Frailty as a predictor of falls in HIV-infected and uninfected women

Anjali Sharma, Donald R. Hoover, Qiuhu Shi, Deborah R. Gustafson, Michael W. Plankey, Phyllis C. Tien, Kathleen M. Weber, Michael T. Yin

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Background: Frailty and falls occur commonly and prematurely in HIV-infected populations. Whether frailty in middle-age predicts future falls among HIV-infected women is unknown. Methods: We evaluated associations of frailty with single and recurrent falls 10 years later among 729 HIV-infected and 326 uninfected women in the Women’s Interagency HIV Study (WIHS) with frailty measured in 2005 and self-reported falls in 2014–2016. Frailty was defined as ≥3 of 5 Fried Frailty Index components: slow gait, reduced grip strength, exhaustion, unintentional weight loss and low physical activity. Stepwise logistic regression models determined odds of single (versus 0) or recurrent falls (≥2 versus 0) during the 2-year period; separate models evaluated frailty components. Results: HIV-infected women were older (median 42 versus 39 years; P<0.0001) and more often frail (14% versus 9%; P=0.04) than uninfected women. Over 2 years, 40% of HIV-infected versus 39% of uninfected women reported a fall (single fall in 15% HIV+ versus 18% HIV-women; recurrent falls in 25% HIV+ versus 20% HIV-women [overall P=0.20]). In multivariate models, frailty independently predicted recurrent falls (adjusted odds ratio [aOR] 1.84, 95% CI: 1.13, 2.97; P=0.01), but not a single fall. Among frailty components, unintentional weight loss independently predicted single fall (aOR 2.31, 95% CI: 1.28, 4.17; P=0.005); unintentional weight loss (aOR 2.26, 95% CI: 1.32, 3.86; P=0.003) and exhaustion (aOR 1.66, 95% CI: 1.10, 2.50; P=0.02) independently predicted recurrent falls. Conclusions: Early frailty measurement among middle-aged women with or at-risk for HIV may be a useful tool to assess future fall risk.

Original languageEnglish (US)
Pages (from-to)51-61
Number of pages11
JournalAntiviral Therapy
Volume24
Issue number1
DOIs
StatePublished - Jan 1 2019

ASJC Scopus subject areas

  • Pharmacology
  • Pharmacology (medical)
  • Infectious Diseases

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    Sharma, A., Hoover, D. R., Shi, Q., Gustafson, D. R., Plankey, M. W., Tien, P. C., Weber, K. M., & Yin, M. T. (2019). Frailty as a predictor of falls in HIV-infected and uninfected women. Antiviral Therapy, 24(1), 51-61. https://doi.org/10.3851/IMP3286