Implementing routine physical function screening among elderly HIV-positive patients in Uganda

Dados Bibliográficos

ID19443532
AutoresIsaac Lwanga (0000-0003-2961-9686, Infectious Diseases Institute), Maria Sarah Nabaggala (0000-0002-1630-9104, Infectious Diseases Institute, autor correspondente), Agnes Kiragga (0000-0002-0969-0699, Infectious Diseases Institute), Andrea Calcagno (0000-0003-2534-8815, Department of Medical Sciences, Unit of Infectious Diseases, University of Torino, Torino, Italy), Giovanni Guaraldi (0000-0002-5724-3914, Infectious Diseases Unit, The University of Modena and Reggio Emilia, Modena, Italy), Mohammed Lamorde (0000-0003-2218-6822, Infectious Diseases Institute), Barbara Castelnuovo (0000-0001-7756-5032, Infectious Diseases Institute)
Ano2020
Volume32
Fascículo11
Páginas1467-1470
Data de publicação2020-11-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAIDS Care (JOURNAL)
Identificadores do periódicoISSN: 0954-0121 • E-ISSN: 1360-0451
EditoraInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2019.1703888
PMID31847531
OpenAlexW2995849323
IdiomaEN
Citações recebidas2
Referências citadas17

We conducted a cross-sectional study to describe routine physical function assessment for HIV-infected adults aged ≥60 years attending a large urban HIV clinic in Kampala, Uganda. Assessed demographic and clinical factors associated with low physical function in the population, generalized linear regression model was used to estimate factors associated with low physical function. Of the 93 elderly patients that underwent the Short Physical Performance Battery (SPPB) assessment, 43/93 (44.1%) scored 1–8 points at the SPPB evaluation and were categorized as low function, 45/93 (48.4%) scored 9–11 points and were categorized as moderate function and 7/93 (7.5%) scored 12 points and were categorized as high (normal) function. Women (adjusted risk ratio (ARR) 2.57; 95% confidence interval (CI): 1.54–4.29, p = 0.000) had increased risk of low physical function compared to men. A one-year increase in age (ARR = 1.09; CI: 1.03–1.15, p = 0.004) and being overweight (BMI > 25.0, ARR = 1.96; CI: 1.89–3.24, p = 0.008) also carried an increased risk of low physical function status. A higher number 13/41(32%) of falls was recorded in female than among male 3/53(5.8%) patients (p = 0.001). The SPPB assessment is a starting point for clinicians to comprehensively evaluate and consider the management of physical function limitation among older HIV-positive patients

Body mass index · Confidence interval · Cross-sectional study · Environmental health · Overweight · Physical therapy · Population · Relative risk · HIV-related health complications and treatments · Medicine · Neurological and metabolic disorders · Nutrition and Health in Aging · Immunology · Internal Medicine