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A Systematic Review of the Effects of Exercise Interventions on Body Composition in HIV+ Adults

机译：对HIV +成人运动干预对身体成分的影响的系统评价

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Over the years, physical activity and exercise have been used to positively impact the health and quality of life of persons infected with HIV and, more recently, has been associated with a spectrum of body composition changes. The aim of this review was to examine the effects of various exercise interventions on body composition in HIV positive adults, using a search strategy of randomized, controlled trials (RCTs). A systematic review was performed by five independent reviewers using a predetermined protocol adapted from previous research for assessing the articles for inclusion, the extracted data, and methodological quality. Eight RCTs involving 430 (26% female) HIV positive adults performing exercise a minimum of thrice weekly for at least six weeks were finally selected: Four were progressive resistance training (PRT) studies, three were aerobic training (AT) studies, and one involved yoga. In the PRT studies, there were significant increases in three anthropometric measures, namely, body mass, sum of skinfolds and sum of limb girths. In the AT studies, significant decreases were found in seven anthropometric measures, namely, body mass index, waist-hip ratio, body mass, triceps skinfold, waist circumference and sum of skinfolds. With yoga, the changes were non-significant. Exercise contributes to improved body composition and, when applied safely, appears to be beneficial for adults living with HIV/AIDS. However, these findings should be interpreted cautiously due to the relatively few RCTs published to date. Future studies would benefit from increased attention to sample size, female participants, participant follow-up, complete statistical analysis and intention-to-treat analysis.
机译：多年来，体育锻炼已被用来积极影响艾滋病毒感染者的健康和生活质量，最近，它与一系列人体成分变化有关。这项审查的目的是使用随机对照试验（RCT）的搜索策略，检查各种运动干预对HIV阳性成年人身体成分的影响。由五名独立审稿人使用预定的规程进行了系统的审阅，该规程是根据先前的研究改编而成的，用于评估纳入的文章，提取的数据和方法学质量。最终选择了八项RCT，涉及430名（26％女性）HIV阳性成年人，每周至少进行三次锻炼，至少六周：四项为进行性抵抗力训练（PRT）研究，三项为有氧训练（AT）研究，其中一项涉及瑜伽。在PRT研究中，人体测量，体重，皮褶总和和四肢总和这三个人体测量指标显着增加。在AT研究中，人体测量指标，体重指数，腰臀比，体重，肱三头肌皮褶，腰围和皮褶总和等七个人体测量指标显着降低。使用瑜伽后，变化并不明显。运动有助于改善身体成分，安全使用时，似乎对患有艾滋病毒/艾滋病的成年人有益。但是，由于迄今为止发布的RCT相对较少，因此应谨慎解释这些发现。未来的研究将受益于对样本量，女性参与者，参与者随访，完整的统计分析和意向性治疗分析的更多关注。

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