2017, Número 5
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Gac Med Mex 2017; 153 (5)
Deterioro cognitivo en adultos mayores con VIH/sida y síndrome de fragilidad
Zamudio-Rodríguez A, Aguilar-Navarro S, Avila-Funes JA
Idioma: Español
Referencias bibliográficas: 69
Paginas: 598-607
Archivo PDF: 262.82 Kb.
RESUMEN
En 2014, el 17% de los casos de infección por el virus de la inmunodeficiencia humana (VIH) diagnosticados en los EE.UU.
correspondieron a personas mayores de 50 años; de hecho, en un futuro próximo este grupo de población será el más
afectado. Este cambio epidemiológico puede explicarse por el aumento de la incidencia de la infección por VIH en personas
mayores de 50 años, y también por su mayor prevalencia debido a los avances en los tratamientos. A medida que la infección
por el VIH se ha convertido en una enfermedad crónica, han surgido nuevos desafíos; por ejemplo, la aparición de manera
temprana de «síndromes geriátricos», como la fragilidad, en estos pacientes. La fragilidad se refiere a un estado fisiológico
de vulnerabilidad que aumenta el riesgo de resultados adversos relacionados con la salud. Los individuos frágiles tienen un
mayor riesgo de deterioro cognitivo. Sin embargo, no se sabe si la fragilidad de aparición temprana en las personas infectadas
por el VIH también podría aumentar el riesgo de deterioro cognitivo en esta población. El propósito de este artículo de revisión
es describir, desde un punto de vista epidemiológico, la relación entre los cambios promovidos por el VIH y el síndrome de
fragilidad en la función cognitiva.
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