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Home-based interventions to promote physical activity for people living with HIV–a systematic review
journal contribution
posted on 2023-02-20, 04:38 authored by ECM dos Santos, LRA de Lima, Serene YoongSerene Yoong, PH Guerra, AC SeguradoAlthough physical activity (PA) improves the physical, mental, and social outcomes of people living with HIV (PLH), multiple barriers prevent them from exercising. In this systematic review, we investigated the effect of home-based interventions to promote physical activity (HBI) among PLH. Randomised trials and quasi-experimental studies published in English until March 2020 were sought in five databases. Independent reviewers performed data extraction, risk of bias assessment and pragmatic-explanatory (PRECIS-2) evaluation of study characteristics. Outcomes included engagement in PA, body composition, cardiorespiratory fitness, strength, metabolic disturbances, and quality of life (QoL). Out of 480 retrieved references, six studies met inclusion criteria. Interventions lasted 12–48 weeks and involved 400 individuals (57.8% women). Ninety-eight (24.5%) participants completed interventions, but dropout rates varied considerably (5.0–54.5%). Resulted showed increased PA (two studies) and improved cardiorespiratory fitness or strength (three and two studies, respectively). Four studies demonstrated reduction of waist circumference and increase in lean body mass. QoL improved in two of three studies. We conclude HBI (aerobic and/or resistance exercises) may contribute to improve PA and/or cardiorespiratory fitness, body composition, strength and QoL of PLH. Further investigation using multi-centre standardised protocols is warranted to provide stronger evidence of their effectiveness in health promotion for PLH.
History
Journal
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIVPagination
1-10Location
EnglandPublisher DOI
ISSN
0954-0121eISSN
1360-0451Language
enPublication classification
C1.1 Refereed article in a scholarly journalPublisher
Informa UK LimitedUsage metrics
Keywords
HIVclinical trialsexercisehome care servicessystematic reviewClinical ResearchHIV/AIDSBehavioral and Social ScienceMental HealthClinical Trials and Supportive ActivitiesPrevention3 Good Health and Well BeingPublic Health and Health Services not elsewhere classifiedPsychology not elsewhere classified
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