Observational CohortActive

Twiga Study

HIV as a risk factor for geriatric syndromes, non-communicable diseases and mortality among adults aged 60 years and above in Kenya.

Duration

5 years

Population

≥60 years

Setting

Kenya

Study Design

Prospective observational cohort study of adults aged 60 years and older over a 5-year follow-up period, comparing health outcomes, functional status, and quality of life based on HIV status. The study aims to understand the impact of HIV on the aging process in the Kenyan population through longitudinal tracking.

Primary Endpoint

Incidence of geriatric syndromes and non-communicable diseases

Study Population

Adults aged 60 years and above living in Kenya, with and without HIV infection. Recruitment spans urban and rural healthcare facilities as well as community-based centers to ensure representative coverage across the Kenyan population.

Geriatric Syndromes Under Study

Frailty

Physical weakness, slowness, and decreased activity levels in aging adults

Cognitive Decline

Memory impairment and changes in mental function over time

Falls & Mobility

Balance deterioration and increased risk of falls

Polypharmacy

Multiple concurrent medications and potential drug interactions

Non-Communicable Diseases of Interest

Cardiovascular disease (hypertension, heart disease)

Diabetes mellitus and metabolic disorders

Chronic kidney disease

Osteoporosis and bone disorders

Cancer screening and diagnosis

Mental health conditions (depression, anxiety)

Respiratory diseases

Liver disease and hepatitis co-infection