Association of Diastolic Dysfunction with Reduced Cardiorespiratory Fitness in Adults Living with HIV

Oursler, Krisann K.; O'Boyle, Hillary M; Briggs, Bernard D.; Sorkin, John D.; Jarmukli, Nabil; Katzel, Leslie I.; Freiberg, Matthew S.; Ryan, Alice S.

doi:10.1089/apc.2019.0149

Cited by 12 publications

(14 citation statements)

References 47 publications

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“…The average test completion for both groups was lowered in the current study than the 21-minute target, suggesting a compromised or unhealthy cardiopulmonary system, as previously explained by Oursler, KK et al, 2019 [19]. One of the known complications of those living with HIV is cardiovascular dysfunction, particularly diastolic dysfunction [19]. Erqou, S. et al, 2019 [20], mentioned in their study that with a lower cd4, or an AIDS diagnosis, the most advanced part of the disease, the cardiovascular complication could start to emerge, even with the use of ART.…”

Section: Discussionsupporting

confidence: 66%

“…One of the known complications of those living with HIV is cardiovascular dysfunction, particularly diastolic dysfunction [19]. Erqou, S. et al, 2019 [20], mentioned in their study that with a lower cd4, or an AIDS diagnosis, the most advanced part of the disease, the cardiovascular complication could start to emerge, even with the use of ART. Contrary to Erqou, S. et al (2019) [20] study, our investigation participants had a near-normal cd4 count; nevertheless, we observed some cardiovascular alterations with the Ross protocol.…”

Section: Discussionmentioning

confidence: 99%

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Motor and Cardiovascular Distinctions among genders in Hispanic-Latinx People Living with HIV

Rosario

Jamison

Gines

2021

International Journal of Physiotherapy

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Background: HIV can lead to a plethora of health-related complications, such as cardiovascular and gait deficiencies. Some of the HIV obstacles are related among individuals; however, various facets come into play when considering and designing interventions for this population, like gender profile. This study aim to interpret the impact of HIV on distinct individuals; the present inquiry proposes to inspect the cardio-motor tendency on male versus female in Hispanics-Latinx living with HIV. Methods: Cardio-motor data was gathered from members' records enrolled in La Perla de Gran Precio HIV Community Center in Puerto Rico. Results: The data analyzed in this examination were compiled from 262 participants, further allocated into 190 for the males and 72 for the females. Both groups were similar in age and CD4 count. An ANOVA comparison indicated variations in the male group with an increase (P<0.05) in heart rate frequency, SBP after the cardiovascular evaluation, and prolonged duration during the treadmill test distinguished the female group. The female group displayed distinct motor components with a considerable (P < 0.05) reduction in gait velocity, and treadmill inclination pertained to the male counterpart. Conclusion: Hispanic Latino living with HIV displayed a distinctive cardio-motor profile applied to gender. We encourage healthcare providers to incorporate the specific cardio-motor items alluded to in this investigation to identify the cardiovascular system and gait process that further alters the quality of life in those with HIV.

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Section: Discussionsupporting

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Motor and Cardiovascular Distinctions among genders in Hispanic-Latinx People Living with HIV

Rosario

Jamison

Gines

2021

International Journal of Physiotherapy

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“…When the virus is untreated, with a low Cd4 immune system as well as aids diagnosis, the prevalence of cardiac complications is higher. Although with ART medication, the prevalence and incidence have reduced significantly, heart failure is an existing issue among PLHIV [26] even with no history of cardiovascular disease [25]. Our findings demonstrate continuing utilizing target heart rate to tailored cardiopulmonary intervention programs during all stages of the disease.…”

Section: Cardiovascular Componentmentioning

confidence: 67%

“…The Ross test measures the cardiovascular response in a total of 21 minutes, the average of test completion for the participants in this study was approximately 10 minutes for both groups, suggesting a compromised or unhealthy cardiopulmonary system. Various researches focusing on the cardiovascular component of PLHIV established the association of HIV disease and cardiovascular dysfunction, particularly diastolic dysfunction [25]. When the virus is untreated, with a low Cd4 immune system as well as aids diagnosis, the prevalence of cardiac complications is higher.…”

Section: Cardiovascular Componentmentioning

confidence: 99%

Lifestyle, Physical and Cardiovascular Components Associated with Immune Profile in Hispanic-Latino People Living with HIV

