People living with HIV often worry about the relationship between HIV and Aging, Whether HIV infection is leading to premature aging.
Concerned about HIV and aging? Stop smoking
HIV itself is not making many people sick!
However, some people with HIV Are having problems with heart disease, cancers, and fragile bones.
These conditions appear to be occurring at higher rates in people with HIV than in the general population.
And curiously, these "things" seem to be occurring in younger people!
As you try to understand why, you will plunge into fairly technical and obscure areas of HIV science.
It seems that people living with HIV may lose some degree of immune function over time.
Aggravating the deficits that usually occur in recent years.
In addition, chronic inflammation - that is, the immune system in a constant state of high alert, In response to HIV infection - appears to have deleterious effects on all cells, tissues and processes.
For the time being, the practical implications of this emerging field of knowledge are unclear. There are no specific therapies to counteract chronic inflammation.
But studies on conditions related to age and life expectancygiveSome clear indications that people living with HIV can do to improve their health as they get older.
Smoking and life expectancy
Take, for example, a recent study that looked at mortality rates among Kaiser Permanente clients. It compared about 25 thousand HIV-positive people with ten times the number of HIV-negative people.
There has been a steady increase in life expectancy for people with HIV since 1996, but a worrying gap remains between life expectancy and HIV-negative clients.
Based on 2011 estimates, it is expected that a person with 20 years of age living with HIV may live to the age of 69 years, compared to an HIV-negative person living up to the age of 82 years - A difference of thirteen years.
But researchers have people with HIV Who had better prospects:
- People who started HIV treatment with a CD4 above 500 could have a life expectancy of 74 years.
- And people who started treatment at this stage and Never smokedWould live to 79 years.
It seems that HIV and aging associated are still a "Minor problem" Than tobacco consumption.
To further explore the impact of smoking on life expectancy, another group of researchers recently placed data on the health of Americans living with HIV in a mathematical model.
The researchers took as an example people who are diagnosed with HIV and initiate antiretroviral therapy (ART) at 40 years.
They found that, on average, a male smoker with HIV who continued to use cigarettes lived up to 65 years.
That compared to 72 years for a man who never consumed tobacco.
A woman smoker with HIV would live up to the 68 years, compared to the 74 years for a non-smoker woman.
By looking at how a male smoker living with HIV could improve their prospects, the researchers found that stopping smoking would have the biggest impact, adding nearly six years of extra life.
Smoking and diseases
Smoking cuts people's lives through:
- Heart attacks
- Other forms of cardiovascular disease;
- Lung cancer,
- from the mouth,
- Of the esophagus
- Of the bladder;
- Bronchitis and other forms of chronic obstructive pulmonary disease -
To list some only.
Smoking can shorten your life and have a significant impact on your quality of life.
None of these health conditions is especially enjoyable for living.
This is true for all, HIV positive and HIV negative. But it seems that smoking - in some cases - can do more harm to HIV-positive people than to HIV-negative people. It seems to have a greater physiological impact on HIV-positive people.
For example, a very complete Danish study compared the risk of heart attack in people living with HIV and people in the general population.
Corresponding to people of the same age and gender, he found that current smokers living with HIV had a nearly three-fold increased risk of heart attack compared to smokers who were HIV-negative.
Ex-smokers living with HIV had a nearly two-fold increased risk.
But people living with HIV who had never smoked had no higher risk of heart attack than non-smokers combined in the general population.
Likewise, smoking appears to have a greater impact on chronic obstructive pulmonary disease in people living with HIV than in other people.
Focus on what can be changed
You see, we still do not know if there is a link between HIV and premature aging, and therefore we have to change the gap for what matters!
Smoking rates are alarming in people living with HIV!
Researchers recently grouped the results of 45 studies differently from North America and Europe.
And they found out that 54% of people with HIV were smokers. This is in contrast only in the United States.
There are people out there who are worried about the impact of HIV in the aging process and continue to smoke.
HIV and Aging
Take care of what you can control. You can control the cigarette.
That means being worried about a threat that we do not understand well and are not sure about how to fight.
While we neglect a very real threat to health and it can be altered and controlled.
Physicians and community organizations need to help people quit smoking.
And that this is one of the central axes in how they care for the health of those living with HIV.
Achieving change in this area can make more difference than almost anything else they do and the relationship between HIV and early aging It takes a lot of time
Only a few years ago we started to have cases of people living with HIV after 50 years!
We still can not establish the relationship between HIV and early aging, if it really exists (...).
Between worrying about HIV and aging and smoking, get ready to get help on what you can control!
And people living with HIV need to be ready to seek and accept help to overcome this addiction.
It is important to know that nicotine replacement products (such as adhesives and sprays).
And bupropion and varenicline are proven to be effective in helping people stop smoking.
Combining this with counseling or other support can further increase the chances of getting out of tobacco in the long run.
The Centers for Disease Control and Prevention present "tips from ex-smokers" campaign.
A former smoker is Brian, a man living with HIV who survived a stroke. He contrasts smoking with HIV, which he says will be part of his life forever:
- "Smoking is something you control," he says.
- "You can stop. And it's worth it for your life to quit smoking. "
Translated by Cláudio Souza de Worried About HIV and Aging? The First Thing to Do Is Stop Smoking, written byRoger Pebody Do TheBody.com
Reviewed by Mara Macedo
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