HIV/AIDS e Treinamento Concorrente: a Revisão Sistemática

Abstract

RESUMOO uso da terapia anti-retroviral combinada (TARV) aumentou a expectativa de vida dos portadores do vírus da imunodeficiência humana (HIV) e, como conseqüência, torna-se constante o estudo do processo fisiopatológico da infecção e das estratégias de intervenção que possam melhorar a qualidade de vida destes indivíduos. O treinamento concorrente, definido como a associação dos componentes aeróbios e força na mesma sessão de exercícios pode ser inserido neste contexto. O objetivo deste artigo é revisar os aspectos centrais da infecção pelo HIV e as evidências existentes sobre o treinamento concorrente com séries múltiplas e simples nos parâmetros imunológico, virológico, cardiorrespiratório e neuromuscular de pessoas infectadas pelo HIV. O método utilizado foi uma revisão sistemática, com artigos publicados entre 2000-2007, nas bases de dados scielo e pubmed e também em dissertações e teses da biblioteca digital da educação física, esporte e saúde. As evidências científicas encontradas nos 8 estudos analisados indicam que o treinamento concorrente, tanto com séries múltiplas quanto séries simples, melhora os parâmetros cardiorrespiratório e neuromuscular; no entanto, os resultados dos parâmetros imunológico e virológi-co ainda não estão completamente esclarecidos, principalmente sobre os protocolos com séries simples. Considerando o número restrito de trabalhos apresentados, sugere-se o desenvolvimento de estudos com treinamento concorrente em vários desfechos clínicos para pessoas infectadas pelo HIV.Palavras-chave: HIV, treinamento concorrente, exercício físico. ABSTRACTThe highly active antiretroviral therapy (HAART) increased life expectancy in individuals infected with the human immunodeficiency virus (HIV). Alternative strategies have been used in order to improve their quality of life and minimize the HAART effect; among these we can name physical exercise. Concurrent training, the combination of aerobic and strength training in the same exercise session, is used to improve aerobic and strength capacities with shorter time of training and stands out within the used methods. It is crucial to understand this syndrome's characteristics for the best application of physical exercise in the HIV infected patients. Therefore, the aim of this study is to review the main HIV infection characteristics and the evidence available on concurrent training with single and multiple sets in immunological, virological, cardiorespiratory and neuromuscular parameters in subjects living with HIV/AIDS. A systematic review of papers published from 2000-2007 in the Scielo and Pubmed database, as well as theses and dissertations on Physical Education, Sports and Health fields from the digital library totalizing 8 studies, was performed. Evidence from these 8 investigated studies showed that concurrent training, both with single and multiple sets, improves cardiorespiratory and neuromuscular parameters. However, the results in the immunological and virological parameters are not completely understood, especially on protocols with...

Effects of an exercise programme with people living with HIV: research in a disadvantaged setting

“…Besides aiming to reduce body weight, particularly central fat weight, the main goal of the participants was to improve appearance, and to look good, healthy and strong. In that sense, their goals were in line with the recommendations of the stateof-the-art, which are to combine aerobic and progressive resistance training (O'Brien et al 2004, Robinson et al 2007, Hand et al 2009, Lazzarotto et al 2010, O'Brien et al 2010, Souza et al 2011, Yahiaoui et al 2011). …”

Neospora caninum and Toxoplasma gondii serodiagnosis in human immunodeficiency virus carriers

“…It is characterized by immune system suppression, primarily the immunity mediated by T cells; the decline of cluster of differentiation 4 (CD4) lymphocytes results in susceptibility to opportunistic infections, secondary neoplasms, and neurological diseases (2) .…”

Características imunológicas e virológicas e as variáveis flexibilidade (FLEX) e força de resistência abdominal (FRA) de crianças e adolescentes portadores de HIV/AIDS em uso de TARV

“…The Highly Active Antirretroviral Therapy (HAART), from the introduction of the protease inhibitors (pi) in 1996, have provided the sustained suppression of viral load and, consequently, the immunological reconstitution, decreasing the incidence of opportunistic infections and increasing life expectancy of patients, characterizing hence AidS as a chronic disease 5 . in that chronicity context, few studies have evaluated variables of physical fitness in children and adolescents; however, the research with adults has recorded the importance of engagement in physical exercises aassociated with HAART in order to improve physical fitness and consequently, functional independence [6][7][8] . From these premises, the need for parameters for the variables which compose physical fitness related to health of children and adolescents with HiV/AidS becomes evident, and, provides hence qualification in prescription and monitoring of physical training.…”