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运动训练对接受高效抗逆转录病毒治疗的卢旺达艾滋病毒阳性且有体脂重新分布的受试者生活质量的影响。

The effects of exercise training on quality of life in HAART-treated HIV-positive Rwandan subjects with body fat redistribution.

作者信息

Mutimura Eugene, Stewart Aimee, Crowther Nigel J, Yarasheski Kevin E, Cade W Todd

机构信息

Faculty of Allied Health Sciences, Kigali Health Institute, PO Box 3286, Kigali, Rwanda.

出版信息

Qual Life Res. 2008 Apr;17(3):377-85. doi: 10.1007/s11136-008-9319-4. Epub 2008 Mar 5.

DOI:10.1007/s11136-008-9319-4
PMID:18320351
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3167195/
Abstract

OBJECTIVE

Our objective was to examine the effects of exercise training (EXS) on quality of life (QoL) in highly active antiretroviral therapy (HAART)-treated HIV-positive (HIV+) subjects with body fat redistribution (BFR) in Rwanda.

METHODS

The effects of a randomised controlled trial of EXS on QoL were measured using World Health Organisation Quality of Life (WHOQOL)-BREF in HIV+ subjects with BFR randomised to EXS (n = 50; BFR + EXS) or no exercise training (n = 50; BFR + noEXS).

RESULTS

At 6 months, scores on the psychological [1.3 (0.3) vs. 0.5 (0.1); P < 0.0001], independence [0.6 (0.1) vs. 0.0 (0.0); P < 0.0001], social relationships [0.6 (0.2) vs. 0.0 (0.0); P < 0.0001] and HIV HAART-specific QoL domains [1.4 (0.2) vs. -0.1 (0.2); P < 0.0001] improved more in BFR + EXS than BFR + noEXS group, respectively. Self-esteem [1.3 (0.8) vs. 0.1 (0.6); P < 0.001], body image [1.5 (0.6) vs. 0.0 (0.5); P < 0.001] and emotional stress [1.6 (0.7) vs. 0.2 (0.5); P < 0.001] improved more in the BFR + EXS group than BFR + noEXS group, respectively. Psychological [1.5 (0.2) vs. 1.1 (0.3); P < 0.0001], social relationship [0.8 (0.2) vs. 0.4 (0.2); P < 0.0001], and HIV HAART-specific well-being [1.8 (0.2) vs. 1.0 (0.0); P < 0.0001] improved more in BFR + EXS female than male subjects.

CONCLUSIONS

Exercise training improved several components of QoL in HAART-treated HIV+ African subjects with BFR. Exercise training is an inexpensive and efficacious strategy for improving QoL in HIV+ African subjects, which may improve HAART adherence and treatment initiatives in resource-limited areas of sub-Saharan Africa.

摘要

目的

我们的目的是研究运动训练（EXS）对卢旺达接受高效抗逆转录病毒治疗（HAART）且有体脂重新分布（BFR）的HIV阳性（HIV+）高活动水平受试者生活质量（QoL）的影响。

方法

使用世界卫生组织生活质量量表简表（WHOQOL-BREF）测量EXS随机对照试验对QoL的影响，将有BFR的HIV+受试者随机分为EXS组（n = 50；BFR + EXS）或无运动训练组（n = 50；BFR + noEXS）。

结果

6个月时，BFR + EXS组在心理[1.3（0.3）对0.5（0.1）；P < 0.0001]、独立性[0.6（0.1）对0.0（0.0）；P < 0.0001]、社会关系[0.6（0.2）对0.0（0.0）；P < 0.0001]和HIV HAART特异性QoL领域[1.4（0.2）对 -0.1（0.2）；P < 0.0001]方面的改善分别比BFR + noEXS组更多。自尊[1.3（0.8）对0.1（0.6）；P < 0.001]、身体意象[1.5（0.6）对0.0（0.5）；P < 0.001]和情绪压力[1.6（0.7）对0.2（0.5）；P < 0.001]在BFR + EXS组中的改善也分别比BFR + noEXS组更多。BFR + EXS组女性在心理[1.5（0.2）对1.1（0.3）；P < 0.0001]、社会关系[0.8（0.2）对0.4（0.2）；P < 0.0001]和HIV HAART特异性幸福感[1.8（0.2）对1.0（0.0）；P < 0.0001]方面的改善比男性受试者更多。

结论

运动训练改善了接受HAART治疗且有BFR的HIV+非洲受试者生活质量的几个方面。运动训练是提高HIV+非洲受试者生活质量的一种廉价且有效的策略，这可能会提高撒哈拉以南非洲资源有限地区的HAART依从性和治疗效果。