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伊朗德黑兰:一项随机对照试验研究短期生活方式改变方案对艾滋病毒感染者生活质量、人体测量特征和 CD4+T 细胞计数的影响。

Effect of a Short-term Lifestyle Modification Program on Quality of Life, Anthropometric Characteristics and CD4+T Cell Count of HIV Infected Patients in Tehran/Iran: A Randomized Controlled Trial.

机构信息

Department of Sport Sciences, Faculty of Humanities, Tarbiat Modares University, Tehran, Iran.

Faculty of Psychology and Education, University of Tehran, Iran.

出版信息

Explore (NY). 2019 Jul-Aug;15(4):308-315. doi: 10.1016/j.explore.2019.01.004. Epub 2019 Feb 4.

Abstract

CONTEXT

Increasing physical activity and promoting healthy behaviors may play a key role in reducing the adverse effects of antiretroviral therapy and HIV.

OBJECTIVE

This study investigated the effects of an 8-week lifestyle modification program (LMP) on quality of life, anthropometric characteristics and CD4+T cell count of people living with HIV (PLWH).

METHODS

Thirty PLWH taking ART were randomly assigned to a lifestyle modification program (LMP) (n = 15) or standard care control (CON) group (n = 15). All volunteers underwent body composition, CD4+T cell count measurement and quality of life assessments at the beginning and end of a two-month experimental period.

RESULTS

At follow-up, we observed a significant increase in CD4+T cell count (117.52 cells/mm; 95% CI, 36.59-198.45) and all subscales and total quality of life score (Short-Form 36 (SF-36) in the LMP group. While we did not observe a significant change in body composition for the LMP group, we did observe a significant increase in body fat (1.75%; 95% CI, 0.15, 2.33) and a reduction in lean body mass (-1.26; 95% CI, -1.26, -2.39) for the CON group.

CONCLUSION

A LMP can be safely used as an effective intervention for improving quality of life and immune competence of PLWH who lack time to participate in a structured exercise regimen.

TRIAL REGISTRATION

IRCT 201604034076N18. Registered: 2016-05-05 .web address of TRIAL: en.search.irct.ir/trial/4262.

摘要

背景

增加身体活动和促进健康行为可能在减轻抗逆转录病毒治疗和 HIV 的不良影响方面发挥关键作用。

目的

本研究调查了 8 周生活方式改变方案(LMP)对接受抗逆转录病毒治疗的 HIV 感染者(PLWH)生活质量、人体测量特征和 CD4+T 细胞计数的影响。

方法

30 名接受 ART 的 PLWH 被随机分配到生活方式改变方案(LMP)组(n=15)或标准护理对照组(CON)组(n=15)。所有志愿者在为期两个月的实验期开始和结束时进行身体成分、CD4+T 细胞计数测量和生活质量评估。

结果

随访时,我们观察到 LMP 组 CD4+T 细胞计数(117.52 个/毫米;95%CI,36.59-198.45)和所有子量表和总生活质量评分(短期表格 36(SF-36)显著增加。虽然我们没有观察到 LMP 组的身体成分有显著变化,但我们确实观察到 CON 组的体脂增加(1.75%;95%CI,0.15,2.33)和瘦体重减少(-1.26%;95%CI,-1.26,-2.39)。

结论

LMP 可作为一种安全有效的干预措施,用于改善缺乏时间参加结构化运动方案的 PLWH 的生活质量和免疫能力。

试验注册

IRCT 201604034076N18. 注册时间:2016 年 5 月 5 日。试验网址:en.search.irct.ir/trial/4262。

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