Evidence-Informed Practical Recommendations for Increasing Physical Activity Among Persons Living With HIV

Jessica L. Montoya; Catherine M. Jankowski; Kelly K. O'Brien; Allison R. Webel; Krisann K. Oursler; Brook L. Henry; David J. Moore; Kristine M. Erlandsong

Disclosures

AIDS. 2019;33(6):931-939. 

In This Article

Alternative Types of Physical Activity

In addition to traditional aerobic (e.g. walking, biking and swimming) and resistance exercises (Table 1), lower intensity physical activity such as yoga is associated with positive benefits among PLWH, including an improvement in quality of life,[8] reduction of depressive symptoms[9] and reduction of blood pressure.[9,49] Tai Chi was also associated with improved well being and balance in PLWH.[50] The benefits of high-intensity exercise are similarly evident: Erlandson et al.[10] recently demonstrated that among older PLWH, high-intensity aerobic and resistance exercise (based on target heart rate and resistance load) improved endurance and strength to a similar, if not greater, extent than moderate-intensity exercise. Oursler et al.[51] similarly demonstrated significant gains in endurance among older PLWH exercising at a higher than a more moderate-intensity aerobic programme. These studies of high-intensity exercise have indicated no reason to dissuade PLWH – young or old – from progressing to high-intensity exercise following several weeks of moderate-intensity training. More details about the effectiveness of various types of physical activity among PLWH can be found in a recent meta-analysis.[52]

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