Physical activity correlates in people living with HIV/AIDS: a systematic review of 45 studies |
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| Authors: | Davy Vancampfort James Mugisha Justin Richards Marc De Hert Michel Probst Brendon Stubbs |
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| Affiliation: | 1. Department of Rehabilitation Sciences, KU Leuven – University of Leuven, Leuven, Belgium;2. University Psychiatric Center KU Leuven, KU Leuven – University of Leuven, Leuven-Kortenberg, Belgium;3. Butabika National Referral and Mental Health Hospital, Kampala, Uganda;4. Department of Sociology and Social Administration, Kyambogo University, Kampala, Uganda;5. School of Public Health &6. Charles Perkins Centre, University of Sydney, Sydney, NSW, Australia;7. University Psychiatric Center KU Leuven, KU Leuven – University of Leuven, Leuven-Kortenberg, Belgium;8. Department of Physiotherapy, South London and Maudsley NHS Foundation Trust, London, UK;9. Department of Health Service and Population Research, King's College London, De Crespigny Park, London, UK |
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| Abstract: | Purpose: Understanding barriers and facilitators of physical activity participation in persons living with HIV/AIDS is an essential first step in order to devise effective interventions. The present review provides a systematic quantitative review of the physical activity correlates in people with HIV/AIDS.Methods: Major electronic databases were searched till August 2016. Keywords included “physical activity” or “exercise” or “sports” and “AIDS” or “HIV”.Results: Out of 55 correlates from 45 studies (N?=?13,167; mean age range?=?30.5–58.3?years; 63.2% male) five consistent (i.e., reported in four or more studies) correlates were identified. Lower levels of physical activity were consistently associated with older age (6/10 studies), a lower educational level (6/7), a lower number of CD4 cells/μl (7/11), exposure to antiviral therapy (4/6), and the presence of lipodystrophy (4/4). Other important barriers were the presence of bodily pain (2/2), depression (3/3), and opportunistic infections (3/4). Facilitators were a higher cardiorespiratory fitness level (3/3), a higher self-efficacy (2/2), more perceived benefits (2/2), and a better health motivation (3/3).Conclusions: 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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| Keywords: | Physical activity exercise physiotherapy AIDS HIV |
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