Exercise and mental health of people living with HIV: A systematic review

Nosrat, Sanaz; Whitworth, James W.; Ciccolo, Joseph T.

doi:10.1177/1742395317694224

Cited by 49 publications

(34 citation statements)

References 66 publications

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“…No study fully measured all the aspects of mental health, instead, they only selected and measured three aspects of mental health such as anxiety/mental distress [36], depression [23,35,36,38,39], cognitive disorder [34], and psychological disorder [23]. These studies suggest that it is also possible that other aspects of mental health may be improved by exercises in PLWHA and corroborates the ndings of other studies [41,42].…”

Section: Discussionsupporting

confidence: 62%

“…The ndings of this study agree with evidence from other studies [1,15,43,44], which reported on the effectiveness of physical exercises in ameliorating depression in PLWHA. Previous studies provided evidence where both aerobic and resistance exercise have independent and combined positive effects on various indicators of mental health in people living with HIV [41]. Similarly, an earlier systematic review [15] found evidence that performing an aerobic exercise or a combination of aerobic and resistive exercise at least three times per week for at least ve weeks can lead to improvements in symptoms of depression for adults with HIV.…”

Section: Discussionmentioning

confidence: 95%

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Effectiveness of Exercise Training on Mental Health, Physical Activity Level and Social Participation in People Living with HIV/AIDS: A Systematic Review and Meta-Analysis

Ibeneme¹,

Uwakwe²,

Myezwa³

et al. 2020

Preprint

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Background: Exercise training may increase physical activity(PA) level, improve social participation and mental health in people living with HIV/AIDS(PLWHA). Thus, a systematic review was conducted to answer the review question: what is the effectiveness of physical exercise training on mental health, physical activity level and social participation in PLWHA? Method: Eight databases namely: PubMed, Emcare, Cochrane Library, Embase, CINAHL, AMED, PsycoINFO and MEDLINE – were systematically searched from 1990 till August 2019. This review includes only studies published in English language, on adults (>18years) and are either on HAART/HAART-naïve; only RCTs that gave exercise intervention and assessed mental health, physical activity level and social participation on HIV/AIDS patients. The primary outcomes were mental health, PA level and social participation, while the secondary outcomes included psychological disorders. Results: Meta-analysis of the five (out of seven) included studies for depression that met the inclusion criteria (n=346 participants) comprising males/females aged≥18 years, show a significant overall effect (SMD=-0.89,[95%CI:-1.77,-0.01],Z=1.97,p=0.05) of exercise compared to the control group at post-intervention. However, statistical heterogeneity was high (I2=91%,X2=53.14,df=5,p<0.00001). The removal of two papers during sensitivity analysis for missing data/baseline differences showed a large significant effect (SMD=-1.01,[95%CI:-1.45,-0.57],Z=4.48,p=<0.00001). The statistical heterogeneity was low (I2=39%,X2=4.94,df=3,p=0.18). The results demonstrate a significant trend towards a decrease in depressive symptoms for participants in the exercise compared to no exercise group; aerobic exercise compared to normal routine activity group; aerobic and resistance exercise compared to other control groups. Narrative synthesis demonstrates the beneficial effects of exercise training on outcome measures: anxiety and cognitive function, apart from other psychological benefits. There was limited and no RCTs on the effects of exercise on physical activity level and social participation, respectively.Conclusion: Combined exercise (Aerobic exercise+Strength training; 80mins/session; 3X/week for 12weeks.) + routine counselling OR Aerobic exercise training+counselling 40mins per session; 3X/week for 6weeks OR Combined exercise: Aerobic and Resistance exercise training 50mins/session; 2X/week for 6weeks OR Combined exercise: Aerobic and Resistance exercise training 60mins/session; 3X/week for 24weeks OR Aerobic exercise training 60mins per session; 3X per week for 12weeks may improve mood disorders while therapeutic exercise(2X per week for 6weeks) may improve psychological wellbeing.

