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ArticleEuropean geriatric medicine2025

Association between a lower T-CD4+ /CD8+ lymphocyte ratio and cognitive impairment in older persons with HIV.

Carlos Alberto Ruiz-Manríquez, José Alberto Avila-Funes, Fátima Brañas, Brenda Crabtree-Ramírez, Hélène Amieva, Virgilio Hernández-Ruiz

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Article in European geriatric medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Carlos Alberto Ruiz-ManríquezGeriatric Medicine Department, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, 14080, Tlalpan, Mexico City, Mexico.
José Alberto Avila-FunesDepartment of Medical Education, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Fátima BrañasSección de Geriatría, Hospital Universitario Infanta Leonor, Madrid, Spain.
Brenda Crabtree-RamírezInfectious Diseases Department, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Hélène AmievaINSERM, Bordeaux Population Health Research Center, UMR 1219, Univ. Bordeaux, 33000, Bordeaux, France.
Virgilio Hernández-RuizGeriatric Medicine Department, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, 14080, Tlalpan, Mexico City, Mexico. virgilio.hernandezr@incmnsz.mx.ORCID http://orcid.org/0000-0002-4163-5278

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo ascertain the association between the LT-CD4 + /CD8 + ratio and cognitive impairment in older people living with HIV.

methodsA cross-sectional study was conducted, including 207 adults aged > 50 years with HIV, receiving care at a tertiary-care hospital in Mexico City. Participants underwent a standardized geriatric and neuropsychological assessment to establish the presence of HIV-associated neurocognitive disorder according to the validated Antinori criteria. Multivariate logistic regression models were performed to determine the association between T-CD4 + /CD8 + lymphocyte ratio tercile values (0.57-0.91, and < 0.56; with > 0.91 being the reference category) and cognitive impairment.

resultsParticipants' median age was 56 (IQR 53-62) years and 173 (83.6%) were men. The prevalence of any kind of cognitive impairment according to the Antinori criteria was 66.2% (n = 137), the highest proportion being asymptomatic neurocognitive impairment (n = 114, 83.2%). Adjusted logistic regression analyses showed that the lowest LT-CD4 + /CD8 + ratio tercile values (< 0.56) were independently associated with the presence of cognitive impairment (OR 3.16; 95% CI 1.22-8.16, p = 0.017).

conclusionLower LT-CD4 + /CD8 + ratios are independently associated with cognitively impaired older persons with HIV, which represents another factor that could be addressed to identify individuals at risk and focus on cognitive screening as well as correction of other modifiable risk factors.

Indexed as

CD4-CD8 RatioCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesCognitive DysfunctionHIV InfectionsAgedCross-Sectional StudiesFemaleGeriatric AssessmentHumansMaleMexicoMiddle AgedNeuropsychological TestsCD4+ /CD8+ ratioCognitive impairmentHIVOlder adults

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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.