Journal Article

Comorbidities in Older Persons with HIV

Because of increased survival of older persons with HIV, the frequency of comorbidities is expected to become higher in patients in the coming years. In the French Dat’AIDS study it was possible to use hospital records and compare those 50-74 years (16,436 “elderly” persons) with those 75 years and older (572 “geriatric” patients) for presence and frequency of comorbidities. These included: CVD, non-HIV related cancers, chronic pulmonary disease, diabetes, decreased glomerular filtration rate, evidence of hepatitis C or B, dyslipidemia, and low body mass index. Duration of HIV infection was slightly longer in the 50-74 year subgroup than the older subgroup. Of interest is that 93% of the oldest geriatric subgroup were diagnosed after 50 years of age and 8% after 75 years of age, suggesting later infection or delay in diagnosis. In this oldest subgroup all comorbidities were more frequent, except dyslipidemia. Also, among the geriatric subgroup 18.4% had 4 or more comorbidities compared to 4.3% in the 50-74 year elderly group. It is the geriatric group 75 years or older with HIV and a high frequency of comorbidities that will be the next major challenge for adequate care by the medical team.

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.

General Disclaimer: is designed for educational purposes only and is not engaged in rendering medical advice or professional services. The information provided through should not be used for diagnosing or treating a health problem or a disease. It is not a substitute for professional care. If you have or suspect you may have a health problem, consult your health care provider.


Phone: 202-659-0699
Fax: 202-659-0976


AAHIVM National Office
1705 DeSales Street NW, Suite 700
Washington, D.C. 20036


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.