Current challenges and solutions in research and clinical care of older persons living with HIV: Findings presented at the 9th international workshop on HIV and aging

Erin E. Sundermann, Kristine M. Erlandson, Caitlin N. Pope, Anna Rubtsova, Jessica Montoya, Alison A. Moore, Catia Marzolini, Kelly K. O'Brien, Savita Pahwa, Brendan A.I. Payne, Leah H. Rubin, Sharon Walmsley, Norman J. Haughey, Monty Montano, Maile Y. Karris, Joseph B. Margolick, David J. Moore

Research output: Contribution to journalArticle

Abstract

In the era of effective antiretroviral therapy, the number of older people with HIV (PWH) is increasing, and those aging with HIV are experiencing an increasing burden of age-associated comorbidities. Life expectancy among older PWH is approaching that of demographically comparable HIV-uninfected (HIV-) adults. With this changing demographic of PWH come new challenges for researchers and clinicians in how to identify, address, and manage the complex interplay of treated HIV infection and aging-associated factors. In response to these challenges, the annual International Workshop on HIV and Aging was initiated in 2009 as a multidisciplinary platform for scientific discourse on the research and clinical complications arising from the aging population of PWH. The multidisciplinary nature of the workshop has resulted in a wide range of topics addressed over the past 9 years, from basic mechanisms in aging and HIV pathogenesis, to epidemiology of aging within large cohorts, interventions, and implementation of clinical programs. Herein, we summarize the key topics discussed at the 9th Annual International Workshop on HIV and Aging 2018, including "inflammaging," mitochondrial dysfunction, exercise interventions, HIV-associated neurocognitive impairment, metabolic dysfunction, menopause, and polypharmacy. In addition to recent developments in research and clinical care, we discuss open questions and future research directions required to better understand the interaction of HIV and aging.

Original languageEnglish (US)
Pages (from-to)985-998
Number of pages14
JournalAIDS research and human retroviruses
Volume35
Issue number11-12
DOIs
StatePublished - Nov 1 2019

Keywords

  • HIV
  • aging
  • comorbidities
  • inflammation
  • intervention
  • polypharmacy

ASJC Scopus subject areas

  • Immunology
  • Virology
  • Infectious Diseases

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    Sundermann, E. E., Erlandson, K. M., Pope, C. N., Rubtsova, A., Montoya, J., Moore, A. A., Marzolini, C., O'Brien, K. K., Pahwa, S., Payne, B. A. I., Rubin, L. H., Walmsley, S., Haughey, N. J., Montano, M., Karris, M. Y., Margolick, J. B., & Moore, D. J. (2019). Current challenges and solutions in research and clinical care of older persons living with HIV: Findings presented at the 9th international workshop on HIV and aging. AIDS research and human retroviruses, 35(11-12), 985-998. https://doi.org/10.1089/aid.2019.0100