HIV & Aging Archive

Archived Content. Please note this is an older page and may not contain the latest information.

Accelerated or Accentuated Aging

  • Jan 24, 15
  • vin@gaugemedical.com
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This important study uses the Veterans Administration database and looks at three important diseases seen in older patients infected with HIV: myocardial infarction, chronic kidney disease, and non-AIDS defining cancers in both infected and uninfected veterans. Almost 100,000 patient charts were evaluated. 

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Study of Aging with HIV Offers Clinical Insight

  • Jan 24, 15
  • vin@gaugemedical.com
  • 0 Comments

Aging with HIV infection is a new, world-wide, phenomenon and investigators are only beginning to understand its implications for clinical care and for our understanding of aging more generally. A collection in the July 2014 issue of Current Opinions in HIV AIDS summarizes what is understood and topics of ongoing investigation. An introductory editorial, written by Drs. Amy Justice and Julian Falutz, suggest that this phenomenon provides a largely untapped opportunity for scientific discovery and clinical insight, emphasizing that for most people aging with HIV infection, life expectancy is not yet “normal” and the experience of aging with HIV infection is not just like that of aging without HIV infection.

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The Aging Well with HIV Manual

  • Nov 29, 14
  • vin@gaugemedical.com
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The Aging Well with HIV Manual is for people aging with chronic HIV. It describes common health problems that come with chronic HIV infection. Since many of these problems cannot be cured at present, the manual focuses on how to manage them, so that you can age well despite them.

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New Horizon’s for HIV/AIDS

  • Sep 17, 14
  • vin@gaugemedical.com
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When I was diagnosed in 1988 with HIV, I thought it was a death sentence. The Olympic Games were only six months away and I had to make the decision whether to train or lock myself away and wait to die. The choice to train for the Olympics was a decision I didn’t come to lightly. Once that decision was made, I listened to my doctors and religiously took my AZT. Thank God I did. My decision paid off. I won two Olympic Gold medals and was able to reclaim my championships from the previous Olympic Games. But even while celebrating my success at the Olympics at 28 years old, I honestly didn’t expect to see my 30th birthday.

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AIDS 2014: Untangling HIV and Aging

  • Aug 26, 14
  • vin@gaugemedical.com
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As people with HIV live longer, issues of aging are gaining more attention from HIV/AIDS researchers, clinicians, and advocates. Although by no means a focus of AIDS 2014, HIV and aging-related illnesses did take center stage in a mid-week “bridging session” that featured an in-depth presentation on the intersection of HIV, HIV treatment, and aging.

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Diminished Physical Function in Older HIV+ Adults Despite Successful Antiretroviral Therapy

  • Aug 26, 14
  • vin@gaugemedical.com
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“More than 50% of HIV-infected adults in the US will be >50 years old in 2015……There is growing concern among patients and healthcare providers that this group is experiencing a premature or ‘accelerated aging’ process……We determined that HIV-infected older adults on effective ART (with suppressed HIV-1 viral loads) had diminished physical performance results when compared to normal reference controls…..Physical function was significantly diminished in older HIV+ persons when compared to reference standards for HIV- age/gender-matched controls. The magnitude of differences observed may be associated with poorer health, more disabilities, longer hospital stays, and higher costs, thus warranting intervention.”

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HIV and the Aging Services Network

  • Aug 07, 14
  • vin@gaugemedical.com
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Unsafe sex is the most common way people contract HIV worldwide. Many people mistakenly assume that older Americans are not sexually active and therefore not at risk for HIV infection. This is not the case.

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Sexual Health in HIV and Aging

  • Jul 16, 14
  • vin@gaugemedical.com
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For those at high risk, sexual behavior has more often been defined through the narrow prism of HIV prevention. But, sexual health is broadly defined as more than just the absence of dysfunction or disease. Sexual health is a significant element contributing to the quality of life of older adults.

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Cognitive Aging with HIV within the Context of Positive and Negative Neuroplasticity

  • May 31, 14
  • vin@gaugemedical.com
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Thanks to the effectiveness of combination Antiretroviral Therapy (cART), people are aging with HIV, and in many cases doing so successfully. Although we still struggle without a cure, this remains an exciting period in combating this epidemic in that prognosis and life spans are greatly improved. Yet, challenges remain as we observe either accelerated or accentuated aging in many with this disease in several areas (i.e., cardiovascular, renal, and metabolic disease; systemic inflammation); however, one area has received particular attention – brain health, specifically cognition.

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Assessing Frailty and Functional Capacity

  • May 17, 14
  • vin@gaugemedical.com
  • 0 Comments

Overlapping geriatric syndromes such as “frailty”, “disability”, “multimorbidity”, and “polypharmacy” require adaptation for those aging with HIV infection to account for the ongoing role of HIV infection and its treatment in modifying the aging process. Several complementary approaches to the measurement of frailty have evolved within the geriatric literature and these have been variably applied among those aging with HIV. The approach most often employed in the HIV literature, uses a triad of wasting, slowing, and weakness and is characterized by the frailty phenotype and the frailty related phenotype (Desquilbet et al, 2011; Fried et al., 2001). Another approach focuses on cumulative deficits across multiple physiologic systems (Clegg et al., 2013), but it requires 30 separate measures and has been deemed less feasible for routine care. Rockwood et al have proposed a reduction in the number of measures from 30 to 10. Some have suggested that a single measure of function, such as grip strength or the six minute walk test, might serve.

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Purpose of this Program: The AAHIVM, ACRIA and AGS (collectively, the “Sponsors,” “we” or “us”) are sponsors of this Website and through it seek to address the unique needs and challenges that older adults of diverse populations living with HIV face as they age. However, the information in this Website is not meant to supplant the advice provided in a doctor-patient relationship.

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The American Academy of HIV Medicine is a professional organization that supports the HIV practitioner and promotes accessible, quality care for all Americans living with HIV disease. Our membership of HIV practitioners and credentialed HIV Specialists™, HIV Experts™, and HIV Pharmacists™ provide direct care to the majority of HIV patients in the US.