远程医疗锻炼干预对老年 HIV 感染者的影响：一项多中心随机试验方案。
Telehealth Exercise Intervention in Older Adults With HIV: Protocol of a Multisite Randomized Trial.
机构信息
Krisann K. Oursler, MD, ScM, is Director, Geriatric Research and Education, Salem Veterans Affairs Medical Center, and is an Associate Professor, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA.
Vincent C. Marconi, MD, is Director, Infectious Diseases Research Program, Atlanta Veterans Affairs Medical Center, and is a Professor, Emory University School of Medicine and Emory University Rollins School of Public Health, Atlanta, Georgia, USA.
出版信息
J Assoc Nurses AIDS Care. 2022;33(2):168-177. doi: 10.1097/JNC.0000000000000235.
People with HIV (PWH) have reduced cardiorespiratory fitness, but a high intensity, easily disseminated exercise program has not yet been successfully developed in older PWH. The purpose of this article is to describe a synchronous telehealth exercise intervention in older PWH, delivered from one medical center to two other centers. Eighty older PWH (≥50 years) on antiretroviral therapy will be randomized to exercise or delayed entry control groups. Functional circuit exercise training, which does not entail stationary equipment, will be provided by real-time videoconferencing, 3 times weekly for 12 weeks, to small groups. Continuous remote telemonitoring of heart rate will ensure high exercise intensity. We hypothesize that telehealth exercise will be feasible and increase cardiorespiratory fitness and reduce sarcopenia and frailty. Findings will provide new insight to target successful aging in older PWH and can also be widely disseminated to PWH of any age or other patient populations.
艾滋病毒感染者（PWH）的心肺功能健康状况较差，但尚未成功为老年 PWH 开发出高强度、易于传播的运动方案。本文的目的是描述一种从一个医疗中心向另外两个中心提供的同步远程医疗锻炼干预措施，用于老年 PWH。将 80 名接受抗逆转录病毒疗法的老年 PWH（≥50 岁）随机分配到锻炼组或延迟进入对照组。功能性电路锻炼训练不使用固定设备，通过实时视频会议每周 3 次、每次 12 周为小团体提供。连续远程遥测心率将确保高强度的运动。我们假设远程医疗锻炼是可行的，并且可以提高心肺功能健康状况，减少肌肉减少症和虚弱。研究结果将为老年 PWH 成功实现健康老龄化提供新的见解，也可以广泛推广到任何年龄的 PWH 或其他患者群体。
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