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Exercise, Comorbidities, and Health-Related Quality of Life in People Living with HIV: The HIBES Cohort Study

Author

Listed:
  • Philipp Zech

    (Social and Preventive Medicine, Department of Exercise and Health Sciences, University of Potsdam, 14469 Potsdam, Germany)

  • Felipe Schuch

    (Department of Sports Methods and Techniques, Federal University of Santa Maria, 97105 Santa Maria, Brazil)

  • Camilo Pérez-Chaparro

    (Outpatient Clinic—Center for Sports Medicine, Department of Sports & Health Sciences, University of Potsdam, 14469 Potsdam, Germany)

  • Maria Kangas

    (Department of Psychology, Centre for Emotional Health, Macquarie University, 2109 Sydney, Australia)

  • Michael Rapp

    (Social and Preventive Medicine, Department of Sports and Health Sciences, Intra-faculty unit “Cognitive Sciences”, Faculty of Human Science, and Faculty of Health Sciences Brandenburg, Research Area Services Research and e-Health, University of Potsdam, 14469 Potsdam, Germany)

  • Andreas Heissel

    (Social and Preventive Medicine, Department of Sports and Health Sciences, Intra-faculty unit “Cognitive Sciences”, Faculty of Human Science, and Faculty of Health Sciences Brandenburg, Research Area Services Research and e-Health, University of Potsdam, 14469 Potsdam, Germany)

Abstract

(1) Background : People with HIV (PWH) may perform more than one type of exercise cumulatively. The objective of this study is to investigate recreational exercise and its association with health-related quality of life (HRQOL) and comorbidities in relation to potential covariates. (2) Methods: The HIBES study (HIV-Begleiterkrankungen-Sport) is a cross-sectional study for people with HIV. The differences between non-exercisers versus exercisers (cumulated vs. single type of exercises) were investigated using regression models based on 454 participants. (3) Results: Exercisers showed a higher HRQOL score compared to non-exercisers (Wilcox r = 0.2 to 0.239). Psychological disorders were identified as the main covariate. Participants performing exercise cumulatively showed higher scores in duration, frequency, and intensity when compared to participants performing only one type of exercise. The mental health summary score was higher for the cumulated and single type of exercise if a psychological disorder existed. Duration and intensity were associated with an increase of HRQOL, whilst a stronger association between psychological disorders and exercise variables were evident. Exercise duration (minutes) showed a significant effect on QOL (standardized beta = 0.1) and for participants with psychological disorders (standardized beta = 0.3), respectively. (4) Conclusions: Psychological disorders and other covariates have a prominent effect on HRQOL and its association with exercise. For PWH with a psychological disorder, a stronger relationship between HRQOL with exercise duration and intensity emerged. However, differentiation of high-HRQOL individuals warrants further investigation by considering additional factors.

Suggested Citation

  • Philipp Zech & Felipe Schuch & Camilo Pérez-Chaparro & Maria Kangas & Michael Rapp & Andreas Heissel, 2020. "Exercise, Comorbidities, and Health-Related Quality of Life in People Living with HIV: The HIBES Cohort Study," IJERPH, MDPI, vol. 17(14), pages 1-15, July.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:14:p:5138-:d:385325
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    References listed on IDEAS

    as
    1. Camilo Germán Alberto Pérez Chaparro & Philipp Zech & Felipe Schuch & Bernd Wolfarth & Michael Rapp & Andreas Heiβel, 2018. "Effects of aerobic and resistance exercise alone or combined on strength and hormone outcomes for people living with HIV. A meta-analysis," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-21, September.
    2. Mansueto Gomes Neto & Cristiano Sena Conceição & Vitor Oliveira Carvalho & Carlos Brites, 2015. "Effects of Combined Aerobic and Resistance Exercise on Exercise Capacity, Muscle Strength and Quality of Life in HIV-Infected Patients: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-14, September.
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    Cited by:

    1. Pantelis T. Nikolaidis & Beat Knechtle, 2021. "Is It Time for Sports and Health in the Era of Covid-19 Pandemic?," IJERPH, MDPI, vol. 18(2), pages 1-3, January.
    2. Camilo Germán Alberto Pérez-Chaparro & Felipe B. Schuch & Philipp Zech & Maria Kangas & Michael A. Rapp & Andreas Heissel, 2021. "Recreational Exercising and Self-Reported Cardiometabolic Diseases in German People Living with HIV: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(21), pages 1-10, November.

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