A Mobile Application for Exercise Intervention in People Living with HIV.


Journal

Medicine and science in sports and exercise
ISSN: 1530-0315
Titre abrégé: Med Sci Sports Exerc
Pays: United States
ID NLM: 8005433

Informations de publication

Date de publication:
02 2020
Historique:
pubmed: 16 8 2019
medline: 4 9 2020
entrez: 16 8 2019
Statut: ppublish

Résumé

This study aimed to assess 16-wk improvements of physical fitness, metabolic, and psychological parameters in people living with HIV (PLWH) exercising with the support of a smartphone application, as compared with a control group exercising without application. This was a randomized, open-label, pilot study enrolling PLWH in a 16-wk protocol consisting of moderate physical activity three times per week, which included an initial coach-supervised period of 4 wk, followed by 12 wk where participants trained independently. Participants were allocated to either an experimental group that trained using a smartphone application (APP) or a control group that practiced following a hard copy training program (No-APP). At baseline (BL) and after 16 wk (W16), patients were assessed for cardiorespiratory fitness, body composition, blood lipid profile, and POMS. Forty-eight PLWH were screened and 38 were eligible: 20 were allocated to the APP group and 18 to the No-APP group. Two APP and two No-APP participants were lost to follow-up. Intention-to-treat analysis showed a W16 improvement from BL of ≥15% V˙ O2peak in 13 (72%) of 18 in APP, but only in 3 (19%) of 16 in No-APP participants (P = 0.025). Significant W16 improvements were observed in APP, but not in No-APP participants, in V˙O2peak; fat mass and fat-free mass percent; total cholesterol, LDL cholesterol, and triglycerides; vigor; and total mood by POMS. Accordingly, significant percent change differences between the APP and the No-APP groups were observed in V˙O2peak; fat and fat-free mass percent; total cholesterol, LDL cholesterol, and triglycerides; and depression, vigor, anger, and total mood by POMS. Exercising using a smartphone application improved cardiorespiratory fitness, body composition, cholesterol profiles, and psychological outcomes in PLWH.

Identifiants

pubmed: 31415448
doi: 10.1249/MSS.0000000000002125
pii: 00005768-202002000-00018
doi:

