Systematic review of prevalence and predictors of frailty in individuals with human immunodeficiency virus

Levett, Tom J, Cresswell, Fiona V, Malik, Muzaffar A, Fisher, Martin and Wright, Juliet (2016) Systematic review of prevalence and predictors of frailty in individuals with human immunodeficiency virus. Journal of the American Geriatrics Society, 64 (5). pp. 1006-1014. ISSN 0002-8614

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Abstract

Objectives
To describe the prevalence and predictors of frailty in individuals with the human immunodeficiency virus (HIV) using systematic review methodology.

Design
Review.

Setting
Community.

Participants
Older adults with HIV.

Measurements
Medline, CINAHL, EMBASE, PsychInfo, and PubMed were searched for original observational studies with populations including individuals with HIV in which frailty was assessed using the frailty phenotype or a variant thereof. Studies were examined for frailty prevalence and predictors of the syndrome in those with HIV.

Results
Thirteen of 322 citations were included for full review. All demonstrated the presence of frailty in individuals with HIV, with prevalence ranging from 5% to 28.6% depending on population studied. HIV was a risk factor for frailty. Predictors of frailty included older age, comorbidities, diagnosis of acquired immunodeficiency syndrome, and low current CD4+ cell count.

Conclusion
HIV appears to be an independent risk factor for frailty, with frailty occurring in individuals with HIV at rates comparable with older individuals without HIV. Heterogeneity in study populations and frailty assessment measures hamper accurate description of the problem. Future longitudinal work with standardized methodology is needed to describe prevalence accurately and confirm predictors.

Item Type: Article
Keywords: HIV, aging, frailty, prevalence, Aged, Frail Elderly, HIV Infections, Humans, Prevalence, Risk Factors
Schools and Departments: Brighton and Sussex Medical School > Clinical and Experimental Medicine
SWORD Depositor: Mx Elements Account
Depositing User: Mx Elements Account
Date Deposited: 12 Nov 2021 10:55
Last Modified: 12 Nov 2021 12:15
URI: http://sro.sussex.ac.uk/id/eprint/102806

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