Evidence map›Paper›PMID 42565445›Full record

ArticleHIV medicine2026

Frailty and associated clinical factors among Japanese people with HIV: A multicentre cross-sectional study using the revised Japanese Cardiovascular Health Study criteria.

Hideta Nakamura, Julian Falutz, Taro Naka, Sho Miyamori, Nanae Ikemiyagi, Kazutaka Yamaniha, Shuhei Ideguchi, Rumi Minami, Masashi Narita, Michinori Shirano and 6 more

Abstract readMulticenter Study
In one paragraph

Article in HIV medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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.

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

16 authors.

Hideta NakamuraFirst Department of Internal Medicine, Division of Infectious, Respiratory, and Digestive Medicine, University of the Ryukyus Graduate School of Medicine, Okinawa, Japan.ORCID https://orcid.org/0000-0001-7686-4604
Julian FalutzMcGill University Health Centre, McGill University, Montreal, Canada.
Taro NakaDepartment of Rehabilitation, University of the Ryukyus Hospital, Okinawa, Japan.ORCID https://orcid.org/0009-0007-2133-2214
Sho MiyamoriDepartment of Rehabilitation, University of the Ryukyus Hospital, Okinawa, Japan.
Nanae IkemiyagiFirst Department of Internal Medicine, Division of Infectious, Respiratory, and Digestive Medicine, University of the Ryukyus Graduate School of Medicine, Okinawa, Japan.
Kazutaka YamanihaFirst Department of Internal Medicine, Division of Infectious, Respiratory, and Digestive Medicine, University of the Ryukyus Graduate School of Medicine, Okinawa, Japan.
Shuhei IdeguchiFirst Department of Internal Medicine, Division of Infectious, Respiratory, and Digestive Medicine, University of the Ryukyus Graduate School of Medicine, Okinawa, Japan.
Rumi MinamiDepartment of Internal Medicine, Clinical Research Institute, NHO Kyushu Medical Center, Fukuoka, Japan.ORCID https://orcid.org/0000-0002-5847-4108
Masashi NaritaDivision of Infectious Diseases, Department of Internal Medicine, Okinawa Prefectural Nanbu Medical Center and Children's Medical Center, Haebaru, Japan.
Michinori ShiranoDepartment of Infectious Diseases, Osaka City General Hospital, Osaka, Japan.
Sei SamukawaDepartment of Hematology and Clinical Immunology, Yokohama City University School of Medicine, Yokohama, Japan.
Tomoyuki EndoDepartment of Infection Control and Prevention, Hokkaido University Hospital, Sapporo, Japan.
Junji ImamuraDepartment of Infectious Diseases, NHO Sendai Medical Center, Sendai, Japan.
Mayumi ImahashiDepartment of Infectious Diseases and Immunology, Clinical Research Center, NHO Nagoya Medical Center, Nagoya, Japan.ORCID https://orcid.org/0000-0003-3464-4106
Shinichiro UedaThe MEXT Program for Clinical Research Promotion, University of the Ryukyus Hospital, Okinawa, Japan.
Kazuko YamamotoFirst Department of Internal Medicine, Division of Infectious, Respiratory, and Digestive Medicine, University of the Ryukyus Graduate School of Medicine, Okinawa, Japan.

Funding

2023 Advanced Medical Research Support Program, Faculty of Medicine, University of the RyukyusJSPS KAKENHI 24K10556
6 · The paper itself

Abstract

objectivesFrailty is relevant to HIV care across middle and later life, yet Japanese data remain limited. We evaluated frailty, prefrailty and associated factors in Japanese people with HIV using the revised Japanese Cardiovascular Health Study (J-CHS) criteria.

methodsWe conducted a multicentre cross-sectional study at eight HIV care centres. Eligible participants were Japanese people with HIV aged ≥40 years on antiretroviral therapy for ≥12 months. Frailty was classified as robust, prefrail or frail. Multivariable logistic regression examined factors associated with frailty-related outcomes; sensitivity analyses excluded sex from the model and restricted analyses to men.

resultsAmong 325 participants, median age was 55 [49-64] years and 311 (95.7%) were male; 70 (21.5%) were robust, 227 (69.8%) prefrail and 28 (8.6%) frail. Common components were low physical activity (36.6%), weight loss (33.2%) and slow gait (27.1%). In the frailty versus non-frailty model, higher PHQ-9 score (adjusted odds ratio [aOR] 1.12 per point, 95% confidence interval [CI] 1.04-1.21) and polypharmacy (aOR 3.34, 95% CI 1.23-9.10) were associated with frailty. In the prefrailty/frailty versus robust model, higher PHQ-9 score and body mass index were associated with the outcome. Sensitivity analyses yielded broadly consistent findings.

conclusionsPrefrailty was highly prevalent, and frailty was associated with depressive symptoms and polypharmacy. Frailty at a median age of 55 years suggests clinically relevant vulnerability in Japanese people with HIV, although longitudinal and comparative studies are needed. These findings support integrated HIV care combining mental-health screening, medication review and physical-function assessment.

Indexed as

FrailtyHIV InfectionsAdultAgedCross-Sectional StudiesEast Asian PeopleFemaleHumansJapanMaleMiddle AgedRisk FactorsageingfrailtyHIVpolypharmacyprefrailty

Identifiers

PMID42565445
PMCPMC13631693

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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.