Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv最新文献

Beyond HIV shame: the role of self-forgiveness and acceptance in living with HIV. 超越艾滋病毒的羞耻感：自我宽恕和接受在艾滋病毒感染者中的作用。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-10-01 Epub Date: 2024-04-26 DOI: 10.1080/09540121.2024.2343770

Sebastian Binyamin Skalski-Bednarz, Loren L Toussaint, Karol Konaszewski, Janusz Surzykiewicz

引用次数: 0

HIV symptom severity and associated factors among young people with HIV in Ghana. 加纳感染艾滋病毒的年轻人中艾滋病毒症状的严重程度及相关因素。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-10-01 Epub Date: 2024-01-07 DOI: 10.1080/09540121.2023.2299332

Nicholas Tarantino, Betty Norman, Anthony Enimil, Shadrack Osei Asibey, Charles Martyn-Dickens, Kate Guthrie, Awewura Kwara, Beth Bock, Matthew J Mimiaga, Larry Brown

{"title":"HIV symptom severity and associated factors among young people with HIV in Ghana.","authors":"Nicholas Tarantino, Betty Norman, Anthony Enimil, Shadrack Osei Asibey, Charles Martyn-Dickens, Kate Guthrie, Awewura Kwara, Beth Bock, Matthew J Mimiaga, Larry Brown","doi":"10.1080/09540121.2023.2299332","DOIUrl":"10.1080/09540121.2023.2299332","url":null,"abstract":"ABSTRACTAdolescents and young adults (young people) with HIV (YPWH) often struggle with treatment self-management. Many have symptoms due to HIV disease, medication side-effects, or comorbid conditions. Our study investigated the severity of HIV-related symptoms among YPWH aged 18-24 with detectable viral loads from an HIV clinic in Ghana (N = 60) and potential correlates of severity across a range of factors. Results indicated that YPWH currently experienced, on average, 13 symptoms (SD = 12.33). Six of the 10 most common symptoms were from two domains: fatigue and psychological. The most common symptoms were headaches (62%), weakness (53%), and fear/worries (52%). No differences were observed in number or severity of symptoms between youth based on HIV transmission status. Bivariate correlates of symptom severity were found with six that remained significant or approached significance in a multivariate model predicting severity: living with a parent/guardian, higher perceived access to HIV care, and higher treatment readiness were associated with lower severity while greater travel time to the HIV clinic, psychological distress, and more missed clinic appointments were associated with higher severity. Our findings suggest that interventions to address symptoms among YPWH should be multilevel and include strategies (e.g., telehealth, home care) to increase access to care.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11227599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Does type of antiretroviral therapy pick-up point influence 12-month virologic suppression in South Africa? 在南非，抗逆转录病毒疗法接种点的类型会影响 12 个月的病毒学抑制吗？

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-10-01 Epub Date: 2024-06-11 DOI: 10.1080/09540121.2024.2361817

Ingrid V Bassett, Joyce Yan, Sabina Govere, Anele Khumalo, Zinhle Shazi, Mpilonhle Nzuza, Taing Aung, Kashfia Rahman, Dani Zionts, Nduduzo Dube, Sandile Tshabalala, Laura M Bogart, Robert A Parker

{"title":"Does type of antiretroviral therapy pick-up point influence 12-month virologic suppression in South Africa?","authors":"Ingrid V Bassett, Joyce Yan, Sabina Govere, Anele Khumalo, Zinhle Shazi, Mpilonhle Nzuza, Taing Aung, Kashfia Rahman, Dani Zionts, Nduduzo Dube, Sandile Tshabalala, Laura M Bogart, Robert A Parker","doi":"10.1080/09540121.2024.2361817","DOIUrl":"10.1080/09540121.2024.2361817","url":null,"abstract":"We assessed the impact of community- versus clinic-based medication pick-up on rates of virologic suppression in an observational cohort of adults on ART enrolled in a decentralized antiretroviral therapy program (CCMDD) in South Africa. Participants either attended clinics where they were given the choice to pick up ART in community venues or traditional clinics, or clinics where this pathway was assigned. Among 1856 participants, 977 (53%) opted for community ART pick-up at enrollment, and 1201 (86%) were virologically suppressed at one year. Because of missing data on virologic suppression, primary results are based on a model incorporating multiple imputation. In addition to age and gender, distance from clinic and year of HIV diagnosis were included in the multivariable model. There was no difference in opting for clinic- vs. community-based pick-up with regard to achieving 12-month virologic suppression (aRR 1.02, 95% CI 0.98-1.05) in clinics offering choice. There was no impact of assigning all participants to an external pick-up point (aRR 1.00, 95% CI 0.95-1.06), but virologic suppression was reduced in the clinic that assigned participants to clinic pick-up (aRR 0.87, 95% CI 0.81-0.92). These results suggest that provision of community-based ART has not reduced continued virologic suppression in the population enrolled in the CCMDD program.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11343678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unawareness of partner risk factors thwarts implementation of USPSTF recommendations for HIV pre-exposure prophylaxis in primary care. 对伴侣风险因素的不了解阻碍了 USPSTF 关于在初级保健中进行 HIV 暴露前预防的建议的实施。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-10-01 Epub Date: 2024-05-03 DOI: 10.1080/09540121.2024.2347435

