携带艾滋病毒的衰老:对伴随疾病的横截面研究
M C Montes1, J A Rueda-Camino2, N Rallón3
1Internal Medicine Department, Hospital Universitario Rey Juan Carlos, 28933 Móstoles, Madrid, Spain.
Revista clinica espanola
|May 10, 2025
概括
携带艾滋病毒的老年人 (PLHIV) 经历了大量的非传染性并发症和老年综合征. 这种多病症在这个人群中随着年龄的增长而显著增加.
科学领域:
- 老年医学 老年医学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 艾滋病毒感染者 (PLHIV) 面临的多种健康状况 (多种疾病) 的风险比一般人群更高.
- 由于对非传染性疾病和老年综合征的脆弱性增加,PLHIV人口的老龄化需要特别注意.
研究的目的:
- 确定50岁及以上PLHIV患者非传染性并发症的流行率.
- 为了评估老年综合征在这个人口群体中发生的情况.
- 分析不同年龄组共发病和多发病的趋势.
主要方法:
- 来自西班牙大学医院门诊的50岁以上PLHIV的横截面分析.
- 将参与者分为10年的年龄区间进行分类.
- 使用精确方法估计并发病,老年综合征和多发病 (≥2种疾病) 的粗略和标准化流行率.
主要成果:
- 在50岁以上的PLHIV患者中,多发病率占37%.
- 最常见的并发症包括脂质不良症 (37.7%),高血压 (26.2%),糖尿病 (14.8%),以及非艾滋病定义癌症 (15.6%).
- 常见的老年综合征是骨折/骨质疏松症 (9.8%),痴呆症 (8.2%) 和虚弱 (8.2%);患病率随年龄增长而增加.
结论:
- 50岁以上的PLHIV患者表现出高患非传染性并发症和老年综合征的高患病率.
- 年龄是一个重要因素,老年PLHIV患者的多发病率增加.
- 这些发现凸显了对老龄化艾滋病毒人口的综合老年医疗护理的需要.
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