Evidence map›Paper›PMID 26386010›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2015

Frailty, Inflammation, and Mortality Among Persons Aging With HIV Infection and Injection Drug Use.

Damani A Piggott, Ravi Varadhan, Shruti H Mehta, Todd T Brown, Huifen Li, Jeremy D Walston, Sean X Leng, Gregory D Kirk

Open access · bronzeAbstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 2 pooled it
10.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 2 syntheses or guidelines pooled it, 88 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Epigenetic age acceleration and mortality among persons with poorly controlled HIV.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Muscle Quality and Physical Function in Men With and Without HIV.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Review
  19. Review
  20. Heroin Use Is Associated With Vascular Inflammation in Human Immunodeficiency Virus.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Damani A PiggottDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland. Department of Epidemiology, Johns Hopkins University School of Public Health, Baltimore, Maryland. dpiggot1@jhmi.edu.
Ravi VaradhanDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Shruti H MehtaDepartment of Epidemiology, Johns Hopkins University School of Public Health, Baltimore, Maryland.
Todd T BrownDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland. Department of Epidemiology, Johns Hopkins University School of Public Health, Baltimore, Maryland.
Huifen LiDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Jeremy D WalstonDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Sean X LengDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Gregory D KirkDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland. Department of Epidemiology, Johns Hopkins University School of Public Health, Baltimore, Maryland. Department of Oncology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Johns Hopkins University · USJohns Hopkins Medicine · US

Funding

Technological Assessment and Solutions Core - RC4P30AG021334 · NIA · JOHNS HOPKINS UNIVERSITY · PI Jeremy D Walston · 2003 to 2026
$33.2M
The AIDS Linked to the Intravenous Experience (ALIVE) StudyU01DA036297 · NIDA · JOHNS HOPKINS UNIVERSITY · PI Gregory D Kirk, Shruti H Mehta · 2014 to 2026
$28.9M
INCIDENCE OF HIV INFECTIONS IN A COHORT OF IV DRUG USERSR01DA012568 · NIDA · JOHNS HOPKINS UNIVERSITY · PI MEHTA, SHRUTI H · 1999 to 2017
$15.5M
Influenza vaccine failure in adults over age 75: role of chronic CMV infectionR01AI108907 · NIAID · JOHNS HOPKINS UNIVERSITY · PI LENG, SEAN XIAO · 2014 to 2018
$2.8M
Real Time Methods for Quantifying Exposure to Illicit Drugs & Psychosocial StressU01DA023832 · NIDA · JOHNS HOPKINS UNIVERSITY · PI KIRK, GREGORY D · 2007 to 2010
$1.9M
Mentoring in Endocrine and Metabolic Abnormalities in HIV and AgingK24AI120834 · NIAID · JOHNS HOPKINS UNIVERSITY · PI BROWN, TODD T · 2015 to 2025
$1.8M
Epidemiology and Mechanisms of Accelerated Aging in HIV InfectionRC1AI086053 · NIAID · JOHNS HOPKINS UNIVERSITY · PI KIRK, GREGORY D · 2009 to 2010
$995k
Patient-Oriented Research and Mentorship in HIV and Non-Communicable DiseasesK24AI118591 · NIAID · JOHNS HOPKINS UNIVERSITY · PI KIRK, GREGORY D · 2015 to 2019
$766k
Determinants and Consequences of Frailty among Aging HIV-infected PersonsK23AI108357 · NIAID · JOHNS HOPKINS UNIVERSITY · PI PIGGOTT, DAMANI · 2013 to 2016
$731k
NIAID NIH HHS K23 AI108357NIAID NIH HHS K23-AI-108357NIAID NIH HHS K24 AI118591NIAID NIH HHS K24 AI120834NIAID NIH HHS R01 AI108907NIAID NIH HHS RC1-AI-086053NIA NIH HHS P30 AG021334NIDA NIH HHS R01 DA012568NIDA NIH HHS R01-DA-12568NIDA NIH HHS U01-DA-023832NIDA NIH HHS U01 DA036297
6 · The paper itself

Abstract

backgroundSerum markers of inflammation increase with age and have been strongly associated with adverse clinical outcomes among both HIV-infected and uninfected adults. Yet, limited data exist on the predictive and clinical utility of aggregate measures of inflammation. This study sought to evaluate the relationship of a recently validated aggregate inflammatory index with frailty and mortality among aging HIV-infected and uninfected injection drug users.

methodsFrailty was assessed among HIV-infected and uninfected participants in the AIDS Linked to the IntraVenous Experience (ALIVE) cohort study using the five Fried phenotypic criteria: weight loss, exhaustion, low physical activity, decreased grip strength, and slow gait. The aggregate inflammatory index was constructed from serum measures of interleukin-6 and soluble tumor necrosis factor-α receptor-1. Multinomial logistic regression was used to assess the relationship of frailty with inflammation. Cox proportional hazards models were used to estimate risk for all-cause mortality.

resultsAmong 1,326 subjects, the median age was 48 years and 29% were HIV-infected. Adjusting for sociodemographics, comorbidity, and HIV status, frailty was significantly associated with each standard deviation increase in log interleukin-6 (odds ratio 1.33; 95% CI, 1.09-1.61), log tumor necrosis factor-α receptor-1 (odds ratio 1.25; 95% CI, 1.04-1.51) and inflammatory index score (odds ratio 1.39; 95% CI, 1.14-1.68). Adjusting for sociodemographics, comorbidity, HIV status, and frailty, the inflammatory index score was independently associated with increased mortality (HR 1.65; 95% CI, 1.44-1.89).

conclusionA recently validated, simple, biologically informed inflammatory index is independently associated with frailty and mortality risk among aging HIV-infected and uninfected injection drug users.

Indexed as

AdultAgedAgingFemaleFrail ElderlyHIV InfectionsHumansInflammationInterleukin-6MaleMiddle AgedProspective StudiesReceptors, Tumor Necrosis Factor, Type ISubstance Abuse, IntravenousIL6 protein, humanInterleukin-6Receptors, Tumor Necrosis Factor, Type IFrailtyHIVInflammationInjection drug useMortality

Identifiers

PMID26386010
PMCPMC4643614
OpenAlexW2210962886

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.