Table 4.
Effects of recent CD4 and PVL measures on cognitive domain scores
| Clinical covariate | Effect on cognitive domain |
||||
|---|---|---|---|---|---|
| Executive functioning | Attention | Language and fluency | Learning and memory | Speed of processing and motor function | |
| CD4 count 1 year prior to testing (100 cells) (effect [95% CI], p-value) | 0.17 (0.07 to 0.28), .001 | 0.14 (0.04 to 0.23), .003 | 0.11 (−0.03 to 0.25), .11 | 0.06 (−0.08 to 0.21), .38 | 0.04 (−0.07 to 0.15), .47 |
| Change in CD4 (cells/day) during study (effect [95% CI], p-value) | −0.18 (−0.76 to 0.39), .54 | −0.42 (−0.95 to 0.12), .12 | −0.34 (−1.12 to 0.43), .38 | −0.6 (−1.43 to 0.23), .15 | 0.39 (−0.24 to 1.03), .22 |
| Undetectable PVL 1 year prior to testing (effect [95% CI], p-value) | 0.06 (−0.52 to 0.64), .84 | 0.09 (−0.43 to 0.61), .72 | 0.28 (−0.51 to 1.06), .49 | 0.34 (−0.5 to 1.19), .43 | 0.18 (−0.44 to 0.81), .57 |
| Changea in PVL during study (effect [95% CI], p-value) | 0.7 (0.22 to 1.19), .004 | 0.29 (−0.15 to 0.73), .20 | 0.40 (−0.25 to 1.05), .22 | 0.75 (0.04 to 1.47), .04 | −0.02 (−0.57 to 0.54), .95 |
Notes: PVL = plasma viral load. Models are adjusted for age, race, gender, and the number of PVL tests performed over the year.
aTakes on values −1, 0, and 1: −1 indicates undetectable PVL 1 year prior to cognitive testing and detectable PVL at testing; 0 indicates PVL category remained unchanged; 1 indicates PVL was detectable 1 year prior to testing and undetectable at testing.