John Davidson Okwudili, Tella Bosede A, Olawale Olajide A, John Jeneviv N, Adeyemo Titilope A, Okezue Obinna C
Department of Physiotherapy, Federal Teaching Hospital, Abakaliki, Nigeria.
Department of Physiotherapy, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Lagos, Nigeria.
J Exerc Rehabil. 2018 Oct 31;14(5):891-898. doi: 10.12965/jer.1836306.153. eCollection 2018 Oct.
This study evaluated the effects of aerobic exercise program on the cardiovascular parameters, body composition, and quality of life (QoL) of people living with human immune virus (HIV). Patients were recruited from the HIV clinic in a tertiary hospital in Nigeria. Fish bowl method was used to randomize the patients to either experimental or control group. Experimental group received nutritional counseling and aerobic exercise program on a treadmill, 3 times a week for a period of 6 weeks, while the control group received only nutritional counseling. Cardiovascular parameters, aerobic fitness, body composition parameters, and QoL were evaluated at baseline and 6 weeks. Descriptive statistics was used to explore demographic data while the hypothesis was tested using inferential statistics of -test. Alpha level was set at <0.05. The result showed that there was an improvement in cardiovascular parameters in both groups, attaining significance in the experimental group (=0.000). Aerobic fitness increased significantly in experimental group (=0.000). Body composition decreased significantly while there was a significant difference in the muscle mass (%) between groups (<0.05). All domains of QoL had a significant improvement in both groups (<0.005). A 6-week aerobic exercise program in addition to nutritional counseling was able to significantly improve cardiovascular fitness, body composition, and QoL in people living with HIV/acquired immune deficiency syndrome. Nutritional counseling alone can bring about an improvement only in QoL parameters.
本研究评估了有氧运动计划对感染人类免疫缺陷病毒（HIV）人群的心血管参数、身体成分和生活质量（QoL）的影响。患者从尼日利亚一家三级医院的HIV诊所招募。采用抽签法将患者随机分为实验组或对照组。实验组接受营养咨询和跑步机上的有氧运动计划，每周3次，为期6周，而对照组仅接受营养咨询。在基线和6周时评估心血管参数、有氧适能、身体成分参数和生活质量。使用描述性统计探索人口统计学数据，同时使用t检验的推断统计检验假设。α水平设定为<0.05。结果显示，两组的心血管参数均有改善，实验组达到显著水平（P=0.000）。实验组的有氧适能显著增加（P=0.000）。身体成分显著下降，两组之间的肌肉质量（%）存在显著差异（P<0.05）。两组生活质量的所有领域均有显著改善（P<0.005）。除营养咨询外，为期6周的有氧运动计划能够显著改善HIV/获得性免疫缺陷综合征患者的心血管适能、身体成分和生活质量。仅营养咨询只能改善生活质量参数。
