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CC BY-NC-ND 4.0 · Sleep Sci 2022; 15(03): 363-369
DOI: 10.5935/1984-0063.20220064
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Insomnia in older HIV-positive patients

Cristina Salles
1   Bahiana School of Medicine and Public Health, Salvador - Bahia - Brazil
,
Miguel Meira e Cruz
2   Centro Cardiovascular da Universidade de Lisboa, Lisbon School of Medicine, Sleep Unit - Lisbon - Portugal
,
Igor Cardoso Freire
1   Bahiana School of Medicine and Public Health, Salvador - Bahia - Brazil
,
Lucas Haine Gonzaga
1   Bahiana School of Medicine and Public Health, Salvador - Bahia - Brazil
,
Cristiane Costa Dias
1   Bahiana School of Medicine and Public Health, Salvador - Bahia - Brazil
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Introduction Insomnia is a common sleep disorder in elderly. Although the HIV-positive population have a similar life expectancy when compared to the general population, some factors may interact with immunity conditions and therefore contribute to a worse prognosis.

Objective This is a review of literature that aims to identify prevalence of insomnia in older HIV-positive patients.

Material and Methods This is a review of literature conducted by using MEDLINE-PubMed, Embase, Cochrane Library, CINAHL, Web of Science, Scopus, SciELO, LILACS, and VHL databases, in addition to conducting manual searches. The terms used for the search were related to prevalence, HIV, insomnia, and advanced age. Inclusion criteria were: cross-sectional, cohort, and longitudinal studies, patients with a previous diagnosis of HIV in old age, studies reporting the frequency of insomnia or insomnia symptoms. The criteria for exclusion were: clinical trials, animal studies, letters, abstracts, conference proceedings, studies with other sleep scales that did not include insomnia.

Results There were 2,805 publications found in the database and a further 10 articles were included manually. Of this total, four were included in this review, resulting in a total of 2,227 participants. The prevalence of insomnia in HIV-positive patients over 50 years varied from 12.5% to 76.5%.

Conclusion The frequency of insomnia was higher in the profile of the population studied than in the general population. This should be clinically relevant in order to adequately treat and impact on the prognosis of those patient.

HIV - Sleep Disorders - Aged


Publication History

Received: 13 July 2021

Accepted: 22 November 2021

Article published online:
01 December 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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