Aerobic Fitness and Moderate to Vigorous Physical Activity in Children and Adolescents Living with HIV

Lima, Luiz Rodrigo Augustemak de; Silva, Diego Augusto Santos; Silva, Kelly Samara da; Pelegrini, Andréia; Back, Isabela de Carlos; Petroski, Édio Luiz

doi:10.1123/pes.2017-0036

Cited by 20 publications

(23 citation statements)

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“…For the test, warm‐up was performed on the cycle ergometer for 5 minutes, in which the participant could pedal in free cadence at 15 w min −1 . After a 3‐minute interval, participants cycled at 60‐70 rpm at 15 w min −1 and after 4 minutes the power increased 5 w every 20 or 15 seconds (corresponding to 15 or 20 w min −1 ), based on the stage of sexual maturation (pre‐pubertal ≤ II or pubertal ≥ III), respectively . The end of the test was considered when reduction in the pedaling cadence was observed (<60 repetitions per minute) during five consecutive seconds, even after verbal encouragement.…”

Section: Methodsmentioning

confidence: 99%

“…Children and adolescents diagnosed with HIV + are exposed to numerous health complications due to the deleterious effects of infection and the continued use of antiretroviral therapy (TARV) . Changes in body composition, such as loss and/or body fat in certain body regions, and marked loss of muscle mass, lower aerobic capacity, and lower muscle strength, compared to non‐infected pairs, are some of the problems that may decrease the quality and life expectancy of HIV‐infected children and adolescents. In addition, childhood and adolescence are marked by major transformations in physical and morphological growth .…”

Section: Introductionmentioning

confidence: 99%

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Phase angle is associated with the physical fitness of HIV‐infected children and adolescents

Martins

Lima

Silva

et al. 2019

Scandinavian Med Sci Sports

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The objective of this study was to identify the association of phase angle with physical fitness in children and adolescents infected with HIV. Sixty‐four children and adolescents infected with HIV (8‐15 years old) were tested for vertical transmission. The electrical bioimpedance was used to obtain the phase angle. Body fat (BF) and lean soft tissue mass (LSTM) were measured by x‐ray absorptiometry, and the manual grip strength was evaluated by dynamometry. The peak oxygen consumption (VO2 peak) was measured by respiratory change in a submaximal incremental test. Moderate‐vigorous physical activity (MVP) and sedentary behavior were measured using accelerometers and were used as covariates. Multiple linear regression was used. The linear correlation analyses demonstrated that the phase angle was inversely proportional to relative BF (r = −0.26), but was not associated with absolute body fat (r = −0.02). The phase angle was directly associated with LSTM (r = 0.57), handgrip strength, and (r = 0.43) peak VO2 (r = 0.55). The phase angle was not associated with absolute BF (β = −0.017, P = 0.413) and relative (β = −0.014, P = 0.175). The phase angle presented a direct association with LSTM (β = 0.041, P = 0.019) and peak VO2 (β = 0.005; P = 0.019), regardless of age, sex, sexual maturation, MVPA, sedentary behavior, antiretroviral drugs, and viral load. No association was found between phase angle and handgrip strength (β = 0.153; P = 0.199). It was concluded that phase angle was associated with LSTM and the aerobic fitness in HIV‐infected children and adolescents.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Phase angle is associated with the physical fitness of HIV‐infected children and adolescents

Martins

Lima

Silva

et al. 2019

Scandinavian Med Sci Sports

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“…Aerobic capacity was assessed in three studies using the cardiopulmonary exercise test with a treadmill and treadmill cycle, in which VO 2 peak was evaluated as a result [ 6 , 12 , 28 ]. A total of 241 participants (125 HIV-infected and 116 healthy controls) were included in these three studies.…”

Section: Resultsmentioning

confidence: 99%

“…Body composition was assessed in four of the five included studies. Of these, three used the anthropometric method and only one study used the DXA method, which is the gold standard for this evaluation [ 6 , 11 , 26 , 28 ]. The studies included 382 participants (197 infected with HIV and 185 healthy controls).…”

Section: Resultsmentioning

confidence: 99%

Comparison of Muscle Strength, Aerobic Capacity and Body Composition between Healthy Adolescents and Those Living with HIV: A Systematic Review and Meta-Analysis

Medeiros

Santos

Oliveira

et al. 2021

IJERPH

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Background: The adverse effects of antiretroviral therapy associated with complications generated by human immunodeficiency virus (HIV) promote impairments in physical fitness in adolescents. Objective: To analyze the aerobic capacity, muscle strength, and body composition of adolescents living with HIV compared with a healthy population of the same age. Methods: Searches were performed in the MEDLINE, Embase, Web of Science, Scopus and SportDiscus databases until September 2019 and updated in April 2020. Eligibility Criteria: adolescents of both sexes in the age group from 10 to 19 years; living with HIV; cross-sectional, case–control, cohort studies; comparing with a healthy population. Mean differences and 95% Confidence intervals (CIs) were calculated using RevMan (software for systematic reviews). Results: Five articles were included, involving 197 adolescents living with HIV (16 to 18 years) and 185 without infection (13 to 18 years), with the sample in each study ranging from 15 to 65 adolescents. Aerobic capacity and muscle strength were reduced in adolescents with HIV, and body mass index was also significantly lower in this group. Conclusion: Adolescents living with HIV have impaired cardiorespiratory fitness, muscle strength, and body composition when compared to their uninfected peers. However, this systematic review provides limited evidence on the differences between the physical fitness outcomes of adolescents living with HIV compared to healthy adolescents.

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“…Traditional risk factor control remains paramount, particularly diet [8**] and exercise [8**, 33]. Cautious use of antihypertensives may also have a place in decreasing AVD risk where essential hypertension related to metabolic syndrome is diagnosed [34].…”

Section: Introductionmentioning

confidence: 99%

Noncommunicable diseases in adolescents with perinatally acquired HIV-1 infection in high-income and low-income settings

Innes

Patel

2018

Current Opinion in HIV and AIDS

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Aerobic Fitness and Moderate to Vigorous Physical Activity in Children and Adolescents Living with HIV

Abstract: Children and adolescents with HIV demonstrated lower aerobic fitness compared with the controls and the absence of HAART may increase peak VO impairment. Lower bouts of MVPA were also observed in HIV group despite the similar values of total MVPA of controls.

Cited by 20 publications

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Phase angle is associated with the physical fitness of HIV‐infected children and adolescents

Phase angle is associated with the physical fitness of HIV‐infected children and adolescents

Comparison of Muscle Strength, Aerobic Capacity and Body Composition between Healthy Adolescents and Those Living with HIV: A Systematic Review and Meta-Analysis

Noncommunicable diseases in adolescents with perinatally acquired HIV-1 infection in high-income and low-income settings

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