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working out /life expectancy
Apr 6, 2001

i am 34 years old, and have been hiv positive for 4 years. I also have an 8 year old son, whom I wish to see grow up. I know I can die in a car crash tommorrow, but HIV speaking, what is the life expectancy. I have been in a trial study for 4 years, and my viral load has been undetectable since. I also workout regulary.

Response from Dr. Young

Thank you for your question.

Ah, life expectancy; we have all seen dramatic changes in the duration and quality of life for PWAs in the USA. One of the best chronicals of this comes from Dr. Palella's analysis of the HOPS (HIV Outpatient Study) from the CDC. In this large group of patients, he looked at those who ever had a CD4 count below 100; in 1995 the mortality was 25 per 100 person-years (25% of the group died each year). Now the mortality in this group is around 5 per 100 person-years.

It is tempting to extrapolate from this data that the life expectancy might be around 20 years for these patients (remember, these people have moderately advanced AIDS), one could reasonably expect that the life expectancy for those who never reached this level of immune suppression could be even longer.

Best wishes for long health, BY



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