Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul 03722, Korea.
College of Nursing, Eulji University, Seongnam-si 13135, Korea.
Int J Environ Res Public Health. 2022 Jul 11;19(14):8439. doi: 10.3390/ijerph19148439.
There is a lack of evidence regarding the effects of exercise on older individuals living with HIV. This systematic review and meta-analysis examined previous studies on physical activity interventions for people living with HIV aged ≥50 years. The effectiveness of the interventions on various physical and psychological health outcomes was evaluated. Databases used for this review included PubMed, EMBASE, CINAHL, and Cochrane Library CENTRAL. Twelve randomized controlled trials on physical activity interventions for people ≥50 years and living with HIV were included. Standardized mean differences were calculated using random-effect models. All effect sizes were expressed using Cohen's values and their 95% confidence intervals (CIs). Physical activity interventions had a significant effect on walking capacity (Cohen's : 0.467; 95% CI [0.069, 0.865]). The effect sizes on cardiorespiratory fitness, weight, and health-related quality of life were not significant. These findings suggest that physical activity interventions for people living with HIV aged ≥50 years are effective for the improvement of walking capacity. Further larger and higher-quality studies are required to determine the full effects of physical activity interventions on various health outcomes among older adults with HIV.
关于运动对感染艾滋病毒的老年人的影响，目前证据不足。本系统评价和荟萃分析检查了针对年龄≥50 岁的艾滋病毒感染者的身体活动干预的先前研究。评估了干预对各种身心健康结果的有效性。本综述使用的数据库包括 PubMed、EMBASE、CINAHL 和 Cochrane Library CENTRAL。纳入了 12 项针对年龄≥50 岁且感染艾滋病毒的人群的身体活动干预的随机对照试验。使用随机效应模型计算了标准化均数差异。所有效应大小均使用 Cohen's d 值及其 95%置信区间（CI）表示。身体活动干预对步行能力有显著影响（Cohen's d：0.467；95%CI [0.069, 0.865]）。对心肺适能、体重和健康相关生活质量的影响大小不显著。这些发现表明，针对年龄≥50 岁的艾滋病毒感染者的身体活动干预措施对于改善步行能力是有效的。需要进一步进行更大规模和更高质量的研究，以确定身体活动干预对艾滋病毒老年人群体各种健康结果的全面影响。
