title: Geriatric syndromes: How to treat.
abstract: The survival of HIV-infected persons has been increasing over the last years, thanks to the implementation of more effective pharmacological and non-pharmacological interventions. Nevertheless, HIV-infected persons are often "biologically" older than their "chronological" age due to multiple clinical, social, and behavioral conditions of risk. The detection in this population of specific biological features and syndromic conditions typical of advanced age has made the HIV infection an interesting research model of accelerated and accentuated aging. Given such commonalities, it is possible that "biologically aged" HIV-positive persons might benefit from models of adapted and integrated care developed over the years by geriatricians for the management of their frail and complex patients. In this article, possible strategies to face the increasingly prevalent geriatric syndromes in HIV-infected persons are discussed. In particular, it is explained the importance of shifting from the traditional disease-oriented approach into models of care facilitating a multidisciplinary management of frailty.
authors.affiliation: a Gérontopôle , Centre Hospitalier Universitaire de Toulouse , Toulouse , France.|b Université de Toulouse III Paul Sabatier , Toulouse , France.
authors.forename: Matteo
authors.initials: M
authors.lastname: Cesari
authors.affiliation: c Department of Geriatrics , Neurosciences and Orthopedics, Catholic University of the Sacred Heart , Rome , Italy.
authors.forename: Emanuele
authors.initials: E
authors.lastname: Marzetti
authors.affiliation: d Memory Clinic, Department of Neurology and Psychiatry , Sapienza University , Rome , Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Canevelli
authors.affiliation: e Department of Medical and Surgical Sciences for Adults and Children , Clinic of Infectious Diseases, University of Modena and Reggio Emilia , Modena , Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Guaraldi
mesh_terms: D000368:Aged; D000375:Aging; D015928:Cognitive Behavioral Therapy; D019033:Delivery of Health Care, Integrated; D000073496:Frailty / Q000150:complications / Q000517:prevention & control / Q000628:therapy; D005853:Geriatrics / Q000379:methods*; D015658:HIV Infections / Q000150:complications / Q000188:drug therapy / Q000628:therapy*; D006801:Humans
keywords: HIV; elderly; frailty; geriatrics; integrated care; prevention