评估艾滋病毒老龄化秘鲁妇女的区域身体组成,身体功能和肉症:一个横截面研究
Diego M Cabrera1,2,3, Mijahil P Cornejo4, Yvett Pinedo5
1Department of Internal Medicine, Section of Rheumatology, Allergy and Immunology, Yale School of Medicine, New Haven, Connecticut, United States of America.
PLOS global public health
|August 18, 2023
概括
在秘鲁,艾滋病毒感染的老年女性表现较差的体力表现和身体成分的改变,干部脂肪影响了移动性. 需要进一步的研究,以指导萨科佩尼亚和功能衰退的预防策略.
科学领域:
- 老年学是一门学科.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 对于接受高活性抗逆转录病毒疗法 (ART) 的艾滋病毒感染者 (PLWHIV) 来说,慢性疾病管理至关重要,特别是在资源有限的环境中.
- 身体组成的变化,包括脂肪和肌肉的再分配,是艾滋病毒感染妇女在ART的担忧.
- 关于拉丁美洲和加勒比地区这些结果的数据有限.
研究的目的:
- 探索秘鲁艾滋病毒感染和不感染的老年女性的身体组成,身体表现和肉症.
- 确定艾滋病毒感染妇女的身体组成和身体功能之间的关联.
主要方法:
- 在秘鲁,对40岁以上的艾滋病毒感染者和没有艾滋病毒感染者的横截面研究.
- 双X射线吸收计测试身体组成 (瘦身量,脂肪量).
- 物理性能和力量的短物理性能电池 (SPPB) 和动力测量;萨科佩尼亚的EWGSOP标准.
主要成果:
- 艾滋病毒感染女性的SPPB得分明显较低 (9.9比10.8).
- 体脂肪量和年龄较大与艾滋病毒感染妇女的身体表现有负相关性.
- 干部脂肪质量和上肢瘦肉质量分别预测了SPPB和握力.
结论:
- 与没有艾滋病毒的妇女相比,秘鲁的艾滋病毒感染妇女的身体表现较差.
- 身体成分,特别是干脂肪质量,是影响这个人群身体功能的一个关键因素.
- 该地区需要进行前性研究,以制定针对性预防sarcopenia和功能衰退的指导方针.
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