Spokane AIDS Network - HIV and Aging

Aging with AIDS 1 Jan. 2006. 14 Oct. 2009

Several of the physical symptoms and illnesses related to HIV disease and its treatment -- such as fatigue, weight changes, memory loss, depression, and atherosclerosis -- mimic typical age-related health problems. It is estimated that at least 10% of HIV positive people in the United States are 50 years of age or older -- a number that will certainly increase as people with HIV live longer thanks to effective antiretroviral therapy. For older women, sorting out the interplay between HIV, aging, and the side effects of medications can be very difficult. Many health problems are exacerbated by smoking, obesity, and poor health behaviors that can lead to an increased risk of illness or death. This article addresses two common health risks in aging women with HIV: heart disease and osteoporosis.

What are health issues to watch out for? POZ Magazine

HIV and Aging July 2009

Cardiovascular disease As we age, cholesterol builds up in our arteries, so our risk of a heart attack or stroke increases. HIV and its meds may further increase the risk. Positive people over 50, especially men, should talk with their providers about closely monitoring cholesterol levels and blood pressure, and consider risk-reducing habits: exercising, quitting smoking and eating a healthy diet.
Cancer Studies show that prostate, breast and colon cancer aren't more common in HIV-positive people. But having HIV does increase the risk of some cancers caused by viruses, such as KS, lymphoma and cervical or anal tumors. It may also increase the risk of a few other cancers, including lung and skin cancer. But none of these are common and all can be detected in early, treatable stages through regular screening.
Bone Problems Weakened bones-osteopenia and osteoporosis-can occur with age, notably in women after they stop menstruating, and have also been tied to HIV and its treatment. An easy and painless test called DEXA scanning can help you and your health care provider monitor your bone health and determine if you're at risk for a serious fracture. Vitamin D and calcium supplements might be recommended, and prescription medications to help reverse bone loss are also available.
Cognitive Problems Mental function, including memory and concentration, tend to decline as we age, but cognitive impairment can also be due to HIV infection and some meds. While there are many possible treatments, some need to be used with caution in older people.
Multiple Meds As we age and require meds for additional problems, the risk of potentially dangerous drug interactions increases. HIV meds can affect-and are affected by-treatments for other health conditions, leading to raised or lowered med levels in the bloodstream. This can prevent some meds from working correctly or increase the risk of serious side effects. And older people may be more susceptible to drug interactions, as their livers and kidneys-responsible for breaking down medications-begin to decline. Be sure your health care provider keeps close tabs on all meds you're taking, including over-the-counter remedies and supplements. QUICK TIPS Offered by writers of POZ Magazine: Growing older with HIV means getting wiser to age-related health challenges.
Beyond viral load Keeping on top of your HIV is important, but routine health exams are also necessary, especially as we age. Talk with your doc about other lab tests you need to monitor your health.
Body Talk Aging gracefully involves more than seeing your doctor and taking meds. It means life affirming acts such as quitting cigarettes, alcohol and drug use; eating a healthy diet; getting regular exercise and maintaining a healthy weight.
Mind matters Some studies show that engaging in mental activities like solving crosswords and number puzzles every day can guard against mental deterioration.
Friendly advice Studies show that people who maintain active social networks of friends and family live longer and happier lives than people who are isolated.