Height adjustment reduces occurrence of low bone mineral density in children and adolescents with HIV

Andrade, Leonardo Bandeira de; Nogueira, Thiago Fachini; Vargas, Deisi Maria

doi:10.1590/1806-9282.20210137

Cited by 2 publications

(2 citation statements)

References 21 publications

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“…Observing the aim of the studies, the results of the present scoping review reflect a broad descriptive investigation of differences between HIV-diagnosed populations and HIV non diagnosed peers [11,19,21,[23][24][25][26]29,30,38,51,73,, prevalences related to health-related physical fitness components [12,[117][118][119][120][121][122][123][124] and different associations [7,8,10,14,15,18,20,22,27,31,33,36,37,[39][40][41][42][43]45,47, between health-related physical fitness components and variables such as the HIV infection status (viral load, CD4 and CD8 lymphocyte count and immunosuppression status) [8,45,134,150] and use of different ART regimens [19,…”

Section: Discussionmentioning

confidence: 99%

“…The investigation of health-related physical fitness in children and adolescents has been widely used to identify and understand those possible adverse effects of HIV infection/ART use such as changes in body composition (alterations in body fat distribution, reduction in bone mineral content and fat-free mass) [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21]; reduced cardiorespiratory fitness [22][23][24][25][26]; reduced muscular strength/endurance [26][27][28][29][30]; and reduced flexibility [24,26,31]. However, studies that investigated HIV-diagnosed children and adolescents ended up developing their own methods/protocols for evaluating the health-related physical fitness [32][33][34][35] and also used empirical cut-points for physical fitness tests to classify the participants [19,[36][37][38][39][40][41][42]. This lack of standardization limits the comparison between studies and the direction of future studies.…”

Section: Introductionmentioning

confidence: 99%

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Health-Related Physical Fitness Evaluation in HIV-Diagnosed Children and Adolescents: A Scoping Review

de Castro,

de Lima,

Silva

2024

IJERPH

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Background: Health-related physical fitness has been widely used to investigate the adverse effects of HIV infection/ART in children and adolescents. However, methods/protocols and cut-points applied for investigating health-related physical fitness are not clear. The aim of this scoping review was to map the literature to identify gaps in knowledge regarding the methods/protocols and cut-points. Methods: A scoping review, following the Joana Briggs Institute (JBI) guidelines, was conducted through ten major databases. Search followed the PCC strategy to construct block of terms related to population (children and adolescents), concept (health-related physical fitness components) and context (HIV infection). Results: The search resulted in 7545 studies. After duplicate removal, titles and abstracts reading and full text assessment, 246 studies were included in the scoping review. Body composition was the most investigated component (n= 244), followed by muscular strength/endurance (n = 23), cardiorespiratory fitness (n = 15) and flexibility (n = 4). The World Health Organization growth curves, and nationals’ surveys were the most reference values applied to classify body composition (n = 149), followed by internal cut-points (n = 30) and cut-points developed through small populations (n = 16). Cardiorespiratory fitness was classified through cut-points from three different assessment batteries, as well as cut-points developed through studies with small populations, muscular strength/endurance and flexibility were classified through the same cut-points from five different assessment batteries. Conclusions: The research on muscular strength/endurance, cardiorespiratory fitness and flexibility has been scarcely explored. The lack of studies that investigated method usability as well as reference values was evidenced.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Health-Related Physical Fitness Evaluation in HIV-Diagnosed Children and Adolescents: A Scoping Review

de Castro,

de Lima,

Silva

2024

IJERPH

View full text Add to dashboard Cite

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Relationship between Body Mass Index and Health-Related Physical Fitness Components in HIV-Diagnosed Children and Adolescents

de Castro,

de Lima,

Silva

2024

Children

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Background/Objectives: There is a need to monitor physical fitness in HIV-diagnosed children and adolescents, and body mass index (BMI) could be an option for this due to its usability for assessing nutritional status and fat mass. The present study aimed to explore the relationship between BMI and physical fitness in HIV-diagnosed children and adolescents. Methods: A cross-sectional study was conducted with 86 HIV-diagnosed children and adolescents aged 5–15, with participants from two research protocols (Study I, n = 65; Study II, n = 21). Physical fitness was assessed through body composition (anthropometric measurements and dual energy X-ray absorptiometry), cardiorespiratory fitness (peak oxygen consumption [VO2peak]), muscle strength/endurance (handgrip strength, standing broad jump, and abdominal and modified push-up endurance), and flexibility (sit-to reach test). The relationship between BMI and physical fitness components was analyzed through correlation and simple and multiple linear regression analysis. Results: Eutrophic participants (mean age 11.44 ± 2.20) presented a normal fat mass percentage and overweight participants (mean age 11.50 ± 2.54) presented adequate handgrip strength. The adjusted models could explain 71% of fat-free mass, 57% of fat mass percentage, 70% of bone mineral content, 72% of bone mineral density, and 52% of handgrip strength. Conclusions: Increases in BMI were associated with increases in fat-free mass, fat mass percentage, bone mineral content, bone mineral density, and handgrip strength. BMI was capable of distinguishing those presenting a normal fat mass percentage and those presenting adequate handgrip strength.

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Height adjustment reduces occurrence of low bone mineral density in children and adolescents with HIV

Cited by 2 publications

References 21 publications

Health-Related Physical Fitness Evaluation in HIV-Diagnosed Children and Adolescents: A Scoping Review

Health-Related Physical Fitness Evaluation in HIV-Diagnosed Children and Adolescents: A Scoping Review

Relationship between Body Mass Index and Health-Related Physical Fitness Components in HIV-Diagnosed Children and Adolescents

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