Christopher Bouchard, Sarah Dashwood, Daniel J Parente

{"title":"Unawareness of partner risk factors thwarts implementation of USPSTF recommendations for HIV pre-exposure prophylaxis in primary care.","authors":"Christopher Bouchard, Sarah Dashwood, Daniel J Parente","doi":"10.1080/09540121.2024.2347435","DOIUrl":"10.1080/09540121.2024.2347435","url":null,"abstract":"The United States Preventive Services Task Force recommends pre-exposure chemoprophylaxis for persons at high risk of HIV exposure. The optimal screening strategy for at-risk individuals in primary care is not known. We evaluated the strategy of universal screening and discussed challenges to the implementation of this recommendation in primary care. Around 430 of 500 (86%) screening surveys were completed. Mutual monogamy was common but monogamous partners with recent negative HIV testing were uncommon. Likewise, among heterosexually active men and women, inconsistent condom use was common. Such individuals would be on guideline for HIV pre-exposure prophylaxis (PrEP) if their partner was at risk for HIV exposure. None of these potentially at-risk individuals met the criteria for PrEP, but 13% lacked knowledge of their partners' sexual and behavioral risk factors, preventing a clear decision on whether PrEP should be used. Our screen identified no individuals who clearly met the guideline criteria for HIV PrEP. We conclude that universal screening for HIV PrEP in primary care is unlikely to be an efficient strategy; targeted screening is likely more appropriate. Moreover, the 2019 guidelines for heterosexually active men and women rely on information that is often unknown to the patient, which makes these guidelines difficult to implement. Future guidelines should address these problems.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence and predictors of cigarette smoking among people with HIV in Western Jamaica. 牙买加西部艾滋病毒感染者吸烟的流行率和预测因素。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-10-01 Epub Date: 2024-05-15 DOI: 10.1080/09540121.2024.2354224

D Aguilera, B Rinola, S Tundealao, R Klaff, M Aung, M Johnson-Campbell, D Johnson-Wallace, R Stephenson, P E Jolly, I Tamí-Maury

{"title":"Prevalence and predictors of cigarette smoking among people with HIV in Western Jamaica.","authors":"D Aguilera, B Rinola, S Tundealao, R Klaff, M Aung, M Johnson-Campbell, D Johnson-Wallace, R Stephenson, P E Jolly, I Tamí-Maury","doi":"10.1080/09540121.2024.2354224","DOIUrl":"10.1080/09540121.2024.2354224","url":null,"abstract":"With highly active antiretroviral therapy, HIV infection has become a treatable chronic disease. However, modifiable risk factors such as cigarette smoking continue to impact the morbidity and mortality of people with HIV (PWH). We assessed the prevalence and factors associated with cigarette smoking and motivation to quit among PWH in Western Jamaica. A cross-sectional study was conducted in which 392 adults seeking HIV care at health facilities in Western Jamaica completed an interviewer-administered questionnaire. Current smoking prevalence among participants was 17.4%. Current smoking was significantly associated with being male (OR = 2.99), non-Christian/non-Rastafarian (OR = 2.34), living or working with another smoker (aOR =1.86), being moderate to severely depressed (OR = 3.24), having an alcohol drinking problem (OR = 1.84), and never being asked by a healthcare provider if they smoked (OR = 3.24). Among the PWH who currently smoke, 36.7% are moderately to highly dependent on nicotine. One-third of people who smoke (33.8%) started smoking for the first time after HIV diagnosis, while 66.2% initiated smoking before; 88% were willing to quit smoking. These findings provide baseline information for designing and implementing a comprehensive smoking cessation program that considers the needs of PWH in Jamaica, with the potential of becoming a replicable model for other HIV-specialized healthcare settings in the Caribbean.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11343667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140946302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intimate partner violence and factors influencing HIV status disclosure among women living with HIV in Indonesia: a cross-sectional study. 印度尼西亚感染艾滋病毒妇女中的亲密伴侣暴力和影响披露艾滋病毒感染状况的因素：一项横断面研究。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-10-01 Epub Date: 2023-12-29 DOI: 10.1080/09540121.2023.2299746

Ngakan Putu Anom Harjana, Sally Nita, Meirinda Sebayang, Oldri Sherli Mukuan, Asti Setiawati Widihastuti, Pande Putu Januraga

