Effect of Aerobic Exercise on the Functional Capacity and Health Status of Individuals Living With HIV/AIDS in Kano, Nigeria
DOI:
https://doi.org/10.34058/njmr.v19i1.151Keywords:
physiotherapy, exercise, HIV/AIDS, quality of life, functional capacityAbstract
Background: The Human Immune-deficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) and its associated complicationshas continued to be a major challenge to the health systems despite the use of alternative therapies. People living with HIV/AIDS (PLWHA) are known to suffer from functional impairments and health status among several other comorbidities requiring intervention. This present study was undertaken to investigate the effect of aerobic exercise on functional capacity and QOL in PLWHA.
Methods: Thirty PLWHA(20 males; 10 females [35.3±7.98 years] from two tertiary hospitals in KanoState, Nigeria participated in this study. The participants were randomly assigned to either experimental or control groups. All participants were on their respective conventional anti-retroviral therapies (ART) medications. Those in experimental group received aerobic exercise training for 6 weeks in addition to the ARTs. The study focused on two outcomes; functional capacity and health status, whichwere measured prior to and after 6 weeks for each participant. Functional capacity was assessed using 6 minute walk distance (6MWD), while health status was determined using the short form (SF) 36 questionnaire separately for physical and mental component scores (PCS/MCS). Descriptive statistics and inferential statistics were used analyze the results. Probability values was significant at 0.05 alpha level.
Results: The participants had a mean height, weight and body mass index (BMI) of1.64±0.07metres(m), 71.1±7 kilograms(kg) and 24.6±2.95kg/m2, respectively.The baseline parameters of physical characteristics (except for weight) and study outcomes between the experimental and control groups were comparable (p>0.05).The results also shows that aerobic exercises significantly increased the values for the 6MWD and the scores of PCS and MCS  (p<0.05).
Conclusion: It was concluded that aerobic exercise is beneficial forthe functional and health outcomes among PLWHA.
Key words: HIV/AIDS, Quality of Life, Functional Capacity
References
Adurogbangba, M.I., Aderinokun, G.A., Odaibo, G.N., Olaleye, O.D. and Lawoyin, T.O., 2004. Oroâ€facial lesions and CD4 counts associated with HIV/AIDS in an adult population in Oyo State, Nigeria. Oral diseases, 10(6), pp.319-326.
Aranda-Naranjo, B., 2004. Quality of life in the HIV-positive patient: implications and consequences. Journal of the Association of Nurses in AIDS Care, 15(5), pp.20S-27S.
Aucamp, C.M., 2008. The use of complementary and alternative therapies among adult HIV positive patients in an outpatient setting (Doctoral dissertation, Stellenbosch: University of Stellenbosch).
Chin, J., 1990. Current and future dimensions of the HIV/AIDS pandemic in women and children. The Lancet, 336(8709), pp.221-224.
Ciccolo, J.T., Jowers, E.M. and Bartholomew, J.B., 2004. The benefits of exercise training for quality of life in HIV/AIDS in the post-HAART era. Sports medicine, 34(8), pp.487-499.
Clayson, D.J., Wild, D.J., Quarterman, P., Duprat-Lomon, I., Kubin, M. and Coons, S.J., 2006. A comparative review of health-related quality-of-life measures for use in HIV/AIDS clinical trials. Pharmacoeconomics, 24(8), pp.751-765.
De Cock, K.M., Jaffe, H.W. and Curran, J.W., 2012. The evolving epidemiology of HIV/AIDS. AIDS, 26(10), pp.1205-1213.
Dimeo, F., Bauer, M., Varahram, I., Proest, G. and Halter, U., 2001. Benefits from aerobic exercise in patients with major depression: a pilot study. British journal of sports medicine, 35(2), pp.114-117.
Dixon, S., McDonald, S. and Roberts, J., 2002. The impact of HIV and AIDS on Africa's economic development. BMJ, 324(7331), pp.232-234B.
Dudgeon, W.D., Phillips, K.D., Bopp, C.M. and Hand, G.A., 2004. Physiological and psychological effects of exercise interventions in HIV disease. AIDS Patient Care and STDs, 18(2), pp.81-98.
Fatiregun, A.A., Mofolorunsho, K.C. and Osagbemi, K.G., 2009. Quality of life of people living with HIV/AIDS in Kogi State, Nigeria. Benin journal of postgraduate medicine, 11(1).
