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Effects of aerobic and resistance exercise alone or combined on strength and hormone outcomes for people living with HIV. A meta-analysis

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  • Camilo Germán Alberto Pérez Chaparro
  • Philipp Zech
  • Felipe Schuch
  • Bernd Wolfarth
  • Michael Rapp
  • Andreas Heiβel

Abstract

Background: Infection with human immunodeficiency virus (HIV) affects muscle mass, altering independent activities of people living with HIV (PLWH). Resistance training alone (RT) or combined with aerobic exercise (AE) is linked to improved muscle mass and strength maintenance in PLWH. These exercise benefits have been the focus of different meta-analyses, although only a limited number of studies have been identified up to the year 2013/4. An up-to-date systematic review and meta-analysis concerning the effect of RT alone or combined with AE on strength parameters and hormones is of high value, since more and recent studies dealing with these types of exercise in PLWH have been published. Methods: Randomized controlled trials evaluating the effects of RT alone, AE alone or the combination of both (AERT) on PLWH was performed through five web-databases up to December 2017. Risk of bias and study quality was attained using the PEDro scale. Weighted mean difference (WMD) from baseline to post-intervention changes was calculated. The I2 statistics for heterogeneity was calculated. Results: Thirteen studies reported strength outcomes. Eight studies presented a low risk of bias. The overall change in upper body strength was 19.3 Kg (95% CI: 9.8–28.8, p

Suggested Citation

  • 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.
    • Handle: RePEc:plo:pone00:0203384
    DOI: 10.1371/journal.pone.0203384
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    References listed on IDEAS

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    1. Kristian Thorlund & Georgina Imberger & Bradley C Johnston & Michael Walsh & Tahany Awad & Lehana Thabane & Christian Gluud & P J Devereaux & Jørn Wetterslev, 2012. "Evolution of Heterogeneity (I2) Estimates and Their 95% Confidence Intervals in Large Meta-Analyses," PLOS ONE, Public Library of Science, vol. 7(7), pages 1-8, July.
    2. 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.
    3. 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. Xin-Min Qin & Ji-Young Park & Bo-Ram Kim & Chang-Hwa Joo, 2022. "The Effects of Exercise on Acute Immune Responses in Relative Leisure-Deprived People Living with HIV/AIDS: A Pilot Study," IJERPH, MDPI, vol. 19(13), pages 1-13, July.
    2. Sang-Dol Kim & Young-Ran Yeun, 2022. "Effects of Resistance Training on C-Reactive Protein and Inflammatory Cytokines in Elderly Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials," IJERPH, MDPI, vol. 19(6), pages 1-13, March.
    3. 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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