Habitual physical activity levels are positively correlated with CD4 counts in an HIV-positive South African population

Kinsey, K.; McVeigh, Joanne A.; Chantler, Ingrid

doi:10.2989/ajar.2008.7.2.9.526

Cited by 10 publications

(17 citation statements)

References 7 publications

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“…The stoic attitude of our study participants to their HIV-related pain may have contributed to the attitude of the doctors. Even though many of them were in moderate-to-severe pain, the participants reported low levels of functional impairment, as did another sample of HIV-positive patients drawn from our metropolitan community (Kinsey et al 2008). Ambulatory HIV-positive patients in sub-Saharan Africa are very unlikely to confine themselves to bed (Voss et al, 2007).…”

Section: Pain Undertreatmentmentioning

confidence: 80%

Pain in ambulatory HIV‐positive South Africans

Mphahlele

Mitchell

Kamerman

2011

European Journal of Pain

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We investigated the prevalence and intensity of pain, factors associated with having pain, and analgesic medications employed in a population consisting predominantly of Black African and female human immunodeficiency virus (HIV)-positive individuals attending outpatient clinics in a rural (n = 125; 79% female; 100% Black African) and a metropolitan (n = 396; 75% female; 94% Black African) area of South Africa. Pain intensity, interference and treatment were assessed using the Wisconsin Brief Pain Questionnaire. Seventy-two percent of rural participants and 56% of metropolitan participants had pain at the time of the interview, and this pain was moderate to severe in intensity in 60% of rural participants and 59% of metropolitan participants. Forty-six percent of rural participants and 61% of metropolitan participants had multiple pain sites. The most common pain sites in rural participants were the abdomen (30%), chest (26%), head (19%) and genitals (15%), while in the metropolitan cohort the head (39%), feet (33%), chest (30%) and abdomen (20%) were the most common sites. In the rural cohort, antiretroviral therapy was independently associated with reduced risk of pain, while in the metropolitan cohort increasing age was weakly, but independently associated with having pain. Pharmacological management of pain was poor, with 29% of rural participants and 55% of metropolitan participants with pain not receiving any treatment. Of those receiving treatment, no participants were receiving strong opioids, and only 3% of metropolitan participants were receiving a weak opioid. Thus, HIV-related pain is common and is poorly treated in both the rural and metropolitan setting in South Africa.

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Section: Pain Undertreatmentmentioning

confidence: 80%

Pain in ambulatory HIV‐positive South Africans

Mphahlele

Mitchell

Kamerman

2011

European Journal of Pain

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“…Out of 84 potentially eligible studies, 45 were included in this review [37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80]. The search strategy and reasons for exclusion are shown in Figure 1.…”

Section: Study Selectionmentioning

confidence: 99%

Physical activity correlates in people living with HIV/AIDS: a systematic review of 45 studies

Vancampfort

Mugisha

Richards

et al. 2017

Disability and Rehabilitation

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The current review has elucidated that participation in physical activity by people with HIV/AIDS is associated with a range of complex factors which should be considered in rehabilitation programs. Implications for Rehabilitation Health care professionals should consider HIV-related bodily pain and feelings of depression when assisting people living with HIV in inititiating and maintaining an active lifestyle. Interventions to improve self-efficacy and motivation, and to help people living with HIV in understanding the benefits of exercise, may encourage greater participation.

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“…Ezekiel et al 2009, Matoti-Mvalo and Puoane 2011. Limited space and impoverished living conditions in disadvantaged communities do not offer a favourable environment for practising physical activity (McVeigh et al 2004) and physical activity levels of people living with HIV are low in South Africa (Kinsey et al 2007(Kinsey et al , 2008. At the same time, "exercise training is an inexpensive and efficacious strategy for improving QoL in HIV+ African subjects, which may improve HAART [Highly Active Anti-Retroviral Treatment] adherence and treatment initiatives in resource-limited areas of sub-Saharan Africa" (Mutimura et al 2008: 377).…”

Section: Introductionmentioning

confidence: 99%

Effects of an exercise programme with people living with HIV: research in a disadvantaged setting

Ley

Leach

Barrio

et al. 2014

African Journal of AIDS Research

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This study aimed to analyse the physical health effects of a community based 10-week physical activity programme with people living with HIV. It was developed, implemented and evaluated in a disadvantaged community in South Africa. A pre-post research design was chosen. Major recruitment and adherence challenges resulted in a small sample. Among the 23 participants who took part in both baseline and final testing, compliant participants (n = 12) were compared to non-compliant participants (n = 11). Immunological (CD4, viral load), anthropometric (height, weight, skinfolds and waist to hip ratio), muscular strength (h1RM) and cardiopulmonary fitness (time on treadmill) parameters were measured. The compliant and non-compliant groups were not different at baseline. Muscular strength was the parameter most influenced by compliance with the physical activity programme (F = 4.516, p = 0.047). Weight loss and improvement in cardiopulmonary fitness were restricted by the duration of the programme, compliance and influencing factors (e.g. nutrition, medication). The increase in strength is significant and meaningful in the context, as the participants' goals were to look healthy and strong to avoid HIV related stigma. The improvements in appearance were a motivational factor, especially since the changes were made visible in a short time. Practical implications for health promotion are described. More research contextualised in disadvantaged settings is needed.

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Habitual physical activity levels are positively correlated with CD4 counts in an HIV-positive South African population

Cited by 10 publications

References 7 publications

Pain in ambulatory HIV‐positive South Africans

Pain in ambulatory HIV‐positive South Africans

Physical activity correlates in people living with HIV/AIDS: a systematic review of 45 studies

Effects of an exercise programme with people living with HIV: research in a disadvantaged setting

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