Chetty Levin, Cobbing Saul, Chetty Verusia
Levin Chetty, PhD, MMSHSC, SPTSHB, B-SPS, is an Academic Researcher, College of Health Sciences, University of KwaZulu-Natal, Westville Campus, South Africa.
Saul Cobbing, PhD, MMSHSC, BSc (HONS), is an Associate Professor, College of Health Sciences, University of KwaZulu-Natal, Westville Campus, South Africa.
J Assoc Nurses AIDS Care. 2025;36(2):156-166. doi: 10.1097/JNC.0000000000000519. Epub 2025 Jan 3.
Well-established, regular exercise interventions for older people living with HIV (OPLWH) are beneficial. However, the fundamental principles of exercise prescription for this population have not been sufficiently explored. An expert panel of health care professionals engaged in a modified Delphi technique to explore their perceptions of, and gain their consensus on, an exercise prescription framework for OPLWH in a resource-poor South African setting. A high level of agreement among participants was determined using a priori threshold of 80% agreement and an interquartile range of ≤ 1. Expert consensus was reached on a structured, multifaceted exercise prescription and also fundamental principles, such as multidisciplinary engagement and team collaboration, pre-exercise health screening, and exercise supervision. These were viewed as necessary components of a framework to improve the integration of exercise rehabilitation in the treatment, care, and support for OPLWH.
对于感染艾滋病毒的老年人（OPLWH）而言，完善的定期运动干预措施是有益的。然而，针对这一人群的运动处方基本原则尚未得到充分探讨。一个由医疗保健专业人员组成的专家小组采用改良的德尔菲技术，以探讨他们对资源匮乏的南非环境中OPLWH运动处方框架的看法并达成共识。使用80%的先验共识阈值和≤1的四分位间距确定参与者之间的高度一致性。就结构化、多方面的运动处方以及多学科参与和团队协作、运动前健康筛查和运动监督等基本原则达成了专家共识。这些被视为改善OPLWH治疗、护理和支持中运动康复整合框架的必要组成部分。