Substances chimiques

Anti-HIV Agents 0
Lipids 0

Types de publication

Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

425-433

Références

Garber CE, Blissmer B, Deschenes MR, et al. American College of Sports Medicine Position Stand: quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43:1334–59.
O’Brien KK, Tynan AM, Nixon SA, 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;16:182.
Lederman MM, Funderburg NT, Sekaly RP, et al. Residual immune dysregulation syndrome in treated HIV infection. Adv Immunol. 2013;119:51–83.
Bonato M, Galli L, Passeri L, et al. A pilot study of brisk walking in sedentary combination antiretroviral treatement (cART)-treated patients: benefit on soluble and cell inflammatory markers. BMC Infect Dis. 2017;17:61.
Forechi L, Mill JG, Griep RH, et al. Adherence to physical activity in adults with chronic diseases: ELSA-Brasil. Rev Saude Publica. 2018;52:31.
Flores Mateo G, Granado-Font E, Ferré-Grau C, et al. Mobile phone apps to promote weight loss and increase physical activity: a systematic review and meta-analysis. J Med Internet Res. 2015;17:e253.
McKay FH, Cheng C, Wright A, et al. Evaluating mobile phone applications for health behaviour change: a systematic review. J Telemed Telecare. 2018;24:22–30.
Krishna S, Boren SA, Balas EA. Healthcare via cell phones: a systematic review. Telemed J E Health. 2009;231–40.
Klasnja P, Pratt W. Healthcare in the pocket: mapping the space of mobile-phone health interventions. J Biomed Inform. 2012;45:184–98.
Patrick K, Griswold WG, Raab F, et al. Health and the mobile phone. Am J Prev Med. 2008;35:177–81.
Middelweerd A, Mollee JS, van der Wal CN, et al. Apps to promote physical activity among adults: a review and content analysis. Int J Behav Nutr Phys Act. 2014;11:97.
Jee H. Review of researches on smartphone applications for physical activity promotion in healthy adults. J Exerc Rehabil. 2017;13:3–11.
Wenger HA, Bell GJ. The interactions of intensity, frequency and duration of exercise training in altering cardiorespiratory fitness. Sports Med. 1986;3:346–56.
Borg G. Borg’s Perceived Exertion and Pain Scales. Champaign IL: Human Kinetics; 1998.
Justice AC, Modur SP, Tate JP, et al. Predictive accuracy of the veterans aging cohort study index for mortality with HIV infection: a north American cross cohort analysis. J Acquir Immune Defic Syndr. 2013;62:149–63.
Piacentini MF, Salvatori G, Di Cesare C, et al. Effect of zone-diet on training parameters in recreational master athletes. In: Reilly T, Atkinson G, editors. Contemporary Sport, Leisure and Ergonomics. London: Routledge; 2009. pp. 227–41.
Morgan WP, Brown DR, Raglin JS, et al. Psychological monitoring of overtraining and staleness. Br J Sports Med. 1987;21:107–14.
Jaggers JR, Hand GA, Dudgeon WD, et al. Aerobic and resistance training improves mood state among adults living with HIV. Int J Sports Med. 2015;36:175–81.
American Council on Exercise (ACE). What Are the Guidelines for Percentage of Body Fat Loss? 2009.
Gal R, May AM, van Overmeeren EJ, et al. The effect of physical activity interventions comprising wearables and smartphone applications on physical activity: a systematic review and meta-analysis. Sports Med Open. 2018;4:42.
Rhodes RE, Warburton DE, Murray H. Characteristics of physical activity guidelines and their effect on adherence: a review of randomized trials. Sports Med. 2009;39:355–75.
Kaczynski AT, Henderson KA. Environmental correlates of physical activity: a review of evidence about parks and recreation. Leis Sci. 2007;29:315–54.
Hug SM, Hartig T, Hansmann R, et al. Restorative qualities of indoor and outdoor exercise settings as predictors of exercise frequency. Health Place. 2009;15:971–80.
Webel AR, Jenkins T, Vest M, et al. Cardiorespiratory fitness is associated with inflammation and physical activity in HIV+ adults. AIDS. 2019;33:1023–30.
Kodama S, Saito K, Tanaka S, et al. Cardiorespiratory fitness as a quantitative predictor of all-cause mortality and cardiovascular events in healthy men and women: a meta-analysis. JAMA. 2009;301:2024–35.
Chastain DB, Henderson H, Stover KR. Epidemiology and management of antiretroviral-associated cardiovascular disease. Open AIDS J. 2015;9:23–37.
Kelley GA, Kelley KS, Tran ZV. Aerobic exercise and lipids and lipoproteins in women: a meta-analysis of randomized controlled trials. J Womens Health (Larchmt). 2004;13:1148–64.
The National Cholesterol Education Program (NCEP). Expert panel on detection evaluation and treatment of high blood cholesterol in adults. Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation. 2002;106:314–3421.
Montesi L, Moscatiello S, Malavolti M, et al. Physical activity for the prevention and treatment of metabolic disorders. Intern Emerg Med. 2013;8:655–66.
Hawkins KL, Brown TT, Margolick JB, et al. Geriatric syndromes: new frontiers in HIV and sarcopenia. AIDS. 2017;31:S137–46.
Martin K, Naclerio F, Karsten B, et al. Physical activity and quality of life in people living with HIV. AIDS Care. 2019;31:589–98.
Nanni MG, Caruso R, Mitchell AJ, et al. Depression in HIV infected patients: a review. Curr Psychiatry Rep. 2015;17:530.
Adinolfi A. Assessment and treatment of HIV-related fatigue. J Assoc Nurses AIDS Care. 2001;(12 Suppl):29–34.
Marcellin F, Protopopescu C, Esterle L, et al. Short article: anger and quality of life in patients co-infected with HIV and hepatitis C virus: a cross-sectional study (ANRS CO13-HEPAVIH). Eur J Gastroenterol Hepatol. 2017;29:786–91.
White RL, Babic MJ, Parker PD, et al. Domain-specific physical activity and mental health: a meta-analysis. Am J Prev Med. 2017;52:653–66.
Phillips C, Fahimi A. Immune and neuroprotective effects of physical activity on the brain in depression. Front Neurosci. 2018;12:498.
Nicastri E, Leone S, Angeletti C, et al. Sex issues in HIV-1-infected persons during highly active antiretroviral therapy: a systematic review. J Antimicrob Chemother. 2007;60:724–32.
Zhang X, Yu P, Yan J, et al. Using diffusion of innovation theory to understand the factors impacting patient acceptance and use of consumer e-health innovations: a case study in a primary care clinic. BMC Health Serv Res. 2015;15:71.

Auteurs

Matteo Bonato (M)

IRCCS, Istituto Ortopedico Galeazzi, Milano, ITALY.

Filippo Turrini (F)

Infectious Diseases Unit, IRCCS, San Raffaele Scientific Institute, Milano, ITALY.

Valentina DE Zan (V)

Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, ITALY.

Andrea Meloni (A)

Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, ITALY.

Marta Plebani (M)

Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, ITALY.

Elena Brambilla (E)

Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, ITALY.

Alessandra Giordani (A)

Department of Neurological Sciences, IRCCS, San Raffaele Scientific Institute, Milano, ITALY.

Chiara Vitobello (C)

Infectious Diseases Unit, IRCCS, San Raffaele Scientific Institute, Milano, ITALY.

Roberta Caccia (R)

Infectious Diseases Unit, IRCCS, San Raffaele Scientific Institute, Milano, ITALY.

Maria Francesca Piacentini (MF)

Functional Evaluation and Analysis of Sport Performance, Department of Movement, Human and Health Sciences, Foro Italico University of Rome, Rome, ITALY.

Adriano Lazzarin (A)

Infectious Diseases Unit, IRCCS, San Raffaele Scientific Institute, Milano, ITALY.

Laura Galli (L)

Infectious Diseases Unit, IRCCS, San Raffaele Scientific Institute, Milano, ITALY.

Paola Cinque (P)

Infectious Diseases Unit, IRCCS, San Raffaele Scientific Institute, Milano, ITALY.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH