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The effects of exercise training on quality of life in HAART-treated HIV-positive Rwandan subjects with body fat redistribution

Identifieur interne : 001212 ( Pmc/Corpus ); précédent : 001211; suivant : 001213

The effects of exercise training on quality of life in HAART-treated HIV-positive Rwandan subjects with body fat redistribution

Auteurs : Eugene Mutimura ; Aimee Stewart ; Nigel J. Crowther ; Kevin E. Yarasheski ; W. Todd Cade

Source :

RBID : PMC:3167195

Abstract

Objective

Our objective was to examine the effects of exercise training (EXS) on quality of life (QoL) in highly active antiretroviral therapy (HAART)-treated HIV-positive (HIV+) subjects with body fat redistribution (BFR) in Rwanda.

Methods

The effects of a randomised controlled trial of EXS on QoL were measured using World Health Organisation Quality of Life (WHOQOL)-BREF in HIV+ subjects with BFR randomised to EXS (n = 50; BFR + EXS) or no exercise training (n = 50; BFR + noEXS).

Results

At 6 months, scores on the psychological [1.3 (0.3) vs. 0.5 (0.1); P < 0.0001], independence [0.6 (0.1) vs. 0.0 (0.0); P < 0.0001], social relationships [0.6 (0.2) vs. 0.0 (0.0); P < 0.0001] and HIV HAART-specific QoL domains [1.4 (0.2) vs. −0.1 (0.2); P < 0.0001] improved more in BFR + EXS than BFR + noEXS group, respectively. Self-esteem [1.3 (0.8) vs. 0.1 (0.6); P < 0.001], body image [1.5 (0.6) vs. 0.0 (0.5); P < 0.001] and emotional stress [1.6 (0.7) vs. 0.2 (0.5); P < 0.001] improved more in the BFR + EXS group than BFR + noEXS group, respectively. Psychological [1.5 (0.2) vs. 1.1 (0.3); P < 0.0001], social relationship [0.8 (0.2) vs. 0.4 (0.2); P < 0.0001], and HIV HAART-specific well-being [1.8 (0.2) vs. 1.0 (0.0); P < 0.0001] improved more in BFR + EXS female than male subjects.

Conclusions

Exercise training improved several components of QoL in HAART-treated HIV+ African subjects with BFR. Exercise training is an inexpensive and efficacious strategy for improving QoL in HIV+ African subjects, which may improve HAART adherence and treatment initiatives in resource-limited areas of sub-Saharan Africa.


Url:
DOI: 10.1007/s11136-008-9319-4
PubMed: 18320351
PubMed Central: 3167195

Links to Exploration step

PMC:3167195

Le document en format XML

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<italic>P</italic>
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< 0.0001] and HIV HAART-specific QoL domains [1.4 (0.2) vs. −0.1 (0.2);
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< 0.0001] improved more in BFR + EXS than BFR + noEXS group, respectively. Self-esteem [1.3 (0.8) vs. 0.1 (0.6);
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< 0.001], body image [1.5 (0.6) vs. 0.0 (0.5);
<italic>P</italic>
< 0.001] and emotional stress [1.6 (0.7) vs. 0.2 (0.5);
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<italic>P</italic>
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< 0.0001] improved more in BFR + EXS female than male subjects.</p>
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<title>Conclusions</title>
<p id="P4">Exercise training improved several components of QoL in HAART-treated HIV+ African subjects with BFR. Exercise training is an inexpensive and efficacious strategy for improving QoL in HIV+ African subjects, which may improve HAART adherence and treatment initiatives in resource-limited areas of sub-Saharan Africa.</p>
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<copyright-statement>© Springer Science+Business Media B.V. 2008</copyright-statement>
<copyright-year>2008</copyright-year>
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<abstract>
<sec id="S1">
<title>Objective</title>
<p id="P1">Our objective was to examine the effects of exercise training (EXS) on quality of life (QoL) in highly active antiretroviral therapy (HAART)-treated HIV-positive (HIV+) subjects with body fat redistribution (BFR) in Rwanda.</p>
</sec>
<sec sec-type="methods" id="S2">
<title>Methods</title>
<p id="P2">The effects of a randomised controlled trial of EXS on QoL were measured using World Health Organisation Quality of Life (WHOQOL)-BREF in HIV+ subjects with BFR randomised to EXS (
<italic>n</italic>
= 50; BFR + EXS) or no exercise training (
<italic>n</italic>
= 50; BFR + noEXS).</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">At 6 months, scores on the psychological [1.3 (0.3) vs. 0.5 (0.1);
<italic>P</italic>
< 0.0001], independence [0.6 (0.1) vs. 0.0 (0.0);
<italic>P</italic>
< 0.0001], social relationships [0.6 (0.2) vs. 0.0 (0.0);
<italic>P</italic>
< 0.0001] and HIV HAART-specific QoL domains [1.4 (0.2) vs. −0.1 (0.2);
<italic>P</italic>
< 0.0001] improved more in BFR + EXS than BFR + noEXS group, respectively. Self-esteem [1.3 (0.8) vs. 0.1 (0.6);
<italic>P</italic>
< 0.001], body image [1.5 (0.6) vs. 0.0 (0.5);
<italic>P</italic>
< 0.001] and emotional stress [1.6 (0.7) vs. 0.2 (0.5);
<italic>P</italic>
< 0.001] improved more in the BFR + EXS group than BFR + noEXS group, respectively. Psychological [1.5 (0.2) vs. 1.1 (0.3);
<italic>P</italic>
< 0.0001], social relationship [0.8 (0.2) vs. 0.4 (0.2);
<italic>P</italic>
< 0.0001], and HIV HAART-specific well-being [1.8 (0.2) vs. 1.0 (0.0);
<italic>P</italic>
< 0.0001] improved more in BFR + EXS female than male subjects.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Exercise training improved several components of QoL in HAART-treated HIV+ African subjects with BFR. Exercise training is an inexpensive and efficacious strategy for improving QoL in HIV+ African subjects, which may improve HAART adherence and treatment initiatives in resource-limited areas of sub-Saharan Africa.</p>
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