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- W2509290464 abstract "Background: Chronic HIV disease is associated with neurocognitive impairment and age-related conditions such as frailty. Objective: To determine whether regional brain volumetric changes correlate with frailty parameters in older (≥ 40 years) HIV+ patients on stable combination antiretroviral therapy. Method: Thirty-five HIV-infected participants in the Hawaii Aging with HIV Cohort - Cardiovascular Disease study underwent T1-weighted brain magnetic resonance imaging, frailty assessment and neuropsychological testing. Five physical frailty traits were assessed: low physical activity; exhaustion; unintentional weight loss; weak hand grip strength; slow walking speed. Linear regression quantified cross-sectional relationships of 12 brain regions to walking times and hand grip strength. Results: Participants were 50.6 ± 6.8 years old and 77% had undetectable plasma viral load. One subject was frail (possessing ≥ 3 frailty traits); 23% were pre-frail (1–2 frailty traits) and had worse composite learning and memory z-scores than did non-frail individuals ( p =0.06). Pre-frail or frail subjects had reduced hand grip strength relative to the non-frail group ( p =0.001). Longer walking times (slower gait) related independently to lower volumes of cerebellar white matter ( p <0.001, β=−0.6) and subcortical gray matter ( p <0.05, β=−0.30). Reduced thalamus volume was linked to weaker grip strength ( p < 0.05, β=0.4). Caudate volume was negatively associated with grip strength ( p <0.01, β=−0.5). Conclusion: Volumetric changes in cerebellar white matter and subcortical gray matter, brain regions involved in motor control and cognition, may be connected to frailty development in well-controlled HIV. Gait speed is particularly sensitive to white matter alterations and should be investigated as a predictor of frailty and brain atrophy in chronically infected patients." @default.
- W2509290464 created "2016-09-16" @default.
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- W2509290464 date "2016-08-29" @default.
- W2509290464 modified "2023-09-26" @default.
- W2509290464 title "Frailty Characteristics in Chronic HIV Patients are Markers of White Matter Atrophy Independently of Age and Depressive Symptoms: A Pilot Study" @default.
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- W2509290464 doi "https://doi.org/10.2174/1874220301603010138" @default.
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- W2509290464 hasPublicationYear "2016" @default.
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