{"title":"Intimate partner violence and factors influencing HIV status disclosure among women living with HIV in Indonesia: a cross-sectional study.","authors":"Ngakan Putu Anom Harjana, Sally Nita, Meirinda Sebayang, Oldri Sherli Mukuan, Asti Setiawati Widihastuti, Pande Putu Januraga","doi":"10.1080/09540121.2023.2299746","DOIUrl":"10.1080/09540121.2023.2299746","url":null,"abstract":"The disclosure of HIV status poses challenges, and women living with HIV often face intimate partner violence as a result of revealing their HIV status. This study aims to investigate the prevalence of intimate partner violence and HIV status disclosure among women living with HIV in Indonesia, as well as the factors associated with disclosure. A total of 283 women with HIV participated in an online survey, and descriptive and logistic regression analyses were performed. The findings revealed that women reported experiencing physical (9.54%), sexual (6.01%), mental (23.67%), and economic (14.49%) abuse. HIV status disclosure varied among different individuals, with higher rates observed for partners (71.2%), other family members (65.02%), close friends (37.10%), and lower rates for health workers (1.77%). Factors such as employment status and partner's HIV status influenced disclosure to partners, while the duration of knowing one's HIV status, experiences of intimate partner violence, and perceived barriers influenced disclosure to both family and non-family members. To mitigate the negative consequences of HIV status disclosure, targeted health promotion efforts should prioritize partners, family members, and non-family members, focusing on enhancing knowledge and awareness about HIV, including the impact of violence.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

HIV and vicarious stigma in a cohort of people living with HIV in Italy: What happens when the stigma is fueled by healthcare providers? 意大利艾滋病病毒感染者群体中的艾滋病病毒感染和替代性污名：当医疗服务提供者助长污名化时，会发生什么？

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-10-01 Epub Date: 2024-06-04 DOI: 10.1080/09540121.2024.2361820

Valentina Massaroni, Valentina Iannone, Valentina Delle Donne, Anna D'Angelillo, Gianmaria Baldin, Rosanna Passerotto, Flavio Sangiorgi, Rebecca Jo Steiner, Arturo Ciccullo, Alberto Borghetti, Elena Visconti, Simona Di Giambenedetto

{"title":"HIV and vicarious stigma in a cohort of people living with HIV in Italy: What happens when the stigma is fueled by healthcare providers?","authors":"Valentina Massaroni, Valentina Iannone, Valentina Delle Donne, Anna D'Angelillo, Gianmaria Baldin, Rosanna Passerotto, Flavio Sangiorgi, Rebecca Jo Steiner, Arturo Ciccullo, Alberto Borghetti, Elena Visconti, Simona Di Giambenedetto","doi":"10.1080/09540121.2024.2361820","DOIUrl":"10.1080/09540121.2024.2361820","url":null,"abstract":"Vicarious stigma shows how indirect stigmatizing experiences can lead people living with HIV (PLWH) to feel discriminated against. We enrolled 350 PLWH, who were administered a 17-item questionnaire to investigate a subjective experience of stigma experienced in the hospital care setting. We found that at least once 215 PLWH (61.4%) did not want the HIV exemption indicated on the prescription for a specialist medical visit, 232 PLWH (66.3%) never used their HIV-related exemption to make a specialist medical visit, 230 PLWH (65.7%) avoided undergoing a medical assessment outside the infectious disease clinics and 241 patients (68.9%) felt unwelcome during a specialist medical visit. Moreover, 241 patients (61.1%) had heard at least once stories of health workers who did not want to touch PLWH, 213 patients (60.9%) had heard stories at least once of PLWH who had been mistreated by hospital staff, 180 patients (51.4%) had at least once heard stories about PLWH being refused treatment and services and 257 patients (73.4%) had at least once heard stories about health workers talking publicly about PLWH. This is a little explored area, especially regarding the vicarious stigma faced by PLWH. Our findings indicate the importance of combating HIV-related stigma for the wellbeing of PLWH.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Men's perceptions of HIV self-testing in Eswatini: a qualitative study. 埃斯瓦提尼男性对艾滋病毒自我检测的看法：一项定性研究。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-10-01 Epub Date: 2024-05-20 DOI: 10.1080/09540121.2024.2354222

