Exercise therapy for human immunodeficiency virus/AIDS patients: Guidelines for clinical exercise therapists

Human immunodeficiency virus (HIV) has infected > 60 million people since its discovery and 30 million people have died since the pandemic began. Antiretroviral therapy has transformed HIV infection from an acute to a chronic disease, increasing life expectancy but also adding to the potential si...

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Main Authors: Jeanne M. Grace, Stuart J. Semple, Susan Combrink
Format: Article
Language:English
Published: Elsevier 2015-06-01
Series:Journal of Exercise Science & Fitness
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1728869X14000306
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author Jeanne M. Grace
Stuart J. Semple
Susan Combrink
author_facet Jeanne M. Grace
Stuart J. Semple
Susan Combrink
author_sort Jeanne M. Grace
collection DOAJ
description Human immunodeficiency virus (HIV) has infected > 60 million people since its discovery and 30 million people have died since the pandemic began. Antiretroviral therapy has transformed HIV infection from an acute to a chronic disease, increasing life expectancy but also adding to the potential side effects associated with drug therapy and the comorbidity accompanying longevity. Exercise can play a valuable role in the management of HIV/AIDS patients by addressing various symptoms and improving their quality of life, but the optimum mode, intensity, frequency, and duration of exercise that take the different clinical stages of the disease into consideration are inadequately known. Searches of Medline, Embase, Science Citation Index, CINAHL database, HealthSTAR, PsycINFO, Cochrane Central Register of Controlled Trials (CENTRAL), Cochrane Database of Systematic Reviews, Physiotherapy Evidence Database (PEDro), and SPORTDiscus were conducted between 2000 and January 2014. Searches of published and unpublished abstracts were conducted, as well as a hand search of reference lists and tables of contents of relevant journals and books. Identified studies were reviewed for methodological quality. A total of 33 studies met the inclusion criteria. Most studies failed to indicate the optimum type (mode), intensity, frequency, and duration of aerobic and progressive resistive exercise prescribed to HIV-infected individuals in relation to the different clinical stages of the disease. The purpose of this review is to provide evidence-based recommendations after revision of exercise guidelines for HIV patients, by highlighting practical guidelines that clinical exercise therapists should consider when prescribing exercise for patients in different stages of the disease.
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spelling doaj.art-d1d77d53895e4bc2b09cd283092818902022-12-22T02:59:19ZengElsevierJournal of Exercise Science & Fitness1728-869X2015-06-01131495610.1016/j.jesf.2014.10.003Exercise therapy for human immunodeficiency virus/AIDS patients: Guidelines for clinical exercise therapistsJeanne M. GraceStuart J. SempleSusan CombrinkHuman immunodeficiency virus (HIV) has infected > 60 million people since its discovery and 30 million people have died since the pandemic began. Antiretroviral therapy has transformed HIV infection from an acute to a chronic disease, increasing life expectancy but also adding to the potential side effects associated with drug therapy and the comorbidity accompanying longevity. Exercise can play a valuable role in the management of HIV/AIDS patients by addressing various symptoms and improving their quality of life, but the optimum mode, intensity, frequency, and duration of exercise that take the different clinical stages of the disease into consideration are inadequately known. Searches of Medline, Embase, Science Citation Index, CINAHL database, HealthSTAR, PsycINFO, Cochrane Central Register of Controlled Trials (CENTRAL), Cochrane Database of Systematic Reviews, Physiotherapy Evidence Database (PEDro), and SPORTDiscus were conducted between 2000 and January 2014. Searches of published and unpublished abstracts were conducted, as well as a hand search of reference lists and tables of contents of relevant journals and books. Identified studies were reviewed for methodological quality. A total of 33 studies met the inclusion criteria. Most studies failed to indicate the optimum type (mode), intensity, frequency, and duration of aerobic and progressive resistive exercise prescribed to HIV-infected individuals in relation to the different clinical stages of the disease. The purpose of this review is to provide evidence-based recommendations after revision of exercise guidelines for HIV patients, by highlighting practical guidelines that clinical exercise therapists should consider when prescribing exercise for patients in different stages of the disease.http://www.sciencedirect.com/science/article/pii/S1728869X14000306Aerobic exerciseCD4 countHighly active antiretroviral therapyImmunodeficiency progressive resistive exercise
spellingShingle Jeanne M. Grace
Stuart J. Semple
Susan Combrink
Exercise therapy for human immunodeficiency virus/AIDS patients: Guidelines for clinical exercise therapists
Journal of Exercise Science & Fitness
Aerobic exercise
CD4 count
Highly active antiretroviral therapy
Immunodeficiency progressive resistive exercise
title Exercise therapy for human immunodeficiency virus/AIDS patients: Guidelines for clinical exercise therapists
title_full Exercise therapy for human immunodeficiency virus/AIDS patients: Guidelines for clinical exercise therapists
title_fullStr Exercise therapy for human immunodeficiency virus/AIDS patients: Guidelines for clinical exercise therapists
title_full_unstemmed Exercise therapy for human immunodeficiency virus/AIDS patients: Guidelines for clinical exercise therapists
title_short Exercise therapy for human immunodeficiency virus/AIDS patients: Guidelines for clinical exercise therapists
title_sort exercise therapy for human immunodeficiency virus aids patients guidelines for clinical exercise therapists
topic Aerobic exercise
CD4 count
Highly active antiretroviral therapy
Immunodeficiency progressive resistive exercise
url http://www.sciencedirect.com/science/article/pii/S1728869X14000306
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AT susancombrink exercisetherapyforhumanimmunodeficiencyvirusaidspatientsguidelinesforclinicalexercisetherapists