Fleg, J.L., Piña, I.L., Balady, G.J., Chaitman, B.R., Fletcher, B., Lavie, C., Limacher, M.C., Stein, R.A., Williams, M. and Bazzarre, T., 2000. Assessment of functional capacity in clinical and research applications an advisory from the Committee on Exercise, Rehabilitation, and Prevention, Council on Clinical Cardiology, American Heart Association. Circulation, 102(13), pp.1591-1597.
Furler, M.D., Einarson, T.R., Walmsley, S., Millson, M. and Bendayan, R., 2003. Use of complementary and alternative medicine by HIV-infected outpatients in Ontario, Canada. AIDS patient care and STDs, 17(4), pp.155-168.
Hays, R.D., Cunningham, W.E., Sherbourne, C.D., Wilson, I.B., Wu, A.W., Cleary, P.D., McCaffrey, D.F., Fleishman, J.A., Crystal, S., Collins, R. and Eggan, F., 2000. Health-related quality of life in patients with human immunodeficiency virus infection in the United States: results from the HIV Cost and Services Utilization Study. The American journal of medicine, 108(9), pp.714-722.
Jaggers, J.R. and Hand, G.A., 2014. Health Benefits of Exercise for People Living With HIV A Review of the Literature. American Journal of Lifestyle Medicine, p.1559827614538750.
Lox CL, McAuley E, Tucker RS 1996. Aerobic and resistance exercise training effects on body composition, muscularstrength, and cardiovascular fitness in an HIV-1 population. Int J Behav Med ;3(1):55–69
Mbada, C.E., Onayemi, O., Ogunmoyole, Y., Johnson, O.E. and Akosile, C.O., 2013. Health-related quality of life and physical functioning in people living with HIV/AIDS: a case–control design. Health and Quality of life outcomes, 11(1), p.1.
O Brien, K., Nixon, S., Tynan, A.M. and Glazier, R.H., 2004. Effectiveness of aerobic exercise in adults living with HIV/AIDS: systematic review. Medicine and science in sports and exercise, 36, pp.1659-1666.
Peeters, M., Esu-Williams, E., Vergne, L., Montavon, C., Mulanga-Kabeya, C., Harry, T., Ibironke, A., Lesage, D., Patrel, D. and Delaporte, E., 2000. Predominance of subtype A and G HIV type 1 in Nigeria, with geographical differences in their distribution. AIDS research and human retroviruses, 16(4), pp.315-325.
Piot, P., Bartos, M., Ghys, P.D., Walker, N. and Schwartländer, B., 2001. The global impact of HIV/AIDS. Nature, 410(6831), pp.968-973.
Reis, C., Heisler, M., Amowitz, L.L., Moreland, R.S., Mafeni, J.O., Anyamele, C. and Iacopino, V., 2005. Discriminatory attitudes and practices by health workers toward patients with HIV/AIDS in Nigeria. PLoS Med, 2(8), p.e246.
Roubenoff, R., Skolnik, P.R., Shevitz, A., Snydman, L., Wang, A., Melanson, S. and Gorbach, S., 2000. Effect of a Single Bout of Acute Exercise on Plasma Human Immunodeficiency Virus RNA Levels. Journal of Cardiopulmonary Rehabilitation and Prevention, 20(1), p.65.
Türmen, T., 2003. Gender and HIV/aids. International Journal of Gynecology & Obstetrics, 82(3), pp.411-418.
Walker, N., Grassly, N.C., Garnett, G.P., Stanecki, K.A. and Ghys, P.D., 2004. Estimating the global burden of HIV/AIDS: what do we really know about the HIV pandemic?. The Lancet, 363(9427), pp.2180-2185.
Ware, J.E. and Kosinski, M., 2001. Interpreting SF&-36 summary health measures: A response. Quality of life research, 10(5), pp.405-413.
Yen, C.F., Tsai, J.J., Lu, P.L., Chen, Y.H., Chen, T.C., Chen, P.P. and Chen, T.P., 2004. Quality of life and its correlates in HIV/AIDS male outpatients receiving highly active antiretroviral therapy in Taiwan. Psychiatry and clinical neurosciences, 58(5), pp.501-506.
