The effect of a 12-week combinational exercise program on CD4 count and mental health among HIV infected women: A randomized control trial

Background/objective: There are conflicting results regarding the effects of exercise on immune function of HIV positive patients. Exercise can also be beneficial to psychological functioning of the patients. The purpose of this study was to determine the impact of a 12-week aerobic and resistance e...

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Main Authors: Mostafa Dianatinasab, Mohammad Fararouei, Valiollah Padehban, Aria Dianatinasab, Yousef Alimohamadi, Shohreh Beheshti, Zeinab AminiLari, Mahmood AminiLari
Format: Article
Language:English
Published: Elsevier 2018-04-01
Series:Journal of Exercise Science & Fitness
Online Access:http://www.sciencedirect.com/science/article/pii/S1728869X1730148X
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author Mostafa Dianatinasab
Mohammad Fararouei
Valiollah Padehban
Aria Dianatinasab
Yousef Alimohamadi
Shohreh Beheshti
Zeinab AminiLari
Mahmood AminiLari
author_facet Mostafa Dianatinasab
Mohammad Fararouei
Valiollah Padehban
Aria Dianatinasab
Yousef Alimohamadi
Shohreh Beheshti
Zeinab AminiLari
Mahmood AminiLari
author_sort Mostafa Dianatinasab
collection DOAJ
description Background/objective: There are conflicting results regarding the effects of exercise on immune function of HIV positive patients. Exercise can also be beneficial to psychological functioning of the patients. The purpose of this study was to determine the impact of a 12-week aerobic and resistance exercise training program on mental health and CD4 counts among female HIV+ patients. Methods: This clinical trial was conducted between September and December 2013. Forty participants (women age range 20–40) were carefully selected from 240 HIV-positive women referred to Voluntary Counseling and Treatment Center (VCT) and randomly assigned to either exercise (80 min of aerobic and strength training while receiving the VCT's routine services) group (n = 20) or control (received the VCT's routine services only) group (n = 20). To assess their mental health status, all participants completed GHQ28 questionnaire. Blood samples were collected to measure CD4 and T-cell counts at baseline and at the end of the 12-week intervention. Results: From a sample of 40 women with HIV infection, the data of 30 participants [experimental group (14) and control group (16)] were analyzed (participation rate 75%). The results indicated that after the intervention program, a significant difference in CD4 cell counts was found between the two groups (P = 0.01). With regard to mental health, after performing intervention, significant improvement in all subscales including anxiety disorder, social function, depression and mental health's total score was observed in the exercise compared to the control groups (P < 0.001). Conclusion: Exercise training can be included in health care services in order to improve the mental health status of women with HIV infection. No effect on CD4 count was detected. Keywords: Exercises training, Mental health, CD4 count, HIV infected women
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spelling doaj.art-4144fbe3950a4faf9f7fec20f4b521cf2022-12-22T03:16:22ZengElsevierJournal of Exercise Science & Fitness1728-869X2018-04-011612125The effect of a 12-week combinational exercise program on CD4 count and mental health among HIV infected women: A randomized control trialMostafa Dianatinasab0Mohammad Fararouei1Valiollah Padehban2Aria Dianatinasab3Yousef Alimohamadi4Shohreh Beheshti5Zeinab AminiLari6Mahmood AminiLari7Shiraz HIV/AIDS Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran; Corresponding author. Shiraz HIV/AIDS Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.Shiraz HIV/AIDS Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran; Corresponding author.Departement of Nursing, Facualty of Medicine, Babol University of Medical Sciences, Mazandaran, IranDepartment of Biochemistry, Student research committee, Shiraz University of Medical Sciences, Shiraz, IranStudent of Epidemiology, Department of Epidemiology, School of Public Health, Tehran University of Medical Sciences, Tehran, IranShiraz HIV/AIDS Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Sport Physiology, School of Physical Education and Sport Science, Shiraz University, Shiraz, IranMcMaster University, Department of Clinical Epidemiology and Biostatistics, Hamilton, ON, CanadaBackground/objective: There are conflicting results regarding the effects of exercise on immune function of HIV positive patients. Exercise can also be beneficial to psychological functioning of the patients. The purpose of this study was to determine the impact of a 12-week aerobic and resistance exercise training program on mental health and CD4 counts among female HIV+ patients. Methods: This clinical trial was conducted between September and December 2013. Forty participants (women age range 20–40) were carefully selected from 240 HIV-positive women referred to Voluntary Counseling and Treatment Center (VCT) and randomly assigned to either exercise (80 min of aerobic and strength training while receiving the VCT's routine services) group (n = 20) or control (received the VCT's routine services only) group (n = 20). To assess their mental health status, all participants completed GHQ28 questionnaire. Blood samples were collected to measure CD4 and T-cell counts at baseline and at the end of the 12-week intervention. Results: From a sample of 40 women with HIV infection, the data of 30 participants [experimental group (14) and control group (16)] were analyzed (participation rate 75%). The results indicated that after the intervention program, a significant difference in CD4 cell counts was found between the two groups (P = 0.01). With regard to mental health, after performing intervention, significant improvement in all subscales including anxiety disorder, social function, depression and mental health's total score was observed in the exercise compared to the control groups (P < 0.001). Conclusion: Exercise training can be included in health care services in order to improve the mental health status of women with HIV infection. No effect on CD4 count was detected. Keywords: Exercises training, Mental health, CD4 count, HIV infected womenhttp://www.sciencedirect.com/science/article/pii/S1728869X1730148X
spellingShingle Mostafa Dianatinasab
Mohammad Fararouei
Valiollah Padehban
Aria Dianatinasab
Yousef Alimohamadi
Shohreh Beheshti
Zeinab AminiLari
Mahmood AminiLari
The effect of a 12-week combinational exercise program on CD4 count and mental health among HIV infected women: A randomized control trial
Journal of Exercise Science & Fitness
title The effect of a 12-week combinational exercise program on CD4 count and mental health among HIV infected women: A randomized control trial
title_full The effect of a 12-week combinational exercise program on CD4 count and mental health among HIV infected women: A randomized control trial
title_fullStr The effect of a 12-week combinational exercise program on CD4 count and mental health among HIV infected women: A randomized control trial
title_full_unstemmed The effect of a 12-week combinational exercise program on CD4 count and mental health among HIV infected women: A randomized control trial
title_short The effect of a 12-week combinational exercise program on CD4 count and mental health among HIV infected women: A randomized control trial
title_sort effect of a 12 week combinational exercise program on cd4 count and mental health among hiv infected women a randomized control trial
url http://www.sciencedirect.com/science/article/pii/S1728869X1730148X
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