Identified participants who are cognitively unimpaired on ART
Assessed cognitive outcomes and aging biomarkers
A substantial brain-age gap was observed in cognitively unimpaired individuals with HIV
The gap increased in participants who experienced subsequent cognitive decline
Abstract
Plasma NfL reflects a substantial brain-age gap in cognitively unimpaired PWH on ART, supporting evidence of advanced aging. The brain-age gap was higher in PWH with subsequent cognitive decline.