Effect of progressive resistance exercise on strength evolution of elderly patients living with HIV compared to healthy controls
Human Immunodeficiency Virus (HIV) infection worsens the frailty of elderly people, compromising their quality of life. In this study we prospectively evaluated eleven patients living with HIV and 21 controls older than 60 years and without prior regular physical activity, who engaged in a one-year...
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Published in | Clinics (São Paulo, Brazil) Vol. 66; no. 2; pp. 261 - 266 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English Portuguese |
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Brazil
Elsevier España, S.L.U
01.01.2011
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo Faculdade de Medicina / USP Elsevier España |
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Abstract | Human Immunodeficiency Virus (HIV) infection worsens the frailty of elderly people, compromising their quality of life. In this study we prospectively evaluated eleven patients living with HIV and 21 controls older than 60 years and without prior regular physical activity, who engaged in a one-year progressive resistance exercise program to compare its effects on muscular strength, physical fitness and body composition.
Exercises for major muscular groups were performed 2 times/week, under professional supervision. Strength increase was evaluated bimonthly, while body composition, lipid and glycaemic profiles (only of those living with HIV) and physical fitness were evaluated before and after the one-year training.
The participants living with HIV were lighter, had smaller Body Mass Index and were initially much weaker than controls. However, their strength increased more (1.52-2.33 times the baseline values for those living with HIV x 1.21-1.48 times for controls, p<0.01), nullifying the differences initially seen. These effects were seen independently of gender, age or baseline physical activity. In addition, those living with HIV improved their fasting glucose levels and showed a tendency to improve their lipids after the one year training program. These effects were slightly more pronounced among those not using protease inhibitors, although not significantly.
Resistance exercise safely increased the strength of older patients living with HIV adults, allowing them to achieve performance levels observed among otherwise healthy controls. These findings favor the recommendation of resistance exercise for elderly adults living with HIV adults. |
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AbstractList | OBJECTIVES: Human Immunodeficiency Virus (HIV) infection worsens the frailty of elderly people, compromising their quality of life. In this study we prospectively evaluated eleven patients living with HIV and 21 controls older than 60 years and without prior regular physical activity, who engaged in a one-year progressive resistance exercise program to compare its effects on muscular strength, physical fitness and body composition. METHODS: Exercises for major muscular groups were performed 2 times/week, under professional supervision. Strength increase was evaluated bimonthly, while body composition, lipid and glycaemic profiles (only of those living with HIV) and physical fitness were evaluated before and after the one-year training. RESULTS: The participants living with HIV were lighter, had smaller Body Mass Index and were initially much weaker than controls. However, their strength increased more (1.52-2.33 times the baseline values for those living with HIV x 1.21-1.48 times for controls, p<0.01), nullifying the differences initially seen. These effects were seen independently of gender, age or baseline physical activity. In addition, those living with HIV improved their fasting glucose levels and showed a tendency to improve their lipids after the one year training program. These effects were slightly more pronounced among those not using protease inhibitors, although not significantly. CONCLUSIONS: Resistance exercise safely increased the strength of older patients living with HIV adults, allowing them to achieve performance levels observed among otherwise healthy controls. These findings favor the recommendation of resistance exercise for elderly adults living with HIV adults. OBJECTIVESHuman Immunodeficiency Virus (HIV) infection worsens the frailty of elderly people, compromising their quality of life. In this study we prospectively evaluated eleven patients living with HIV and 21 controls older than 60 years and without prior regular physical activity, who engaged in a one-year progressive resistance exercise program to compare its effects on muscular strength, physical fitness and body composition. METHODSExercises for major muscular groups were performed 2 times/week, under professional supervision. Strength increase was evaluated bimonthly, while body composition, lipid and glycaemic profiles (only of those living with HIV) and physical fitness were evaluated before and after the one-year training. RESULTSThe participants living with HIV were lighter, had smaller Body Mass Index and were initially much weaker than controls. However, their strength increased