Evidence mapPaperPMID 40519631Full record

ArticleOpen forum infectious diseases2025

Prognostic Factors of Physical Function Decline Among Middle-Aged Adults With HIV.

Grace L Kulik, Triin Umbleja, Todd T Brown, Heather J Ribaudo, Steven K Grinspoon, Jennifer A Schrack, Markella V Zanni, Marissa R Diggs, Judith A Aberg, Carl J Fichtenbaum and 11 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Geriatric syndromes in women living with HIV.Current opinion in HIV and AIDS · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Grace L KulikUniversity of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.ORCID https://orcid.org/0000-0002-2318-3239
Triin UmblejaHarvard TH Chan School of Public Health, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0001-7161-7743
Todd T BrownJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Heather J RibaudoHarvard TH Chan School of Public Health, Boston, Massachusetts, USA.
Steven K GrinspoonMassachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Jennifer A SchrackJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.ORCID https://orcid.org/0000-0001-9244-9267
Markella V ZanniMassachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-4711-3956
Marissa R DiggsMassachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Judith A AbergIcahn School of Medicine at Mount Sinai, New York, New York, USA.
Carl J FichtenbaumUniversity of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Carlos D MalvestuttoOhio State University Medical Center, Columbus, Ohio, USA.
Sarah M ChuMassachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Judith S CurrierDavid Geffen School of Medicine, University of California, Los Angeles, California, USA.
Pamela S DouglasDuke University Research Institute, Duke University School of Medicine, Durham, North Carolina, USA.
Gerald S BloomfieldDuke University Research Institute, Duke University School of Medicine, Durham, North Carolina, USA.
Alice C ThorntonUniversity of Kentucky College of Medicine, Lexington, Kentucky, USA.
Michelle A Floris-MooreUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
Elliot GoodenoughDrexel University College of Medicine, Philadelphia, Pennsylvania, USA.
Grant B EllsworthWeill Cornell Medicine, New York, New York, USA.
Tricia BurdoTemple University Lewis Katz School of Medicine, Philadelphia, Pennsylvania, USA.
Kristine M ErlandsonUniversity of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.ORCID https://orcid.org/0000-0003-0808-6729

Funding

AIDS Clinical Trials Group for Research on Therapeutics for HIV and Related InfectionsUM1AI068636 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · 2021 to 2025
$229.0M
Statistical and Data Management Center (SDMC), AIDS Clinical Trials Group (ACTG)UM1AI068634 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · 2021 to 2025
$81.6M
AIDS Clinical Trial Group Laboratory CenterUM1AI106701 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · 2021 to 2025
$54.5M
UCLA AIDS Prevention and Treatment Clinical Trials UnitUM1AI069424 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · 2021 to 2025
$22.2M
Pitt-Ohio State Clinical Trials UnitUM1AI069494 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · 2021 to 2025
$13.1M
1/2 REPRIEVE Extension for Trial CompletionUG3HL164285 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · 2023 to 2025
$9.5M
PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · UNIVERSITY OF COLORADO DENVER · 1995 to 2025
$7.7M
ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · MASSACHUSETTS GENERAL HOSPITAL · 1994 to 2025
$6.0M
2/2 REPRIEVE Extension for Trial CompletionU24HL164284 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · 2023 to 2025
$1.7M
Mentoring Across Disciplines: Aging and Infectious Diseases with a Focus on MobilityK24AG082527 · UNIVERSITY OF COLORADO DENVER · 2025 to 2025
$192k
NHLBI NIH HHS U01 HL123336NHLBI NIH HHS U01 HL123339NHLBI NIH HHS U24 HL164284NHLBI NIH HHS UG3 HL164285NIAID NIH HHS UM1 AI068634NIAID NIH HHS UM1 AI068636NIAID NIH HHS UM1 AI069424NIAID NIH HHS UM1 AI069494NIAID NIH HHS UM1 AI106701NIA NIH HHS K24 AG082527NIA NIH HHS R01 AG054366NIDDK NIH HHS P30 DK040561NIDDK NIH HHS P30 DK048520
6 · The paper itself

Abstract

Background: Pitavastatin to REduce Physical Function Impairment and FRailty in HIV (PREPARE) found small declines in physical function overall among people with HIV (PWH). However, there was substantial individual variability. The purpose of this prespecified exploratory analysis was to identify the PWH at greatest risk for physical function decline. Methods: Participant-specific annualized rates of change on annually measured chair rise rate, gait speed, the modified Short Performance Physical Battery (composite of the latter 2 plus balance time), and grip strength were estimated from linear mixed-effect models. Change in performance that was below the 20th percentile of the study population in ≥1 measure was classified as physical function decline. Associations between baseline factors and physical function decline were evaluated with log-binomial regression models. Results: Of 569 participants (81% male, 52% White), the median age (Q1-Q3) was 51 (47-55) years. Half (52%) of the participants had decline in physical function. The risk of decline was higher among females (relative risk [RR], 1.32; 95% CI, 1.12-1.55) and non-Whites (RR, 1.23; 95% CI, 1.05-1.45) and tended to increase with age (50-55 years: RR, 1.04; 95% CI, 0.86-1.26; 55+ vs 40-<50 years: RR, 1.17; 95% CI, 0.98-1.39). In models adjusted for age, sex, and race, we found greater risk of decline among those with history of depression treatment, higher body mass index (BMI), preexisting functional impairment, frailty (by index), and higher baseline high-sensitivity C-reactive protein and interleukin-6 levels. Conclusions: PWH with history of depression treatment, high BMI, or levels of inflammation and those showing early signs of functional impairment may be at higher risk of physical function decline and should be targeted for early interventions to preserve physical function with aging.

Indexed as

agingfunctional impairmentHIVphysical functionscreening

Identifiers

PMID40519631
PMCPMC12163370

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.