Female sex is strongly associated with cognitive impairment in HIV infection

Background Neurocognitive disorders remain frequent despite highly active antiretroviral treatment (HAART). The CNS is known as the sanctuary of HIV infection, where persistent neuroinflammation occurs regardless of viral suppression. Moreover, opportunistic infections, neurovascular damage and HAAR...

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Vydané v:Neurological sciences Ročník 42; číslo 5; s. 1853 - 1860
Hlavní autori: Duarte, Eric Andrius Coelho, Benevides, Maria Luiza, Martins, André Luiz Pereira, Duarte, Edson Pillotto, Weller, Ana Beatriz Santandrea, de Azevedo, Laura Oliveira Coutinho, de Oliveira Thaís, Maria Emília Rodrigues, Nunes, Jean Costa
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Cham Springer International Publishing 01.05.2021
Springer Nature B.V
Predmet:
Antiretroviral drugs
Antiretroviral Therapy, Highly Active
Brazil - epidemiology
CD4 antigen
Cognition
Cognitive ability
Cognitive Dysfunction - epidemiology
Cognitive Dysfunction - etiology
Cross-Sectional Studies
Dementia disorders
Epidemiology
Female
Highly active antiretroviral therapy
HIV
HIV Infections - complications
HIV Infections - drug therapy
HIV Infections - epidemiology
Human immunodeficiency virus
Humans
Infections
Inflammation
Medicine
Medicine & Public Health
Neurology
Neuropsychological Tests
Neuroradiology
Neurosciences
Neurosurgery
Neurotoxicity
Original Article
Patients
Psychiatry
Brazil
Cognitive reserve
AIDS
Female
HIV
Dementia
ISSN:1590-1874, 1590-3478, 1590-3478
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Shrnutí:Background Neurocognitive disorders remain frequent despite highly active antiretroviral treatment (HAART). The CNS is known as the sanctuary of HIV infection, where persistent neuroinflammation occurs regardless of viral suppression. Moreover, opportunistic infections, neurovascular damage and HAART neurotoxicity contribute to neurocognitive impairment. Therefore, detailed epidemiological studies might help to elucidate those complex mechanisms. Objective To investigate the prevalence of cognitive impairment and the associated sociodemographic, clinical and neuropsychological variables among HIV-infected patients admitted to a tertiary centre, in southern Brazil. Methods An observational, cross-sectional and analytic study was conducted between February 2019 and March 2020, in Hospital Nereu Ramos (HNR), with148 HIV-infected patients. They were interviewed, submitted to the International HIV Dementia Scale (IHDS) and had their medical data analysed. Results The prevalence of cognitive impairment was 69.6%. It was higher among women (OR = 3.5; 95% CI 1.5-8; p < 0.01), independently of depression, educational status and age. Full years of schooling were strongly associated with IHDS scores ( p < 0.01). Patient Health Questionnaire-9 (PHQ-9) scores for depression ( p = 0.8), time since HIV diagnosis ( p = 0.2), CD4 + cell counts ( p = 0.8) and viral load ( p = 0.8) were not associated with IHDS scale. Conclusion A high prevalence of cognitive impairment in HIV-infected patients was identified, independently associated with the female sex and fewer years of schooling. Further studies are needed to clarify the differences in the pathophysiology between sexes and the role of cognitive reserve in prevention of cognitive impairment in HIV infection.
Bibliografia:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:1590-1874
1590-3478
1590-3478
DOI:10.1007/s10072-020-04705-x