OBJECTIVE:The purpose of this study was to compare aerobic function [anaerobic threshold (%V˙O2-AT), respiratory compensation point (%V˙O2-RCP) and peak oxygen uptake (V˙O2peak)] between physically active patients with HIV/AIDS and matched controls and to examine associations between disease status, poor muscle strength, depression (as estimated by the profile of mood states questionnaire) and the aerobic performance of patients.METHODS:Progressive treadmill test data for %V˙O2-AT (V-slope method), RCP and (V˙O2peak) were compared between 39 male patients with HIV/AIDS (age 40.6±1.4 years) and 28 male controls (age 44.4±2.1 years) drawn from the same community and matched for habitual physical activity. Within-patient data were also examined in relation to CD4+ counts (nadir and current data) and peak isokinetic knee torque.RESULTS:AT, RCP and (V˙O2peak) values were generally similar for patients and controls. Within the patient sample, binary classification suggested that AT, RCP and (V˙O2peak) values were not associated with either the nadir or current CD4+ count, but treadmill test variables were positively associated with peak isokinetic knee torque.CONCLUSION:The aerobic performance of physically active patients with HIV/AIDS is generally well conserved. Nevertheless, poor muscle strength is observed in some HIV/AIDS patients, which is associated with lower anaerobic power and (V˙O2peak), suggesting the possibility of enhancing the aerobic performance of patients with weak muscles through appropriate muscle-strengthening activities.