2020

JMHSB

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HIV is associated with poor quality of life and high mortality rates on the people suffering from this illness. Presently, Cd4 levels are the main factor established to identify the distinct trauma on the host's body and systems. The consequence and severity of HIV complications vary among individuals; however, many factors come into play when assessing and developing treatment plans for this population.Purpose: The current investigation endeavors to respond to the following, are there any indicators of a weak immune system other than a low Cd4 count in people living with HIV (PLHIV) that can aid and guide more target treatment to increase life expectancy and improve quality of life? This project's invention is to establish a comprehensive profile equated with the immune system levels among Hispanics-Latino PLHIV.Methods: Data was extracted and collected from 449 partakers' records from participants enrolled in La Perla de Gran Precio HIV Community Center in Puerto Rico. We examined and compared the relationship between five distinct components, motor (speed and inclination on a treadmill), cardiorespiratory (cardio time and HR), lipid panel (triglycerides, cholesterol among others), comorbidities (diabetes, neuropathy, among others) and lifestyle (smoker, sedentary, etc.), which are essential physical fitness components, regarding subjects' immune profiles (Cd4 values). Results:The data analyzed in this study were from 449 participants' records further divided into 198 for the Low-HIV (Cd4=323.6+/-120.75) and 247 for the High-HIV (Cd4=836.84+/-283.41) groups according to Cd4 values. The L-HIV and H-HIV were, for the most part, males with an average age of 54 years old and approximately 20 years of diagnosis. An ANOVA analysis revealed that four out of the five components showed differences among both groups. Conclusion:In Hispanic Latino PLHIV, distinctive physical and cardiovascular profiles, related to lower immune health, were identified. We recommend adding the components mentioned in this study to comprehensively understand the mechanism affecting the quality of life and life expectancy in those with HIV.

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“…It should be noted that in their study, Robinson and Monsivias [60] found that more than half of the Latinx subjects with depression experienced all of the above-mentioned somatic symptoms of the mental health disorder. The symptoms of somatizing depression in the Latinx population align with, and are nearly identical to, a multitude of those commonly seen in HIV-infected individuals [61], including effects on the cardiovascular system [62]. Thus, the prevalence of somatized depression further exacerbates the challenges faced by patients and providers by differentiating these symptoms from those HIV, and are therefore often dismissed as symptoms from the virus, generating detrimental oversights by providers in depression diagnoses.…”

Section: Discussionmentioning

confidence: 94%

Latinxs with HIV: Depressive Cognitive Alterations as a Precursor to Cardio-Motor Deficits

Hyder

Rosario

2021

Int. J. Phys. Educ. Fit. Sports

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HIV is a debilitating infection that often presents with health-related complications, further reducing quality of life. Of the most common comorbidities accompanying HIV is depression, which can induce cognitive alterations alongside those resulting from the virus. Latinxs are disproportionately susceptible to both afflictions and face innumerable challenges in the identification and diagnosis of depression. Consequently, HIV-infected Latinxs may experience additional cognitive symptomatology from the simultaneous prevalence of depression and HIV, potentially affecting their gait and cardiovascular profiles. This study aimed to determine the impact of depression on cardio-motor components in HIV-infected Latinxs. Records of 291 stable HIV+ participants were collected from La Perla de Gran Precio Community Center, analyzed for depression, and respectively allocated to the depression group (70) and the group without depression (221). Cardio-motor values were obtained by conducting the Ross treadmill test, a submaximal cardiovascular assessment. An ANOVA revealed similarities in cardiomotor profiles between groups, alluding to the absence of depression-induced modifications to gait and cardiovascular health. Community exercise and cardiopulmonary intervention programs are beneficial to the quality of life in this population during all stages of HIV. However, HIV-infected Latinxs with depression face acute cultural challenges, causing diagnoses and treatment oversights and deficiencies for those who are suffering. Public health efforts should aim to remove barriers facing this population to ultimately reduce the inflated prevalence of both afflictions. Future research should focus on the crucial differentiation of Latinx depressive symptoms from those identical in HIV prior to reinvestigating cardiomotor alterations.

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Association of Diastolic Dysfunction with Reduced Cardiorespiratory Fitness in Adults Living with HIV

Cited by 12 publications

References 47 publications

Motor and Cardiovascular Distinctions among genders in Hispanic-Latinx People Living with HIV

Motor and Cardiovascular Distinctions among genders in Hispanic-Latinx People Living with HIV

Lifestyle, Physical and Cardiovascular Components Associated with Immune Profile in Hispanic-Latino People Living with HIV

Latinxs with HIV: Depressive Cognitive Alterations as a Precursor to Cardio-Motor Deficits

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