more (1.52-2.33 times the baseline values for those living with HIV x 1.21-1.48 times for controls, p<0.01), nullifying the differences initially seen. These effects were seen independently of gender, age or baseline physical activity. In addition, those living with HIV improved their fasting glucose levels and showed a tendency to improve their lipids after the one year training program. These effects were slightly more pronounced among those not using protease inhibitors, although not significantly. CONCLUSIONSResistance exercise safely increased the strength of older patients living with HIV adults, allowing them to achieve performance levels observed among otherwise healthy controls. These findings favor the recommendation of resistance exercise for elderly adults living with HIV adults. Human Immunodeficiency Virus (HIV) infection worsens the frailty of elderly people, compromising their quality of life. In this study we prospectively evaluated eleven patients living with HIV and 21 controls older than 60 years and without prior regular physical activity, who engaged in a one-year progressive resistance exercise program to compare its effects on muscular strength, physical fitness and body composition. Exercises for major muscular groups were performed 2 times/week, under professional supervision. Strength increase was evaluated bimonthly, while body composition, lipid and glycaemic profiles (only of those living with HIV) and physical fitness were evaluated before and after the one-year training. The participants living with HIV were lighter, had smaller Body Mass Index and were initially much weaker than controls. However, their strength increased more (1.52-2.33 times the baseline values for those living with HIV x 1.21-1.48 times for controls, p<0.01), nullifying the differences initially seen. These effects were seen independently of gender, age or baseline physical activity. In addition, those living with HIV improved their fasting glucose levels and showed a tendency to improve their lipids after the one year training program. These effects were slightly more pronounced among those not using protease inhibitors, although not significantly. Resistance exercise safely increased the strength of older patients living with HIV adults, allowing them to achieve performance levels observed among otherwise healthy controls. These findings favor the recommendation of resistance exercise for elderly adults living with HIV adults. |
Author | Santarém, José Maria Burattini, Marcelo Nascimento de Souza, Paula Maria Loiola Jacob-Filho, Wilson Zomignan, Adriana Almeida |
AuthorAffiliation | Universidade de São Paulo Universidade Federal de São Paulo |
AuthorAffiliation_xml | – name: Universidade de São Paulo – name: Universidade Federal de São Paulo |
Author_xml | – sequence: 1 givenname: Paula Maria Loiola surname: de Souza fullname: de Souza, Paula Maria Loiola organization: Discipline of Medical Informatics & LIM 01 – Department of Pathology, Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil – sequence: 2 givenname: Wilson surname: Jacob-Filho fullname: Jacob-Filho, Wilson organization: Medical Clinics Department, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil – sequence: 3 givenname: José Maria surname: Santarém fullname: Santarém, José Maria organization: Medical Clinics Department, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil – sequence: 4 givenname: Adriana Almeida surname: Zomignan fullname: Zomignan, Adriana Almeida organization: Centro de Estudos em Ciências da Atividade Física – CECAFI, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil – sequence: 5 givenname: Marcelo Nascimento surname: Burattini fullname: Burattini, Marcelo Nascimento email: mnburatt@usp.br organization: Discipline of Medical Informatics & LIM 01 – Department of Pathology, Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/21484044$$D View this record in MEDLINE/PubMed |
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Keywords | Exercise Muscular strength HIV Elderly adults Resistance exercise |
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Snippet | Human Immunodeficiency Virus (HIV) infection worsens the frailty of elderly people, compromising their quality of life. In this study we prospectively... OBJECTIVESHuman Immunodeficiency Virus (HIV) infection worsens the frailty of elderly people, compromising their quality of life. In this study we... OBJECTIVES: Human Immunodeficiency Virus (HIV) infection worsens the frailty of elderly people, compromising their quality of life. In this study we... |
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SubjectTerms | Aged Body Composition - physiology Case-Control Studies Clinical Science Elderly adults Exercise Female Frail Elderly HIV HIV Infections - physiopathology Humans Male MEDICINE, GENERAL & INTERNAL Muscle Strength - physiology Muscular strength Physical Fitness - physiology Prospective Studies Resistance exercise Resistance Training |
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Title | Effect of progressive resistance exercise on strength evolution of elderly patients living with HIV compared to healthy controls |
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