Evaluating the Effectiveness of Physical Exercise Interventions in Persons Living With HIV: Overview of Systematic Reviews

Kamitani, Emiko; Sipe, Theresa Ann; Higa, Darrel H.; Mullins, Mary M.; Soares, Jesus; Hiv, Cdc

doi:10.1521/aeap.2017.29.4.347

Cited by 34 publications

(23 citation statements)

References 52 publications

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“…The evidence grade rating of this effect is high and therefore, may have signi cant clinical importance. The ndings of this study agree with evidence from other studies [1,15,43,44], which reported on the effectiveness of physical exercises in ameliorating depression in PLWHA. Previous studies provided evidence where both aerobic and resistance exercise have independent and combined positive effects on various indicators of mental health in people living with HIV [41].…”

Section: Discussionsupporting

confidence: 92%

Effectiveness of Exercise Training on Mental Health, Physical Activity Level and Social Participation in People Living with HIV/AIDS: A Systematic Review and Meta-Analysis

Ibeneme¹,

Uwakwe²,

Myezwa³

et al. 2020

Preprint

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Background: Exercise training may increase physical activity(PA) level, improve social participation and mental health in people living with HIV/AIDS(PLWHA). Thus, a systematic review was conducted to answer the review question: what is the effectiveness of physical exercise training on mental health, physical activity level and social participation in PLWHA? Method: Eight databases namely: PubMed, Emcare, Cochrane Library, Embase, CINAHL, AMED, PsycoINFO and MEDLINE – were systematically searched from 1990 till August 2019. This review includes only studies published in English language, on adults (>18years) and are either on HAART/HAART-naïve; only RCTs that gave exercise intervention and assessed mental health, physical activity level and social participation on HIV/AIDS patients. The primary outcomes were mental health, PA level and social participation, while the secondary outcomes included psychological disorders. Results: Meta-analysis of the five (out of seven) included studies for depression that met the inclusion criteria (n=346 participants) comprising males/females aged≥18 years, show a significant overall effect (SMD=-0.89,[95%CI:-1.77,-0.01],Z=1.97,p=0.05) of exercise compared to the control group at post-intervention. However, statistical heterogeneity was high (I2=91%,X2=53.14,df=5,p<0.00001). The removal of two papers during sensitivity analysis for missing data/baseline differences showed a large significant effect (SMD=-1.01,[95%CI:-1.45,-0.57],Z=4.48,p=<0.00001). The statistical heterogeneity was low (I2=39%,X2=4.94,df=3,p=0.18). The results demonstrate a significant trend towards a decrease in depressive symptoms for participants in the exercise compared to no exercise group; aerobic exercise compared to normal routine activity group; aerobic and resistance exercise compared to other control groups. Narrative synthesis demonstrates the beneficial effects of exercise training on outcome measures: anxiety and cognitive function, apart from other psychological benefits. There was limited and no RCTs on the effects of exercise on physical activity level and social participation, respectively.Conclusion: Combined exercise (Aerobic exercise+Strength training; 80mins/session; 3X/week for 12weeks.) + routine counselling OR Aerobic exercise training+counselling 40mins per session; 3X/week for 6weeks OR Combined exercise: Aerobic and Resistance exercise training 50mins/session; 2X/week for 6weeks OR Combined exercise: Aerobic and Resistance exercise training 60mins/session; 3X/week for 24weeks OR Aerobic exercise training 60mins per session; 3X per week for 12weeks may improve mood disorders while therapeutic exercise(2X per week for 6weeks) may improve psychological wellbeing.

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Section: Discussionsupporting

confidence: 92%

Effectiveness of Exercise Training on Mental Health, Physical Activity Level and Social Participation in People Living with HIV/AIDS: A Systematic Review and Meta-Analysis

Ibeneme¹,

Uwakwe²,

Myezwa³

et al. 2020

Preprint

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“…1 Though behavioral strategies are recommended, there is limited evidence on how to help PLHIV initiate and maintain changes in CVD self-management behaviors in their everyday lives. 1–5…”

mentioning

confidence: 99%

Randomized Controlled Trial of the SystemCHANGE Intervention on Behaviors Related to Cardiovascular Risk in HIV+ Adults

Webel

Moore

Longenecker

et al. 2018

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Among sedentary PLHIV at high risk of cardiovascular disease, the SystemCHANGE intervention reduced daily carbohydrate intake and body weight, but did not increase physical activity or improve overall diet quality. Future work should identify fundamental personal, interpersonal, and contextual factors that will increase physical activity and improve overall diet quality among this population, and integrate these factors into tailored, lifestyle interventions for aging PLHIV.

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“…O programa regular de treinamento aeróbio pode reduzir valores de circunferência corporal de abdômen, cintura, relação cintura-quadril, e índice de massa corporal, em PVHIV em terapia antirretroviral com excesso de peso, obesidade e características da síndrome da lipodistrofia 64 (1A). O treinamento combinado, de força muscular e aeróbio, leva a aumento da massa muscular 64…”

Section: Como O Exercício Físico Pode Prevenir E Tratar a Síndrome Daunclassified

Efeitos Do Uso Terapêutico E Do Uso Não Prescrito De Psicoestimulantes Por Estudantes Universitários: Uma Revisão Da Literatura

Ribeiro¹,

Tavares²,

Tolentino³

et al. 2021

Medicina: Esforço Comum Da Promoção Da Saúde E Prevenção E Tratamento Das Doenças 3

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Direitos para esta edição cedidos à Atena Editora pelos autores. Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição-Não-Comercial-NãoDerivativos 4.0 Internacional (CC BY-NC-ND 4.0). O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores, inclusive não representam necessariamente a posição oficial da Atena Editora. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais. Todos os manuscritos foram previamente submetidos à avaliação cega pelos pares, membros do Conselho Editorial desta Editora, tendo sido aprovados para a publicação com base em critérios de neutralidade e imparcialidade acadêmica. A Atena Editora é comprometida em garantir a integridade editorial em todas as etapas do processo de publicação, evitando plágio, dados ou resultados fraudulentos e impedindo que interesses financeiros comprometam os padrões éticos da publicação. Situações suspeitas de má conduta científica serão investigadas sob o mais alto padrão de rigor acadêmico e ético.

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Evaluating the Effectiveness of Physical Exercise Interventions in Persons Living With HIV: Overview of Systematic Reviews

Cited by 34 publications

References 52 publications

Effectiveness of Exercise Training on Mental Health, Physical Activity Level and Social Participation in People Living with HIV/AIDS: A Systematic Review and Meta-Analysis

Effectiveness of Exercise Training on Mental Health, Physical Activity Level and Social Participation in People Living with HIV/AIDS: A Systematic Review and Meta-Analysis

Randomized Controlled Trial of the SystemCHANGE Intervention on Behaviors Related to Cardiovascular Risk in HIV+ Adults

Efeitos Do Uso Terapêutico E Do Uso Não Prescrito De Psicoestimulantes Por Estudantes Universitários: Uma Revisão Da Literatura

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