Effects of a Supervised Home-Based Aerobic and Progressive Resistance Training Regimen in Women Infected With Human Immunodeficiency Virus

Dolan, Sara; Frontera, Walter R.; Librizzi, Jamie; Ljungquist, Karin; Juan, Sandra; Dorman, Robert B.; Cole, Morgan E.; Kanter, Jenna R.; Grinspoon, Steven

doi:10.1001/archinte.166.11.1225

Cited by 152 publications

(262 citation statements)

References 36 publications

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“…After screening titles and application of the eligibility criteria, 21 studies (Baigis et al, 2002;Cade et al, 2003;Cade et al, 2013;Cutrono et al, 2015;Dolan et al, 2006;Ezema et al, 2014;Hand et al, 2008;Jaggers et al, 2014;MacArthur et al, 1993;Mangona et al, 2015;Mapstone et al, 2014;Mutimura et al, 2008;Neto et al, 2016;Oursler et al, 2009;Perna et al, 1999;Ramírez-Marrero et al, 2014;Raso et al, 2013;Smith et al, 2001;Sullivan et al, 2014;Terry et al, 2006;Thoni et al, 2002) were eligible for inclusion in the meta-analysis. (n=31) and sub-maximal (n=5) exercise tests.…”

Section: Search Results and Flow Of Studies Through The Reviewmentioning

confidence: 99%

Cardiorespiratory fitness levels and moderators in people with HIV: A systematic review and meta-analysis

Vancampfort

Mugisha

Rosenbaum

et al. 2016

Preventive Medicine

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Cardiorespiratory fitness (CRF) is a modifiable risk factor for cardiovascular disease and premature mortality. CRF levels and moderators among people living with HIV (PLWH) are unknown. The aim of the current meta-analysis was to (1) determine mean CRF in PLWH and compare levels with age-and gender-matched healthy controls (HCs), (2) explore moderators of CRF,3and (4) explore moderators of CRF outcomes following physical activity (PA) interventions. Major electronic databases were searched systematically for articles reporting CRF expressed as maximum or peak oxygen uptake (ml/min/kg) in PLWH. A random effects meta-analysis calculating the pooled mean CRF including subgroup-and meta-regression analyses was undertaken. Across 21 eligible studies, the CRF level was 26.4 ml/kg/min (95%CI=24.6 to 28.1) (n=1,010; mean age =41years). There were insufficient data to compare CRF levels with HCs. A higher body mass index (β=-0.99, 95%CI=-1.93 to -0.06, P=0.04), older age (β=-0.31, 95%CI=-0.58 to -0.04, P=0.02) and the presence of lipodystrophy (β=-4.63, 95%CI=-7.88 to -1.39, P=0.005) were significant moderators of lower CRF levels. Higher CD4+ counts (β=0.004, 95%CI=0.0007 to 0.007, P=0.016), supervised interventions (P<0.001) and interventions with a lower frequency of weekly sessions (2 or 3 versus 4 times) (P<0.001) predicted a better CRFoutcome following PA. CRF levels of PLWH are among the lowest in comparison to other vulnerable populations. More research on the most optimal physical activity intervention characteristics is needed.

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Section: Search Results and Flow Of Studies Through The Reviewmentioning

confidence: 99%

Cardiorespiratory fitness levels and moderators in people with HIV: A systematic review and meta-analysis

Vancampfort

Mugisha

Rosenbaum

et al. 2016

Preventive Medicine

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“…Como meio de atenuar esses efeitos destacar-se a prática da atividade física, em que a mesma pode contribuir na melhora da autoestima 6,7 , da força muscular 8,9 , do sistema imune 10 , dos marcadores bioquímicos, da massa muscular 8,11,12 , do sistema cardiorrespiratório 13 e do perfil antropométrico 14,15 .…”

Section: Level Of Physical Activity and Lipodystrophy Syndrome In Patunclassified

