Implementing routine physical function screening among elderly HIV-positive patients in Uganda. Issue 11 (1st November 2020)

• Record Type: Journal Article
• Authors: Lwanga, Isaac; Nabaggala, Maria Sarah; Kiragga, Agnes; Calcagno, Andrea; Guaraldi, Giovanni; Lamorde, Mohammed; Castelnuovo, Barbara
• Is Part Of: AIDS care. Volume 32:Issue 11(2020)
• Page Start: 1467
• Page End: 1470
• Publication Date: 2020-11-01
• Subjects: HIV -- elderly patients -- physical function -- sub-Saharan Africa; AIDS (Disease) -- Social aspects -- Periodicals; AIDS (Disease) -- Psychological aspects -- Periodicals; AIDS (Disease) -- Patients -- Care -- Periodicals; Acquired Immunodeficiency Syndrome; 362.1969792
• DOI: 10.1080/09540121.2019.1703888
• Languages: English
• ISSNs: 0954-0121

Abstract

ABSTRACT: We conducted a cross-sectional study to describe routine physical function assessment for HIV-infected adults aged ≥60 years attending a large urban HIV clinic in Kampala, Uganda. Assessed demographic and clinical factors associated with low physical function in the population, generalized linear regression model was used to estimate factors associated with low physical function. Of the 93 elderly patients that underwent the Short Physical Performance Battery (SPPB) assessment, 43/93 (44.1%) scored 1–8 points at the SPPB evaluation and were categorized as low function, 45/93 (48.4%) scored 9–11 points and were categorized as moderate function and 7/93 (7.5%) scored 12 points and were categorized as high (normal) function. Women (adjusted risk ratio (ARR) 2.57; 95% confidence interval (CI): 1.54–4.29, p = 0.000) had increased risk of low physical function compared to men. A one-year increase in age (ARR = 1.09; CI: 1.03–1.15, p = 0.004) and being overweight (BMI > 25.0, ARR = 1.96; CI: 1.89–3.24, p = 0.008) also carried an increased risk of low physical function status. A higher number 13/41(32%) of falls was recorded in female than among male 3/53(5.8%) patients ( p = 0.001). The SPPB assessment is a starting point for clinicians to comprehensively evaluate and consider the management of physical function limitation among older HIV-positive patients.