Adesão e aderência a um programa de exercício físico em pessoas vivendo com HIV/AIDS
DOI:
https://doi.org/10.12820/rbafs.v.22n6p568-575Keywords:
Atividade motora, Síndrome de Imunodeficiência Adquirida, Estilo de vidaAbstract
The objective of the study was to evaluate, in people living with HIV/AIDS, perceived barriers to physical activity practice before and after participating in a physical exercise (PE) program, as well as aspects related to adherence to the program, specifically: reasons given for absence from sessions, number of with drawals during the program, continuity of practice six months after the end of the program, and reasons for eventual non-continuity. Nineteen subjects participated in a 14-week PE program. Information was collected on perceived barriers to physical activity, reasons for absences or withdrawal, and continuity six months after the end of the program. Descriptive statistics were used for analysis of the data, the Mc Nemar test to verify the differences in the frequencies of each barrier, and the Wilcoxon test to compare the mean number of barriers pre- and post-program. The average at tendance at the sessions was 58.5% and the main reasons reported for absences were “health problems” and “personal commitments”. About 40% of the people who started the program did not continue to the end of the program. The majority of dropouts occurred between the 11th and 20th sessions. There were no significant differences in the pre- and post- barriers reported, or in the mean number of barriers. Only 21% of the subjects reported racticing PE six months after the program. PE programs should consider these findings and seek to develop more sustainable actions with a greater long-term impact on the health of the subjects.
Downloads
References
2. Lloyd-Smith E, Brodkin E, Wood E, Kerr T, Tyndall MW, Montaner J, et al. Impact of HAART and injection drug use on life expectancy of two HIV-positive cohorts in British Columbia. AIDS. 2006;20(3):445-50.
3. Brasil. Ministério da Saúde. Protocolo clínico e diretrizes terapêuticas para o manejo da infecção pelo HIV em adultos. Ministério da Saúde, Secretaria de Vigilância em Saúde, Departamento de DST, Aids e Hepatites Virais; Brasília 2015.
4. Caron-Debarle M, Lagathu C, Boccara F, Vigouroux C, Capeau J. HIV-associated lipodystrophy: from fat injury to premature aging. Trends Mol Med. 2010;16(5):218–29.
5. Falco M, Castro ACO, Silveira EA. Nutritional therapy in metabolic changes in individuals with HIV/AIDS. Rev. Saúde Pública. 2012;46(4):737–46.
6. Shah M, Tierney K, Adams-Huet B, Boonyavarakul A, Jacob K, Quittner C, et al. The role of diet, exercise and smoking in dyslipidaemia in HIV-infected patients with lipodystrophy. HIV Med. 2005;6(4):291–8.
7. O’Brien KK, Tynan AM, Nixon SA, Glazier RH, et al. Effectiveness of aerobic exercise for adults living with HIV: systematic review and meta-analysis using the Cochrane Collaboration protocol. BMC Infect Dis. 2016;16(1):182.
8. Gomes-Neto M, Conceição CS, Oliveira Carvalho V, Brites C. A systematic review of the effects of different types of therapeutic exercise on physiologic and functional measurements in patients with HIV/ AIDS. Clinics. 2013;68(8):1157–67.
9. Eidam CL, Lopes AS, Guimarães MDC, Oliveira OV. Estilo de vida de pacientes infectados pelo vírus da imunodeficiência humana (HIV ) e sua associação com a contagem de linfócitos t cd4+. Rev Bras Cineantropom Desempenho Hum. 2006;8(3):51-7.
10. Guariglia DA, Avelar A, Cucato GG, Reichert FF, Cyrino, ES. Atividade física habitual em portadores de HIV/AIDS. Rev Educ Fís/UEM. 2007;18(Suppl 1):S260-2.
11. Pedro RE, Guariglia DA, Okuno N, Demenice R, Peres S, Moraes SMF. E ects of 16 weeks of concurrent training on resting heart rate variability and cardiorespiratory fitness in people living with HIV/AIDS using antiretroviral therapy: A Randomized Clinical Trial. J Strength Cond Res. 2016;30(12):3494-3502.
12. Driscoll SD, Meininger GE, Ljungquist K, Hadigan C, Torriani M, Klibanski A, et al. Differential effects of metformin and exercise on muscle adiposity and metabolic indices in Human Immunode ciency Virus-Infected Patients. J Clin Endocrinol Metab. 2004;89(5):2171-8.
13. Roos R, Myezwa, H.; Van Aswegen, H. “Not easy at all but I am trying”: barriers and facilitators to physical activity in a South African cohort of people living whith HIV participating in a home-based pedometer walking programme. AIDS care. 2015;27(2):235-39.
14. Ribeiro AR, Guariglia DA, Pupulin ART, Teixeira DDC, Greguol M, Cyrino ES. Barreiras pessoas para prática de atividade física percebidas por portadores de AIDS. Rev Educ Fís/UEM. 2013;24(1):93-101.
15. Reichert FF. Barreiras pessoais relacionadas a atividade física. In: Florindo AA, Hallal, PC. Epidemiologia da atividade física. São Paulo: Atheneu, 2011.
16. Reichert FF, Barros AJ, Domingues MR, Hallal PC. The role of perceived personal barriers to engagement in leisure-time physical activity. Am J Public Health. 2007;97(3):515-9.
17. Sebastião E. Nível de atividade física e principais barreiras percebidas por indivíduos adultos: um levantamento no município de Rio Claro-SP. 2009. Dissertação (Mestrado) - Universidade Estadual Paulista, Rio Claro, 2009.
18. Montaner J, Côté HC, Harris M, Hogg RS, Yip B, Chan JW, et al. Mitochondrial toxicity in the era of HAART: evaluating venous lactate and peripheral blood mitochondrial DNA in HIV-infected patients taking antiretroviral therapy. JAIDS. 2003;34(Suppl 1):S85-90.
19. Koczor C, Kohler J, Lewis W. Transgenic mouse models of mitochondrial toxicity associated with HIV/AIDS and antiretrovirals. Methods. 2010;51(4):399-404.
20. Dragovic G, Jevtovic D. The role of nucleoside reverse transcriptase inhibitors usage in the incidence of hyperlactatemia and lactic acidosis in HIV/AIDS patients. Biomed Pharmacother. 2012;66(4):308-11.
21. Greco DB. Trinta anos de enfrentamento à epidemia de Aids no Brasil, 1985-2015. Ciên Saúde Coletiva. 2016;21(5):1553- 64.
22. Peres SB, GuarigliaDA, Pedro RE, Candido N, Melo BP, Franzoi DMS. Effects of concurrent training in People Living with HIV/aids: a randomized clinical trial. Med Sci Sports Exerc. 2016;48(Suppl 1):713.
23. Pedro RE, Candido N, Guariglia DA, Melo BP, Bertolini DA., Peres SB et al. Exercise improves cytokine profile in HIV-infected people: a randomized clinical trial. Cytokine. 2017;99:18-23.
24. Li A, McCabe T, Silverstein E, Dragan S, Salbach NM, Zobeiry M, et al. Community-based exercise in the context of HIV: factors to consider when developing and implementing community-based exercise programs for People Living with HIV. J Int Assoc Provid AIDS Care. 2017;16(3):267-75.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2017 João Oliveira Junior, Débora Guariglia, Mathias Loch
This work is licensed under a Creative Commons Attribution 4.0 International License.
When submitting a manuscript to the Revista Brasileira de Atividade Física & Saúde, the authors retain the copyright to the article and authorize the Revista Brasileira de Atividade Física & Saúde to publish the manuscript under the Creative Commons Attribution 4.0 License and identify it as the original publication source.
