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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

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  • Mansueto Gomes Neto
  • Cristiano Sena Conceição
  • Vitor Oliveira Carvalho
  • Carlos Brites

Abstract

Background: Many HIV-infected patients demonstrate disability and lower aerobic capacity. The inclusion of resistance training combined with aerobic exercise in a single program is known as combined aerobic and resistance exercise (CARE) and seems to be an effective strategy to improve muscle weakness, as well as aerobic capacity in HIV-infected patients. We performed a meta-analysis to investigate the effects of CARE in HIV-infected patients. Methods: We searched MEDLINE, Cochrane Controlled Trials Register, EMBASE, CINAHL (from the earliest date available to august 2014) for controlled trials that evaluated the effects of CARE in HIV-infected patients. Weighted mean differences (WMD) and 95% confidence intervals (CIs) were calculated, and heterogeneity was assessed using the I2 test. Results: Seven studies met the study criteria. CARE resulted in improvement in Peak VO2 WMD (4.48 mL·kg-1·min-1 95% CI: 2.95 to 6.0), muscle strength of the knee extensors WMD (25.06 Kg 95% CI: 10.46 to 39.66) and elbow flexors WMD (4.44 Kg 95% CI: 1.22 to 7.67) compared with no exercise group. The meta-analyses also showed significant improvement in Health status, Energy/Vitality and physical function domains of quality of life for participants in the CARE group compared with no exercise group. A nonsignificant improvement in social function domain of quality of life was found for participants in the CARE group compared with no exercise group. Conclusions: Combined aerobic and resistance exercise may improve peak VO2, muscle strength and health status, energy and physical function domains of quality of life and should be considered as a component of care of HIV-infected individuals.

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  • 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.
    • Handle: RePEc:plo:pone00:0138066
    DOI: 10.1371/journal.pone.0138066
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    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. 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.

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