Effects of an Education and Home-Based Pedometer Walking Program on Ischemic Heart Disease Risk Factors in People Infected with HIV

Abstract

An education and home-based pedometer walking program improves physical activity levels, and beneficial changes in other IHD risk factors were noted.

Home-based rehabilitation interventions for adults living with HIV: a scoping review

“…In these four studies, all quality of life domains either stayed the same or improved in participants exposed to the HBR interventions, while the level of perceived stress in the intervention group was inversely associated with interaction over the six-month period of the prescribed walking programme in the Roos et al (2014) study. These improvements in psychological parameters following a period of HBR mirror the reported psychological benefits of exercise in previous systematic reviews on the effects of resistance, aerobic and concurrent exercise training for PLHIV.…”

“…The only validated outcome measure used in the Maharaj and Chetty (2011) study was the SF-36, which demonstrated a significant improvement in all quality of life (QoL) domains among the participants in the intervention group. The fourth of the RCT studies (Roos et al 2014), demonstrated significant between-group effects in a six-minute walk test distance, waist to hip ratio, as well as glucose and high-density lipoprotein levels over a 12-month period. Drop-out rates ranged from 5% to 38% for these four studies and were higher in the control groups than in the intervention groups.…”

“…A treadmill, cycle ergometer and a multigym were used in the clinic-based exercise sessions of the studies by Pullen et al (2014) and Maharaj and Chetty (2011). The frequency and duration of exercise sessions for the six studies were as follows: 40-minute sessions, three times weekly for 15 weeks (Baigis et al 2002); two-hour sessions, three times weekly for 16 weeks (Dolan et al 2006) ; a one-hour clinic-based session and three half-hour home-based sessions, weekly for 12 weeks (Maharaj and Chetty 2011); 30-minute sessions, three times weekly for 12 weeks (Pullen et al 2014); 1 000 (going up to 3 000) steps daily from baseline measure, three (going up to five) times weekly for 6 months (Roos et al 2014); and 37 appointments (ten missed) for the ten participants in the Lang (1993) study. While the specific length and frequency of individual sessions are not described in the latter study, it is stated that four of the participants were seen over a three-month period and five of the participants were seen over a one-month period.…”

“…One further article (Roos et al 2014) was added following communication with a wide range of experts in the field of HIV rehabilitation, thus resulting in a final sample of six articles. These individuals, representing regions across the world, are involved in HIV education and research and their knowledge of articles that were eligible for this review (written by themselves or other researchers) was solicited via e-mail.…”

“…It should be noted that the walking programme also included monthly contact over a five month period and education sessions between participants and researchers during the course of the intervention. Minimal equipment was utilised in the Lang (1993) study, while the study by Roos et al (2014) also required no equipment other than pedometers, which were used both as a measurement of the number of steps taken by participants and as motivational tools for the participants. A treadmill, cycle ergometer and a multigym were used in the clinic-based exercise sessions of the studies by Pullen et al (2014) and Maharaj and Chetty (2011).…”