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J Clin Transl Res. 2015 Nov 30;1(3):129-139. eCollection 2015 Dec 30.

The effect of exercise training on disease progression, fitness, quality of life, and mental health in people living with HIV on antiretroviral therapy: a systematic review.

Journal of clinical and translational research

Johanna Lopez, Erika Richardson, Eduard Tiozzo, Laura Lantigua, Camilo Martinez, George Abreut, Troy Prendergast, Steven E Atlas, Andrew R Pangilinan, Serena M Ferris, Ana H Martinez, Janet Konefal, Judi Woolger, Anna M Ray, Herbert G Simões, Carmen S G Campbell, John E Lewis

Affiliations

  1. Department of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, United States.
  2. Department of Family Medicine, University of Miami Miller School of Medicine, Miami, FL, United States.
  3. Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, United States.

PMID: 30873450 PMCID: PMC6410621

Abstract

BACKGROUND: Exercise has been associated with improvements in adverse physiological and psychological effects of long-term antiretroviral therapy (ART) in people living with HIV (PLWH).

AIM: To summarizes the findings on the effects of aerobic or resistance training alone or combined aerobic and resistance exercise training (CARET) on disease progression, fitness, physical functioning, mental health, and quality of life (QOL) in PLWH receiving ART. A systematic search of articles was performed in several databases, and 20 articles that met inclusion criteria were summarized.

RELEVANCE FOR PATIENTS: Aerobic exercise was associated with improvements in aerobic capacity, QOL, and depressive symptoms, while resistance training improved strength. CARET was related to improved aerobic fitness, strength, physical functioning, QOL, and self-efficacy. At least one of the exercise interventions resulted in improvements in CD4+ cell count and HIV RNA viral load. Moreover, another study showed that HIV-specific biomarkers remained unchanged in the exercise intervention group, while they significantly worsened in the non-exercise group. In general, in spite of their well-known benefits, exercise programs have not been extensively utilized or widely recognized as viable therapeutic treatment options for this patient population. Knowing the possible health benefits of increasing physical activity level is important to better recommend exercise programs. However, the prescription must be done carefully and on an individual basis. Additional studies investigating the efficiency and effectiveness of different exercise training regimens for PLWH are needed.

Keywords: HIV/AIDS; aerobic and resistance exercise training; general wellbeing; immune functioning

Conflict of interest statement

The authors declare that there are no conflicts of interest present.

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