Document 0257 DOCN M9550257 TI Plasma cobalamin levels affect information processing speed in a longitudinal study of HIV-1 disease. DT 9505 AU Shor-Posner G; Morgan R; Wilkie F; Eisdorfer C; Baum MK; Department of Epidemiology, University of Miami (Fla) School of; Medicine. SO Arch Neurol. 1995 Feb;52(2):195-8. Unique Identifier : AIDSLINE MED/95150861 AB OBJECTIVE: To determine whether information processing speed is influenced by change in plasma cobalamin status in human immunodeficiency virus type 1 disease. DESIGN: A longitudinal study, using autoregression, to evaluate the relationship between plasma cobalamin status and change in information processing speed assessed by Posner Letter Matching, Sternberg Short-Term Memory Search, Figure Visual Scanning and Discrimination of Pictures, and continuous paired associates learning tasks. SETTING: University of Miami (Fla) School of Medicine from fall 1987 through summer 1991. PARTICIPANTS: Eighty-four human immunodeficiency virus type 1-infected homosexual men aged 20 to 55 years. None of the subjects displayed acquired immunodeficiency syndrome-defining symptoms at baseline; over the course of the study, 9.5% progressed to acquired immunodeficiency syndrome. MAIN OUTCOME MEASURES: Biochemical measurement of plasma cobalamin; performance on information processing speed tasks. RESULTS: Significant improvement in the Posner Letter Matching NI-PI (Name Identity minus Physical Identity) differential was associated with becoming cobalamin adequate or remaining adequate. Becoming cobalamin deficient, in contrast, was associated with a significant decline in the speed of accessing overlearned name codes. CONCLUSION: Normalization of plasma cobalamin inadequacy in human immunodeficiency virus type 1 disease may provide significant improvement in the speed of retrieving overlearned information from long-term memory. DE Adult Human HIV Infections/*BLOOD/*PSYCHOLOGY Longitudinal Studies Male *Mental Processes Middle Age Neuropsychological Tests Support, U.S. Gov't, P.H.S. Vitamin B 12/*BLOOD JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).