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Section: Discussionsupporting

confidence: 62%

Section: Discussionmentioning

confidence: 95%

Effectiveness of Exercise Training on Mental Health, Physical Activity Level and Social Participation in People Living with HIV/AIDS: A Systematic Review and Meta-Analysis

Ibeneme¹,

Uwakwe²,

Myezwa³

et al. 2020

Preprint

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“…The possible relationship might be due to the positive impact of physical exercise on the quality of life of HIV-positive patients in reducing acute fatigue, muscular weakness or pain that they experience. Moreover, physical activities could have positive effects on mood, which is believed to increase a positive influence on the reduction of perceived fatigue [41]. This might be due to the positive impact of physical exercise on the quality of life of HIVpositive patients in reducing acute fatigue, muscular weakness or pain that they experience.…”

Section: Discussionmentioning

confidence: 99%

Burden of fatigue among adults living with HIV/AIDS attending antiretroviral therapy in Ethiopia

et al. 2020

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Background: Fatigue is one of the most common and devastating Human Immuno-deficiency Virus (HIV)-related symptoms, with a varying prevalence in different study areas. In Ethiopia, there is a paucity of information on the magnitude and factors associated with fatigue among HIV/Acquired Immune Deficiency Syndrome (AIDS) patients. This may lead to under-diagnosis and eventually under-management of the symptom. Methods: Institution based cross-sectional study design was conducted among 609 HIV/AIDS patients who were selected by using a systematic random sampling method. Data were collected by using interviewer administered structured questionnaire. Level of fatigue was measured by Fatigue Severity Scale.

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“…In the Forum discussion, selfmanagement strategies emerged as a key component of healthy aging along with resilience, characterized as the ability to recover from longstanding episodic and chronic challenges living with HIV. Rehabilitation interventions that address the multidimensional and episodic nature of disability can reinforce and promote selfmanagement skills for disability associated with HIV and aging (23,62,63). Goal setting, promoting independence, enhancing recovery, recognizing progress, and valuing reassurance from others are key aspects of self-management support, and integral to developing self-efficacy through the rehabilitation process among people with chronic disease (64).…”

Section: Research Priority 4: Strategies For Chronic Disease Managemementioning

confidence: 99%

Research priorities for rehabilitation and aging with HIV: a framework from the Canada-International HIV and Rehabilitation Research Collaborative (CIHRRC)

O’Brien

Ibáñez-Carrasco²,

Solomon³

et al. 2020

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Background: People living with HIV are living longer, and can experience physical, mental and social health challenges associated with aging and multimorbidity. Rehabilitation is well positioned to address disability and maximize healthy aging. An international collaborative network, called the Canada-International HIV and Rehabilitation Research Collaborative (CIHRRC), works to guide this emerging field. In this article, we report findings from CIHRRC’s aim to identify emerging research priorities in HIV, aging and rehabilitation from the perspectives of people living with HIV, clinicians, researchers, representatives from community organizations and policy stakeholders. Methods: We conducted a multi-stakeholder multi-method international consultation with people living with HIV, researchers, clinicians and representatives of community-based organizations to identify research priorities in HIV, aging and rehabilitation. Stakeholders identified research priorities during a one-day International Forum comprised of presentations and facilitated discussion. We collated and analyzed data using content analytical techniques, resulting in a framework of research priorities. Results: Sixty-nine stakeholders from countries including Canada (n=62;90%), the United Kingdom (n=5;7%), United States (n=1;1%) and Australia (n=1;1%) attended the International Forum on HIV, Aging and Rehabilitation. Stakeholders represented community-based organizations (n=20;29%), academic institutions (n=18;26%), community or institutional healthcare organizations (n=11;16%), research or knowledge production organizations (n=10;14%), and organizations representing government or industry (n=10;14%). The Framework of Research Priorities in HIV, Aging and Rehabilitation includes seven research priorities: 1) nature, extent and impact of disability, concurrent health conditions and chronic inflammation with HIV; 2) prevalence, severity and impact of frailty; 3) community and social participation aging with HIV; 4) strategies for chronic disease management and healthy aging with HIV; 5) facilitators and barriers to access to and engagement in, rehabilitation; 6) effectiveness of rehabilitation interventions for healthy aging with HIV; and 7) advancing development and use of patient reported outcome measures in HIV and aging. The Framework highlights methodological considerations to approach the priorities and the importance of knowledge translation and exchange to apply research knowledge into practice, programs and policy. Conclusions: These priorities offer a foundation for collaboration among international and multidisciplinary teams to advance the field of HIV, aging and rehabilitation in order to promote healthy aging with HIV.

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Exercise and mental health of people living with HIV: A systematic review

Cited by 49 publications

References 66 publications

Effectiveness of Exercise Training on Mental Health, Physical Activity Level and Social Participation in People Living with HIV/AIDS: A Systematic Review and Meta-Analysis

Effectiveness of Exercise Training on Mental Health, Physical Activity Level and Social Participation in People Living with HIV/AIDS: A Systematic Review and Meta-Analysis

Burden of fatigue among adults living with HIV/AIDS attending antiretroviral therapy in Ethiopia

Research priorities for rehabilitation and aging with HIV: a framework from the Canada-International HIV and Rehabilitation Research Collaborative (CIHRRC)

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