Suppr超能文献

HIV+ 成人与心血管风险相关行为的 SystemCHANGE 干预措施的随机对照试验。

Randomized Controlled Trial of the SystemCHANGE Intervention on Behaviors Related to Cardiovascular Risk in HIV+ Adults.

机构信息

Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH.

Division of Cardiovascular Medicine, Case Western Reserve University School of Medicine, University Hospitals Harrington Heart & Vascular Institute, Cleveland, OH.

出版信息

J Acquir Immune Defic Syndr. 2018 May 1;78(1):23-33. doi: 10.1097/QAI.0000000000001635.

Abstract

OBJECTIVE

To examine the effect of a lifestyle behavior intervention (SystemCHANGE) on physical activity and diet quality among sedentary people living with HIV (PLHIV). All participants expressed a desire to improve lifestyle health behaviors.

METHODS

One hundred and seven HIV+ adults were randomized to either the intervention (6, in-person, standardized group sessions focusing on improving lifestyle behaviors) or a control condition (general advice on AHA diet and exercise guidelines). All participants wore an ActiGraph accelerometer and completed 24-hour dietary recalls at baseline, 3, and 6 months. Generalized estimating equations were used to examine intervention effects. The primary activity outcome was time spent in moderate-to-vigorous physical activity, and the primary dietary outcome was Healthy Eating Index.

RESULTS

Mean age was 53 years, 65% were male, and 86% African American. Approximately 90% attended at least half of the sessions and 60% attended 5 or more sessions. The intervention did not significantly improve our primary lifestyle behavior endpoints (P ≥ 0.05); however, intervention participants consumed fewer carbohydrates-primarily sugar-sweetened beverages-per day and lost 0.732 kg body weight compared with a 0.153 weight gain in the control group (P = 0.03).

CONCLUSIONS

Among sedentary PLHIV at high risk of cardiovascular disease, the SystemCHANGE intervention reduced daily carbohydrate intake and body weight, but did not increase physical activity or improve overall diet quality. Future work should identify fundamental personal, interpersonal, and contextual factors that will increase physical activity and improve overall diet quality among this population, and integrate these factors into tailored, lifestyle interventions for aging PLHIV.

摘要

目的

研究生活方式行为干预(SystemCHANGE)对患有 HIV 的久坐人群(PLHIV)的身体活动和饮食质量的影响。所有参与者都表示希望改善生活方式健康行为。

方法

107 名 HIV+ 成年人被随机分为干预组(6 节,针对改善生活方式行为的标准化小组课程)或对照组(关于 AHA 饮食和运动指南的一般建议)。所有参与者都佩戴了 ActiGraph 加速度计,并在基线、3 个月和 6 个月时完成了 24 小时膳食回忆。使用广义估计方程来检验干预效果。主要活动结果是中度至剧烈体力活动所花费的时间,主要饮食结果是健康饮食指数。

结果

平均年龄为 53 岁,65%为男性,86%为非裔美国人。大约 90%的人至少参加了一半的课程,60%的人参加了 5 次或更多的课程。干预并没有显著改善我们的主要生活方式行为终点(P≥0.05);然而,与对照组相比,干预组每天摄入的碳水化合物(主要是含糖饮料)减少了 0.732 公斤,体重减轻了 0.732 公斤,而对照组的体重增加了 0.153 公斤(P=0.03)。

结论

在心血管疾病风险较高的久坐 PLHIV 中,SystemCHANGE 干预措施减少了每日碳水化合物的摄入量和体重,但并没有增加体力活动或改善整体饮食质量。未来的工作应该确定将增加体力活动和改善这一人群整体饮食质量的基本个人、人际和环境因素,并将这些因素纳入针对老年 PLHIV 的定制生活方式干预措施中。

相似文献

1
Randomized Controlled Trial of the SystemCHANGE Intervention on Behaviors Related to Cardiovascular Risk in HIV+ Adults.
J Acquir Immune Defic Syndr. 2018 May 1;78(1):23-33. doi: 10.1097/QAI.0000000000001635.
3
5
Cardiorespiratory fitness is associated with inflammation and physical activity in HIV+ adults.
AIDS. 2019 May 1;33(6):1023-1030. doi: 10.1097/QAD.0000000000002154.
6
Impact of Perceived Cardiovascular Risk on Cardiovascular Disease Prevention Behaviors in People With and Without HIV Infection.
J Acquir Immune Defic Syndr. 2020 Apr 15;83(5):513-521. doi: 10.1097/QAI.0000000000002290.

引用本文的文献

3
Pharmacological and Behavioral Interventions to Mitigate Premature Aging in Patients with HIV.
Curr HIV/AIDS Rep. 2023 Dec;20(6):394-404. doi: 10.1007/s11904-023-00677-7. Epub 2023 Nov 2.
4
Self-management: A comprehensive approach to improve quality of life among people living with HIV in Indonesia.
Belitung Nurs J. 2021 Oct 28;7(5):395-401. doi: 10.33546/bnj.1554. eCollection 2021.
8
Preventing cardiovascular disease in midlife women with HIV: An examination of facilitators and barriers to heart health behaviors.
J Women Aging. 2023 May-Jun;35(3):223-242. doi: 10.1080/08952841.2022.2030203. Epub 2022 Feb 24.
9
Working status and seasonal meteorological conditions predict physical activity levels in people living with HIV.
AIDS Care. 2022 Jul;34(7):926-935. doi: 10.1080/09540121.2021.1981219. Epub 2021 Oct 6.
10
Effects of a Health Promotion Intervention on Physical Activity in African American Men Living with HIV: Randomized Controlled Trial.
AIDS Patient Care STDS. 2021 Oct;35(10):377-384. doi: 10.1089/apc.2021.0039. Epub 2021 Sep 22.

本文引用的文献

2
Sugar sweetened beverages and cardiometabolic health.
Curr Opin Cardiol. 2017 Sep;32(5):572-579. doi: 10.1097/HCO.0000000000000439.
3
Increased Risk of Myocardial Infarction in HIV-Infected Individuals in North America Compared With the General Population.
J Acquir Immune Defic Syndr. 2017 Aug 15;75(5):568-576. doi: 10.1097/QAI.0000000000001450.
4
The Relationship between Social Support and Diet Quality in Middle-Aged and Older Adults in the United States.
J Acad Nutr Diet. 2017 Aug;117(8):1272-1278. doi: 10.1016/j.jand.2017.03.018. Epub 2017 May 5.
9
Healthy Lifestyle Medicine in the Traditional Healthcare Environment-Primary Care and Cardiac Rehabilitation.
Prog Cardiovasc Dis. 2017 Mar-Apr;59(5):448-454. doi: 10.1016/j.pcad.2017.01.008. Epub 2017 Feb 2.
10
Global physical activity levels among people living with HIV: a systematic review and meta-analysis.
Disabil Rehabil. 2018 Feb;40(4):388-397. doi: 10.1080/09638288.2016.1260645. Epub 2016 Dec 8.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验