力量训练对hiv阳性患者骨密度的影响

Q4 Medicine
W. R. Santos, W. R. Santos, P. Paes, Talita M Fernandes, K. E. Tenório, Ana Paula Morais Fernandes
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引用次数: 0

摘要

摘要简介:高效抗逆转录病毒治疗(HAART)将HIV从致命疾病转变为慢性疾病,但它也有副作用,如脂质营养不良综合征,其特征是形态和代谢改变,如骨密度(BMD)降低,发病率和死亡率增加。力量训练(ST)的目的是增加骨密度,由于成骨作用。目的:验证力量训练对HIV感染者骨密度的影响。方法:这是一项准实验研究,40名平均年龄为50±6岁的人,分为BMD降低、hiv阳性、使用HAART、不运动的训练组(TG, n = 20)和对照组(CG, n = 20)。12周前后分别采用DEXA评估腰椎、股骨颈及桡骨远端1/3处的骨密度。在DEXA评估中,GT和CG在相同的时间间隔内提交至36 ST。结果:TG显著升高,对各节段骨密度有显著影响:腰椎(p = 0.001;ES: 1.87),股骨颈(p = 0.003;ES: 2.20)和桡骨远端1/3 (p = 0.001;ES: 1.81)。与此同时,CG组在股骨颈上表现出明显的降低(p = 0.020;ES: 2.56)和桡骨远端1/3 (p = 0.015;ES: 2.93),腰椎对降低骨密度有显著作用(p = 0.293;ES: 1.78)。结论:ST可作为一种提高HIV感染者骨密度的治疗资源,有助于探索非药物治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of strength training on bone mineral density in HIV-positive patients
Abstract Introduction: Highly active antiretroviral therapy (HAART) transformed HIV from a fatal disease to a chronic one, but it has adverse effects, such as the lipodystrophy syndrome, characterized by morphological and metabolic changes, such as reduced bone mineral density (BMD), potentiating morbidities and mortality. Strength training (ST) aims to increase BMD, due to the osteogenic effect. Objective: To verify the impact of strength training on BMD in people with HIV. Methods: This is a quasi-experimental study, which included 40 people with a mean age of 50 ± 6 years, separated into trained group (TG, n = 20) and control group (CG, n = 20), with reduction in BMD, HIV-positive, using HAART and without exercising. BMD was assessed by DEXA in the lumbar spine, femoral neck and distal 1/3 of the radius, before and after 12 weeks, with the GT submitted to 36 ST and the CG without physical training in the DEXA evaluation in the same time interval. Results: TG had a significant increase with great effect on BMD in all segments: lumbar spine (p = 0.001; ES: 1.87), femoral neck (p = 0.003; ES: 2.20) and 1/3 distal of the radius (p = 0.001; ES: 1.81). Meanwhile, CG group showed a significant reduction with great effect on the femoral neck (p = 0.020; ES: 2.56) and 1/3 distal of the radius (p = 0.015; ES: 2.93), while the lumbar spine showed a great effect to reduce BMD (p = 0.293; ES: 1.78). Conclusion: ST can be used as a therapeutic resource to increase BMD in people with HIV, contributing to the advancement in the search for non-drug therapeutic practices.
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来源期刊
Fisioterapia em Movimento
Fisioterapia em Movimento Health Professions-Complementary and Manual Therapy
CiteScore
0.40
自引率
0.00%
发文量
78
审稿时长
13 weeks
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