Association Between Physical Activity, Depression, and Diabetes in Urban-Dwelling People Living with HIV

Quiles, Norberto; Ciccolo, Joseph T.; Garber, Carol Ewing

doi:10.1016/j.jana.2017.06.015

Cited by 12 publications

(8 citation statements)

References 2 publications

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“…Additionally, PLWH taking ART have a lower heart rate variability (HRV) compared to the general population that could increase the risk of arrhythmias [ 32 ]. Exercise increases HRV (is associated with a better autonomic balance) in PLHW [ 33 ], by improving vagal tone to the heart and at the same time regulating sympathetic tone, that prevents against malignant arrhythmias [ 34 ]. Nevertheless, it is important to stress that high aerobic fitness in older adults could have a pro-arrhythmic effect [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

Recreational Exercising and Self-Reported Cardiometabolic Diseases in German People Living with HIV: A Cross-Sectional Study

Chaparro

Schuch

Zech

et al. 2021

IJERPH

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Exercise is known for its beneficial effects on preventing cardiometabolic diseases (CMDs) in the general population. People living with the human immunodeficiency virus (PLWH) are prone to sedentarism, thus raising their already elevated risk of developing CMDs in comparison to individuals without HIV. The aim of this cross-sectional study was to determine if exercise is associated with reduced risk of self-reported CMDs in a German HIV-positive sample (n = 446). Participants completed a self-report survey to assess exercise levels, date of HIV diagnosis, CD4 cell count, antiretroviral therapy, and CMDs. Participants were classified into exercising or sedentary conditions. Generalized linear models with Poisson regression were conducted to assess the prevalence ratio (PR) of PLWH reporting a CMD. Exercising PLWH were less likely to report a heart arrhythmia for every increase in exercise duration (PR: 0.20: 95% CI: 0.10–0.62, p < 0.01) and diabetes mellitus for every increase in exercise session per week (PR: 0.40: 95% CI: 0.10–1, p < 0.01). Exercise frequency and duration are associated with a decreased risk of reporting arrhythmia and diabetes mellitus in PLWH. Further studies are needed to elucidate the mechanisms underlying exercise as a protective factor for CMDs in PLWH.

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Section: Discussionmentioning

confidence: 99%

Recreational Exercising and Self-Reported Cardiometabolic Diseases in German People Living with HIV: A Cross-Sectional Study

Chaparro

Schuch

Zech

et al. 2021

IJERPH

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“…Studies suggest that chronic fatigue among PLWH may be reduced by regular physical activity (Bergamaschi et al 2019;Webel et al 2016). As among the general population, physical activity programmes for PLWH have been associated with other health benefits such as lower anxiety and depression, improved physical capacities or higher quality of life (Quiles, Ciccolo, and Garber 2017;Voigt, Cho, and Schnall 2018). Yet despite increasing knowledge and beliefs about the benefits of physical activity, few studies have considered the experiences and views of physical activity by PLWH (Ferez et al 2014;Gray et al 2019), or their relations with the experience of physical symptoms or with exercise recommendations from health professionals.…”

Section: Conceptual Backgroundmentioning

confidence: 99%

“Sick but active, tired but healthy”. Narratives of body and self living with HIV

Schuft

Férez

Bergamaschi

et al. 2021

Qualitative Research in Sport, Exercise and Health

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Although studies have suggested that physical activity may diminish HIV-related fatigue, little is known about the physical experience or meanings attributed to either. We considered chronic fatigue and physical activity in terms of how they were experienced, interpreted and interrelated within narratives about living with HIV. Thematic analysis of 35 semi-structured interviews with people living with HIV in France led to the creation of four ideal-type narratives.The ideal types illustrated relations between diverse physical and social experiences of fatigue and physical activity. These dimensions of the HIV experience were part of larger identity narratives about the body and self, revealing tensions between the latter as healthy or ill, tired or active, vulnerable or robust, needing or heeding expected health behaviours. Illness narrativesand the meanings attributed to body and selfemerged as faceted by both physical experiences of the body and social experiences, and as situated within larger socio-political contexts and biopedagogies.

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“…In one of the largest studies of date conducted on over 25,000 HIV+ veterans, diagnosis of major depressive disorder predicted increased risk for heart failure after adjusting for non-HIV related confounders (White et al, 2015). It has also become evident that elevated rates of depression in PLWHA may contribute to cardiometabolic disease through an erosion in health behaviors such as physical activity (Quiles et al, 2017). Thus, the interactive effect of psychosocial factors and health behaviors may become a fruitful area of research to address the burden of disease comorbidity in older adults living with HIV/AIDS.…”

Section: Cardiovascular Disease and Psychosocial Riskmentioning

confidence: 99%

Psychosocial risk and management of physical diseases

2019

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During the 40 years since the Yale conference on Behavioral Medicine and the founding of the Journal of Behavioral Medicine considerable progress has been made in understanding the role of psychosocial risk and management of physical diseases. We here describe the development of these fundamental concepts from early research on stress through studies of the Type A behavior pattern to more contemporary approaches to the relationship between psychosocial risks and benefits in relation to disease processes. This includes the relationship of psychosocial risk to cancers, cardiovascular diseases (CVD), cardiometabolic disorders, Human Immunodeficiency Virus (HIV)/Acquired Human Immune Deficiency Syndrome. During the past 40 years the effects of prolonged distress responses in the pathogenesis of some cancers and CVD have been well-established and modifiable behavioral, cognitive and social factors have been shown to produce favorable outcome components in the management of such diseases as breast cancer, coronary heart disease and HIV.

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Association Between Physical Activity, Depression, and Diabetes in Urban-Dwelling People Living with HIV

Cited by 12 publications

References 2 publications

Recreational Exercising and Self-Reported Cardiometabolic Diseases in German People Living with HIV: A Cross-Sectional Study

Recreational Exercising and Self-Reported Cardiometabolic Diseases in German People Living with HIV: A Cross-Sectional Study

“Sick but active, tired but healthy”. Narratives of body and self living with HIV

Psychosocial risk and management of physical diseases

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