Bonginkhosi Petros Vilakati, Sara Yeatman

{"title":"Men's perceptions of HIV self-testing in Eswatini: a qualitative study.","authors":"Bonginkhosi Petros Vilakati, Sara Yeatman","doi":"10.1080/09540121.2024.2354222","DOIUrl":"10.1080/09540121.2024.2354222","url":null,"abstract":"Men in Eswatini test for HIV at lower rates compared to women despite the widespread availability of HIV testing services in the country. HIV self-test kits have been proposed as an HIV testing model to reach more men by bypassing the health facility, which is known to be a barrier for men using HIV testing services. In this study, we sought to understand men's perspectives on HIV self-testing in Eswatini. We conducted semi-structured interviews with 22 men, recruited from a rural community and from an urban men's clinic, to assess their awareness of HIV self-testing and their perceptions of it as an alternative HIV testing option. Findings show that men were aware of HIV self-testing but had concerns that left most feeling hesitant about adopting it. Many men expressed doubts about the accuracy of self-testing and their own technical competence to use the kit without supervision. They also expressed fears about testing, and possibly learning they were HIV positive, without adequate pre - and post-HIV test counseling. To allay men's fears and improve uptake of HIV self-testing, practitioners might consider innovative methods such as virtual counseling services and linking HIV self-testing to other community-based HIV care services.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141066633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Depression is associated with poor self-reported adherence to antiretroviral therapy among people living with HIV attending an HIV clinic in the UK: results from a cross-sectional study. 抑郁症与在英国一家艾滋病诊所就诊的艾滋病病毒感染者自我报告的抗逆转录病毒疗法依从性差有关：一项横断面研究的结果。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-10-01 Epub Date: 2024-01-30 DOI: 10.1080/09540121.2024.2303969

Jose Luis Paredes, Alejandro Arenas-Pinto, Connor McAlpine, Rebecca Matthews, Ana Milinkovic, Emmi Suonpera

{"title":"Depression is associated with poor self-reported adherence to antiretroviral therapy among people living with HIV attending an HIV clinic in the UK: results from a cross-sectional study.","authors":"Jose Luis Paredes, Alejandro Arenas-Pinto, Connor McAlpine, Rebecca Matthews, Ana Milinkovic, Emmi Suonpera","doi":"10.1080/09540121.2024.2303969","DOIUrl":"10.1080/09540121.2024.2303969","url":null,"abstract":"Contemporary evidence is needed to assess whether the prevalence of depression remains high among people living with HIV in the United Kingdom despite recent efforts to improve patients' mental health, and if depression is negatively associated with individuals' adherence to antiretroviral therapy. In a secondary analysis of a cross-sectional clinic-based survey of alcohol consumption and associated health behaviour among people living with HIV in London, of the 221 respondents, 106 (48%) had poor self-reported adherence to antiretroviral therapy (CASE Index) and 69 (31%) screened positive for depression (PHQ-9). Poor self-reported adherence to ART was 72% higher among participants who screened positive for depression in comparison with participants who screened negative. Respondents who were younger, unemployed, and reported problematic drug use were more likely to screen positive for depression. Screening and management of depression as a part of routine HIV care may support adherence to antiretroviral therapy.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139575747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of exercise training on bone health in adults living with HIV: a systematic review with meta-analysis. 运动训练对成年艾滋病病毒感染者骨骼健康的影响：系统综述与荟萃分析。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-10-01 Epub Date: 2024-03-19 DOI: 10.1080/09540121.2024.2331213

Karynne Grutter Lopes, Gabriela Andrade Paz, Paulo Farinatti, Juliana Pereira Borges

{"title":"Effects of exercise training on bone health in adults living with HIV: a systematic review with meta-analysis.","authors":"Karynne Grutter Lopes, Gabriela Andrade Paz, Paulo Farinatti, Juliana Pereira Borges","doi":"10.1080/09540121.2024.2331213","DOIUrl":"10.1080/09540121.2024.2331213","url":null,"abstract":"We investigated the effects of exercise training on bone mineral density (BMD) in people living with Human Immunodeficiency Virus (PLHIV). Pubmed, Scopus, Cochrane Library, and ScienceDirect databases were searched for trials investigating exercise training-induced changes in BMD of PLHIV at baseline vs. post-intervention assessed by dual-energy X-ray absorptiometry (DXA). Hedge effect sizes (ES) were calculated incorporating fixed effects for BMD variation assumptions. Disaggregated comparisons were performed for trials with more than one intervention or BMD site assessment. Seven trials included 210 PLHIV and 35 non-HIV-infected controls. Methodological quality evaluated using the Physiotherapy Evidence Database (PEDro) scale ranged from poor to moderate. Interventions applied isolated resistance, combined aerobic and resistance, and multimodal exercise protocols performed 3 d/wk for 12-to 104 week. One controlled and another uncontrolled trial presented significant effects, reporting improvements at the femoral neck and total (ES 2.14 and 0.49, respectively). Magnitude of those specific ES influenced the overall effect (controlled and uncontrolled trials), which was small but significant (k = 12, ES 0.277, 95% confidence interval 0.120-0.434). Resistance training may promote favorable adaptations in BMD of PLHIV, particularly in femur. Future research should elucidate the optimal dose-response relationship and physiological mechanisms underlying exercise-induced adaptations on the BMD of PLHIV.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0