患有艾滋病毒的成年人衰老的虚弱表型集群中的心脏代谢疾病
Raymond Jones1, Ene M Enogela1, Stephanie A Ruderman2
1University of Alabama at Birmingham, Birmingham, AL, USA.
The Journal of frailty & aging
|March 9, 2025
概括
脆弱性特征,无论是独立的还是联合的,都会增加艾滋病毒感染者的心脏代谢疾病风险 (PWH). 显著的脆弱集群与PWH中糖尿病和高血压等疾病的更高率有关.
科学领域:
- 老年学是一门学科.
- 传染性疾病 传染性疾病
- 心脏病学 心脏病学
背景情况:
- 与年龄相关的发病率,包括虚弱和心脏代谢疾病,在艾滋病毒感染者 (PWH) 中正在上升.
- 脆弱性特征可以独立而协同地促进PWH中心脏代谢疾病的发展.
研究的目的:
- 确定在PWH的一个大,多样化的队列中独特的脆弱集群的流行率.
- 评估在临床护理中在PWH中识别的脆弱群体内心脏代谢疾病的患病率.
主要方法:
- 一个纵向临床队列的横截面分析.
- 从患者报告的结果中使用了经过验证的,修改过的炸型.
- 来自CNICS网络的4,856个PWH中的聚类脆弱性特征和心脏代谢疾病 (包括多病症).
主要成果:
- 16%的PWH是脆弱的,45%是脆弱前的,40%是强壮的 (平均年龄为61岁).
- 高血压,脂质失调和糖尿病在脆弱的PWH中最常见.
- 与强壮的PWH相比",疲劳+移动不良"等特定群体的脑血管疾病,糖尿病和肥胖的风险明显更高.
结论:
- 脆弱成分与PWH中心脏代谢疾病患病率的增加有关.
- 确定了与心脏代谢疾病风险增加相关的明显的脆弱性群.
- 这些发现突显了艾滋病毒老龄化人口中脆弱性和心脏代谢健康之间的复杂相互作用.
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