 2016

Area of Science:

Geriatric Medicine
Infectious Diseases
Public Health

Background:

People living with HIV (PLWH) are aging due to effective antiretroviral therapy.
Aging with HIV increases risks for multimorbidity, cognitive decline, frailty, and functional impairment.
Geriatric screening using frameworks like the 4Ms (Mentation, Medication, Mobility, What Matters Most) can identify vulnerabilities in aging PLWH.

Purpose of the Study:

To evaluate the effectiveness of a multidisciplinary Healthy Aging Program using multidomain geriatric screening in adults aged 50+ living with HIV.
To identify the prevalence of aging-related vulnerabilities in this population.
To assess the impact of screening on referrals and cardiometabolic risk management.

Main Methods:

Retrospective analysis of 317 adults aged ≥50 years in an integrated HIV care system.
Utilized multidomain screening: Montreal Cognitive Assessment, PHQ-2, GAD-2, Katz ADL, Lawton IADL, Edmonton Frail Scale, and WHO ICOPE framework.
Extracted screening results, referrals, interventions, and cardiometabolic data from clinical records.

Main Results:

78.4% of participants had at least one abnormal screening domain, despite well-controlled HIV (96.2% viral suppression).
Common issues included cognitive impairment (nearly 50%), functional limitations (10.1%), anxiety (9.5%), and sensory impairments (36.5%).
Polypharmacy (≥5 chronic meds) affected 33.2%; screening led to frequent referrals for behavioral health, social work, and pharmacist reviews.

Conclusions:

Multidomain screening effectively identifies significant aging-related vulnerabilities in PLWH aged 50+, irrespective of HIV control.
Chronological age alone does not capture the full spectrum of aging risks in HIV.
Early, universal implementation of multidomain screening in HIV care models is recommended to improve patient outcomes.