Prevalence of abnormalities in vestibular function and balance among HIV-seropositive and HIV-seronegative women and men.
Identifieur interne : 000229 ( Main/Corpus ); précédent : 000228; suivant : 000230Prevalence of abnormalities in vestibular function and balance among HIV-seropositive and HIV-seronegative women and men.
Auteurs : Helen S. Cohen ; Christopher Cox ; Gayle Springer ; Howard J. Hoffman ; Mary A. Young ; Joseph B. Margolick ; Michael W. PlankeySource :
- PloS one [ 1932-6203 ] ; 2012.
English descriptors
- KwdEn :
- Adult (MeSH), Antiretroviral Therapy, Highly Active (MeSH), Female (MeSH), HIV Infections (complications), HIV Infections (drug therapy), HIV Seronegativity (MeSH), HIV Seropositivity (complications), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Postural Balance (MeSH), Prevalence (MeSH), Sensation Disorders (complications), Sensation Disorders (epidemiology), Vestibular Diseases (complications), Vestibular Diseases (epidemiology), Vestibular Function Tests (MeSH).
- MESH :
- complications : HIV Infections, HIV Seropositivity, Sensation Disorders, Vestibular Diseases.
- drug therapy : HIV Infections.
- epidemiology : Sensation Disorders, Vestibular Diseases.
- Adult, Antiretroviral Therapy, Highly Active, Female, HIV Seronegativity, Humans, Male, Middle Aged, Postural Balance, Prevalence, Vestibular Function Tests.
Abstract
BACKGROUND
Most HIV-seropositive subjects in western countries receive highly active antiretroviral therapy (HAART). Although many aspects of their health have been studied, little is known about their vestibular and balance function. The goals of this study were to determine the prevalences of vestibular and balance impairments among HIV-seropositive and comparable seronegative men and women and to determine if those groups differed.
METHODS
Standard screening tests of vestibular and balance function, including head thrusts, Dix-Hallpike maneuvers, and Romberg balance tests on compliant foam were performed during semiannual study visits of participants who were enrolled in the Baltimore and Washington, D. C. sites of the Multicenter AIDS Cohort Study and the Women's Interagency HIV Study.
RESULTS
No significant differences by HIV status were found on most tests, but HIV-seropositive subjects who were using HAART had a lower frequency of abnormal Dix-Hallpike nystagmus than HIV-seronegative subjects. A significant number of nonclassical Dix-Hallpike responses were found. Age was associated with Romberg scores on foam with eyes closed. Sex was not associated with any of the test scores.
CONCLUSION
These findings suggest that HAART-treated HIV infection has no harmful association with vestibular function in community-dwelling, ambulatory men and women. The association with age was expected, but the lack of association with sex was unexpected. The presence of nonclassical Dix-Hallpike responses might be consistent with central nervous system lesions.
DOI: 10.1371/journal.pone.0038419
PubMed: 22675462
PubMed Central: PMC3364989
Links to Exploration step
pubmed:22675462Le document en format XML
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<author><name sortKey="Cohen, Helen S" sort="Cohen, Helen S" uniqKey="Cohen H" first="Helen S" last="Cohen">Helen S. Cohen</name>
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<author><name sortKey="Hoffman, Howard J" sort="Hoffman, Howard J" uniqKey="Hoffman H" first="Howard J" last="Hoffman">Howard J. Hoffman</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Antiretroviral Therapy, Highly Active (MeSH)</term>
<term>Female (MeSH)</term>
<term>HIV Infections (complications)</term>
<term>HIV Infections (drug therapy)</term>
<term>HIV Seronegativity (MeSH)</term>
<term>HIV Seropositivity (complications)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Postural Balance (MeSH)</term>
<term>Prevalence (MeSH)</term>
<term>Sensation Disorders (complications)</term>
<term>Sensation Disorders (epidemiology)</term>
<term>Vestibular Diseases (complications)</term>
<term>Vestibular Diseases (epidemiology)</term>
<term>Vestibular Function Tests (MeSH)</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>HIV Infections</term>
<term>HIV Seropositivity</term>
<term>Sensation Disorders</term>
<term>Vestibular Diseases</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>HIV Infections</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Sensation Disorders</term>
<term>Vestibular Diseases</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Antiretroviral Therapy, Highly Active</term>
<term>Female</term>
<term>HIV Seronegativity</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>Most HIV-seropositive subjects in western countries receive highly active antiretroviral therapy (HAART). Although many aspects of their health have been studied, little is known about their vestibular and balance function. The goals of this study were to determine the prevalences of vestibular and balance impairments among HIV-seropositive and comparable seronegative men and women and to determine if those groups differed.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>Standard screening tests of vestibular and balance function, including head thrusts, Dix-Hallpike maneuvers, and Romberg balance tests on compliant foam were performed during semiannual study visits of participants who were enrolled in the Baltimore and Washington, D. C. sites of the Multicenter AIDS Cohort Study and the Women's Interagency HIV Study.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>No significant differences by HIV status were found on most tests, but HIV-seropositive subjects who were using HAART had a lower frequency of abnormal Dix-Hallpike nystagmus than HIV-seronegative subjects. A significant number of nonclassical Dix-Hallpike responses were found. Age was associated with Romberg scores on foam with eyes closed. Sex was not associated with any of the test scores.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>These findings suggest that HAART-treated HIV infection has no harmful association with vestibular function in community-dwelling, ambulatory men and women. The association with age was expected, but the lack of association with sex was unexpected. The presence of nonclassical Dix-Hallpike responses might be consistent with central nervous system lesions.</p>
</div>
</front>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Most HIV-seropositive subjects in western countries receive highly active antiretroviral therapy (HAART). Although many aspects of their health have been studied, little is known about their vestibular and balance function. The goals of this study were to determine the prevalences of vestibular and balance impairments among HIV-seropositive and comparable seronegative men and women and to determine if those groups differed.</AbstractText>
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