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体育锻炼对HIV感染患者生活满意度感知及免疫功能的影响:非随机临床试验

Effects of physical exercise in the perception of life satisfaction and immunological function in HIV-infected patients: Non-randomized clinical trial.

作者信息

Gomes Rodrigo D, Borges Juliana P, Lima Dirce B, Farinatti Paulo T V

机构信息

Institute of Physical Education and Sports, Laboratory of Physical Activity and Health Promotion, Rio de Janeiro, RJ, Brasil.

出版信息

Rev Bras Fisioter. 2010 Sep-Oct;14(5):390-5.

PMID:21180864
Abstract

BACKGROUND

there is a lack of research about the relationship between exercise and the psychological well-being of HIV-infected (Human Immunodeficiency Virus) patients.

OBJECTIVE

the objective of this study was to investigate the influence of a physical training program on life satisfaction and on the immunological function in HIV-patients.

METHODS

a total of 29 HIV-seropositive patients [age: 45 ± 2 yrs; Body Mass Index (BMI): 22.8 ± 1.0 kg/m² ; TCD4: 20.5 ± 2.0%] were allocated to the control (CG, n=10) and to the experimental groups (EG, n=19). The EG participated in an exercise program combining aerobic, strength, and flexibility exercises for a period of 12 weeks [3 times/week of 30 min of aerobic exercise (workload corresponding to 150 bpm-PWC150); 50 min of strength exercises (3 sets of 12 repetitions in 5 exercises at 60-80% 12 RM); and 10 min of flexibility exercises (2 sets of 30 seconds at maximal range of motion of 8 exercises)]. The immunological function was assessed by flow citometry [absolute and relative TCD4 cells counting] and the life satisfaction was assessed by the Life Satisfaction Index (LSI).

RESULTS

the analysis of variance (ANOVA) showed no significant differences for relative and absolute CD4 T counts for both groups, however, a slight enhancement trend in the EG [16%, p=0.19] was observed. There was a significant improvement of LSI [approximately 15%; P<0.05] in EG, but not for CG.

CONCLUSION

a physical activity program of moderate intensity improved life satisfaction perception in HIV-infected patients with no immunological function impairment.

摘要

背景

关于运动与感染人类免疫缺陷病毒(HIV)患者心理健康之间的关系,目前缺乏相关研究。

目的

本研究旨在调查体育锻炼计划对HIV患者生活满意度和免疫功能的影响。

方法

总共29名HIV血清阳性患者[年龄:45±2岁;体重指数(BMI):22.8±1.0kg/m²;TCD4:20.5±2.0%]被分配到对照组(CG,n = 10)和实验组(EG,n = 19)。实验组参加了一个为期12周的运动计划,该计划结合了有氧运动、力量训练和柔韧性训练[每周3次,每次30分钟有氧运动(工作量相当于150次/分钟-心率储备150);50分钟力量训练(5项运动,每组12次重复,共3组,强度为60-80%的12次重复最大重量);以及10分钟柔韧性训练(8项运动,每组30秒,共2组,最大运动范围)]。通过流式细胞术[绝对和相对TCD4细胞计数]评估免疫功能,通过生活满意度指数(LSI)评估生活满意度。

结果

方差分析(ANOVA)显示两组的相对和绝对CD4 T细胞计数无显著差异,然而,观察到实验组有轻微的增强趋势[16%,p = 0.19]。实验组的LSI有显著改善[约15%;P<0.05],而对照组没有。

结论

中等强度的体育活动计划可提高未出现免疫功能损害的HIV感染患者的生活满意度。

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