The Role of HIV Antiretroviral Medication on Motor-Cognitive and Neurological Alterations in Hispanic People Living with HIV

Martin G. Rosario, Leah Jamison Spt, G. Gines
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引用次数: 7

Abstract

The Role of HIV and Abstract Motor-Cognitive alterations (MCAs) are associated with HIV infection and antiretroviral therapy. MCAs create a profound negative impact on their independence causing a burden to caregivers and the health care system. At early stages of the HIV disease, mild MCAs affecting the central nervous system can be identified in individuals with HIV, however, these MCAs increase in severity as time and the condition progress. Despite the prominence of these traits among individuals with HIV, the manifestation and severity of these MCAs are not linear. Purpose: The aim of this project to assess the impact of medication with MCA's and comorbidities among Hispanics with HIV. Methods: Data was collected from 575 out of 1,300 participants’ record. Variables related to cd4, blood work, urinalysis, physical activity, and demographics (age, year with diagnosis) we're collected. Data analysis of this study utilizes two types of analysis univariate and bivariate for demographic profile data and to identify correlation of multiple comorbidities and antiretroviral therapy. Then a Pearson chi square was used for the relationship analysis between peripheral neuropathy and antiretroviral therapy. The majority of the subjects were male aged between 81/2- and 451/2-years old living with HIV diagnosis. Mainly, Participants were categorized as having the HIV diagnosis with a cd4 cell count of 598 ± 346.8 cells/uL with a non-detected viral load. Results: showed the mains comorbidities among individuals with HIV are hypertension 28%, depression 25%, peripheral neuropathy 23.6%. A poor relationship between peripheral neuropathy and individuals with HIV was found using between 2-3 antiretroviral therapy. However, it was not statistically significant (X² (2)> = 1.509, p = .470). Conclusion: Hispanic living with HIV, MCA's manifest as depression and in some extent peripheral neuropathy. We suggest cardiovascular and psychological testing to all participants suffering with HIV. Additional are for strength test, cardiovascular and activity among these count, lipid panel values, blood work, comorbidities, among other variables, are we able to distinguish any of the factors that alter neurocognitive and neuromotor status?
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艾滋病毒抗逆转录病毒药物在西班牙裔艾滋病毒感染者运动认知和神经系统改变中的作用
运动认知改变(MCAs)与HIV感染和抗逆转录病毒治疗有关。mca对他们的独立性产生了深远的负面影响,给照顾者和卫生保健系统带来了负担。在HIV疾病的早期阶段,可以在HIV感染者中发现影响中枢神经系统的轻度mca,然而,随着时间和病情的进展,这些mca的严重程度会增加。尽管这些特征在HIV感染者中很突出,但这些mca的表现和严重程度并不是线性的。目的:本项目的目的是评估药物治疗对西班牙裔艾滋病病毒感染者MCA和合并症的影响。方法:从1300名参与者的记录中收集575份数据。我们收集了与cd4,血液检查,尿液分析,身体活动和人口统计(年龄,诊断年份)相关的变量。本研究的数据分析采用两种类型的分析,单变量和双变量的人口统计资料,以确定多种合并症和抗逆转录病毒治疗的相关性。然后使用Pearson卡方分析周围神经病变与抗逆转录病毒治疗之间的关系。大多数受试者是年龄在81岁半至451岁之间的男性,并被诊断患有艾滋病毒。参与者主要被归类为cd4细胞计数为598±346.8细胞/uL且未检测到病毒载量的HIV诊断。结果:HIV感染者的主要合并症为高血压(28%)、抑郁症(25%)、周围神经病变(23.6%)。周围神经病变与艾滋病毒感染者之间的关系很差,使用2-3次抗逆转录病毒治疗。但差异无统计学意义(X²(2)> = 1.509,p = 0.470)。结论:西班牙裔HIV感染者MCA表现为抑郁和一定程度的周围神经病变。我们建议对所有HIV感染者进行心血管和心理测试。另外还有力量测试,心血管和活动,血脂值,血液检查,合并症,以及其他变量,我们是否能够区分任何改变神经认知和神经运动状态的因素?
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