Nível De Atividade Física E Síndrome Lipodistrófica Em Pacientes Com Hiv/Aids

Gouvêa-e-Silva

Said

Kietzer

et al. 2016

Rev Bras Med Esporte

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RESUMOIntrodução: A atividade física pode ser uma aliada para minimizar o surgimento da lipodistrofia e seus efeitos deletérios. Objetivo: Analisar a relação do nível de atividade física (NAF) e a síndrome lipodistrófica com a composição corporal e a qualidade de vida (QV) de portadores do HIV/Aids. Métodos: Participaram do estudo 120 pacientes com HIV/Aids (38,55 ± 11,47 anos). Foram avaliados quanto ao índice de massa corporal, composição corporal, taxa metabólica basal, índice cintura-quadril, QV, presença, tipo e local de lipodistrofia, força de preensão manual e NAF. Resultados: Constatou-se que 70% eram sedentários; além disso, a massa magra foi 9,5% maior nos pacientes ativos, bem como a força muscular de preensão com a mão direita (11%) e esquerda (12%) e a taxa metabólica basal (6,9%). Quanto à associação da QV ao NAF, foi notada correlação fraca apenas para a preocupação com o sigilo (r = 0,2160; p = 0,0210), bem como, os pacientes ativos demonstraram melhor resultado que os sedentários (p < 0,05). Dos pacientes que apresentaram lipodistrofia, 66% eram sedentários; o tipo predominante foi a lipodistrofia mista (46%) e as regiões mais comuns foram a face e abdome. Ressalta-se que nos pacientes sem a síndrome a taxa metabólica basal foi maior (p = 0,0175) e o tempo de infecção (p = 0,0020) e de TARV (p = 0,0002) foram menores. Conclusão: Conclui-se, conforme metodologia adotada, que o sedentarismo predominou, o NAF apresentou associação positiva somente com a preocupação com o sigilo e os sedentários apresentaram dois domínios abaixo do escore de 50 (preocupação financeira e com o sigilo), com relação a um domínio dos pacientes ativos. A lipodistrofia esteve presente em 37% da amostra, sendo o tipo mais presente a lipodistrofia mista, e os locais de maior ocorrência foram a face e o abdome. Para esse grupo o NAF não se apresentou positivo para a composição corporal e a presença da lipodistrofia não influenciou na QV.Descritores: lipodistrofia; atividade motora; HIV; síndrome de imunodeficiência adquirida. ABSTRACT

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“…28 Nonetheless, the safety of physical participation and its positive contribution to the psychological wellness of the HIV population has been established. 31 Although in the study by Dolan and co-workers 32 there were no signifi cant diff erences in blood glucose levels, CD4+ cell count or viral load the impact of a supervised home-based exercise program on the physical strength, cardio-respiratory health and endurance levels of a small group of HIV-infected women has been documented in that study. 32…”

Section: Discussionmentioning

confidence: 80%

Assessment of the physical activity, body mass index and energy intake of HIV-uninfected and HIV-infected women in Mangaung, Free State province

Hattingh

Roux

Nel

et al. 2014

South African Family Practice

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Effects of a Supervised Home-Based Aerobic and Progressive Resistance Training Regimen in Women Infected With Human Immunodeficiency Virus

Abstract: A 16-week, supervised, home-based exercise regimen improved measures of physical fitness in HIV-infected women. The effects on strength were most significant, but improvements in cardiorespiratory fitness, endurance, and body composition were also seen.

Cited by 152 publications

References 36 publications

Cardiorespiratory fitness levels and moderators in people with HIV: A systematic review and meta-analysis

Cardiorespiratory fitness levels and moderators in people with HIV: A systematic review and meta-analysis

Nível De Atividade Física E Síndrome Lipodistrófica Em Pacientes Com Hiv/Aids

Assessment of the physical activity, body mass index and energy intake of HIV-uninfected and HIV-infected women in Mangaung, Free State province

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