Schuelter-Trevisol Fabiana, Wolff Fernando H, Alencastro Paulo R, Grigoletti Shana, Ikeda Maria L, Brandão Ajácio B M, Barcellos Nemora T, Fuchs Sandra C
Postgraduate Studies Program in Cardiology, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Curr HIV Res. 2012 Sep;10(6):487-97. doi: 10.2174/157016212802429794.
Several studies have suggested that aerobic physical activity is safe and beneficial for HIV-infected adults. However, there is information lacking regarding whether HIV-infected patients practice physical activity and to what extent. Therefore, the aim of this systematic review was to determine the prevalence of physical activity, sedentary lifestyle or lack of physical activity in non-experimental conditions performed by HIV-infected subjects. The electronic search was conducted using Medline and EMBASE bibliographic databases and the platforms of Bireme, Ovid, Science Direct, High Wire and SCIELO from January 1990 to July 2011. Original observational studies were included. Of the 2,838 articles found, 48 met the inclusion criteria. Following data extraction and after reading the manuscripts, 24 were selected for systematic review. Of the 24 studies, most were cross-sectional studies. The average quality score using the modified Newcastle-Ottawa scale was 2.8±1.5. The diversity of methods used to assess physical activity precluded the calculated summary estimate of prevalence. The percentage of sedentary lifestyle was determined in 13 articles which conducted studies on HIV-infected individuals. The percentage of sedentary lifestyle or physical inactivity ranged from 19%to 73%, with the level determined by different methods. In conclusion, there are few well-designed studies with adequate sample size to represent the population of HIV-infected individuals. A pooled estimate could not be calculated due to the differences in physical activity measurements and definitions of physically active and non-active HIV-infected individuals.
多项研究表明，有氧体育活动对感染HIV的成年人是安全且有益的。然而，关于感染HIV的患者是否进行体育活动以及活动程度如何，目前尚缺乏相关信息。因此，本系统评价的目的是确定在非实验条件下，感染HIV的受试者进行体育活动、久坐不动或缺乏体育活动的比例。检索了1990年1月至2011年7月期间的Medline和EMBASE书目数据库以及Bireme、Ovid、Science Direct、High Wire和SCIELO平台进行电子检索。纳入原始观察性研究。在检索到的2838篇文章中，48篇符合纳入标准。经过数据提取和阅读手稿后，选择了24篇进行系统评价。在这24项研究中，大多数是横断面研究。使用改良的纽卡斯尔-渥太华量表得出的平均质量评分为2.8±1.5。用于评估体育活动的方法多种多样，无法计算出患病率的汇总估计值。在13篇针对感染HIV个体进行研究的文章中确定了久坐不动的生活方式的比例。久坐不动的生活方式或缺乏体育活动的比例在19%至73%之间，具体比例因评估方法不同而有所差异。总之，很少有设计良好且样本量充足的研究能够代表感染HIV的个体群体。由于体育活动测量方法以及感染HIV的活跃和不活跃个体定义的差异，无法计算出合并估计值。
