Evidence map›Paper›PMID 30763363›Full record

ArticlePloS one2019

The dynamic association between Frailty, CD4 and CD4/CD8 ratio in people aging with HIV.

Giovanni Guaraldi, Stefano Zona, Ana Rita Silva, Marianna Menozzi, Giovanni Dolci, Jovana Milic, Federica Carli, Cristina Mussini

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
5.2field-weighted citation impact, top 4% 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

21 citing papers in PubMed, 36 citations in OpenAlex.

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  3. Potential Noninvasive Biomarkers to Assess the Aging Process.Expert reviews in molecular medicine · 2025
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  14. Article
  15. Review
  16. Effect of Traditional Chinese Medicine Therapy on the Trend in CD4Evidence-based complementary and alternative medicine : eCAM · 2021
    Article
  17. Characteristics of Motor Dysfunction in Longstanding Human Immunodeficiency Virus.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  18. Review
  19. Article
  20. 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 2 countries.

Giovanni GuaraldiInfectious Diseases Clinic, University of Modena and Reggio Emilia, Modena, Italy.ORCID 0000-0002-5724-3914
Stefano ZonaInfectious Diseases Clinic, University of Modena and Reggio Emilia, Modena, Italy.
Ana Rita SilvaDepartment of Infectious Diseases, Hospital Beatriz Ângelo, Loures, Portugal.ORCID 0000-0003-0277-9751
Marianna MenozziInfectious Diseases Clinic, University of Modena and Reggio Emilia, Modena, Italy.
Giovanni DolciInfectious Diseases Clinic, University of Modena and Reggio Emilia, Modena, Italy.
Jovana MilicClinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia, Modena, Italy.
Federica CarliInfectious Diseases Clinic, University of Modena and Reggio Emilia, Modena, Italy.
Cristina MussiniInfectious Diseases Clinic, University of Modena and Reggio Emilia, Modena, Italy.
University of Modena and Reggio Emilia · ITHospital Beatriz Ângelo · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the association between current CD4+ T-cell count and CD4/CD8+ ratio with severity of frailty among people aging with HIV.

methodsCross-sectional observational study analysing data from all study visits in the ongoing prospective Modena HIV Metabolic Clinic Cohort between 2006 and 2015. Frailty severity was assessed using a frailty index (FI). We visualized the relationships between frailty index score and current CD4 cell count and CD4/CD8 ratio on two different curves adjusted for age, sex, and duration of HIV infection.

resultsFrailty index scores exhibited an inverse relationship with current CD4 count, up to 900 cells/μL. The CD4/CD8 ratio was inversely correlated with frailty index both below and above the cut-off of 900 CD4 cells/μL.

conclusionsFrailty in PLWH is inversely associated with both immune-activation, depicted by CD4/CD8 ratio and immune-deficit depicted by CD4 count. The first association shows a linear shape while the second shows a hook-shape with a turning point at 900 cells. Above this cut off level CD4 do not represent a significant risk factor for frailty.

Indexed as

AgingAdultAnti-Retroviral AgentsCD4-CD8 RatioCD4 Lymphocyte CountCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesCross-Sectional StudiesFemaleFrailtyHIV InfectionsHumansLinear ModelsMaleMiddle AgedRisk FactorsAnti-Retroviral Agents

Identifiers

PMID30763363
PMCPMC6375603
OpenAlexW2911526896

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.