HIV/AIDS Clinical Trial
Official title:
Effects of Supervised Exercise Program on Physical Health and Quality of Life Among Older Adults Living With HIV in Hong Kong
The effects of exercise for older HIV-infected adults have not been well studied, especially
in Chinese population. This study aimed to investigate the effect of supervised exercise on
physical health and quality of life among older people living with HIV (PLWH) in Hong Kong.
HIV-infected adults were recruited from a community-based Non-Governmental Organization (NGO)
for HIV patient services. Participants were randomized into exercise group or control group.
The participants in exercise group performed an 8-week moderate intensity supervised exercise
program. In the control group, participants were not given any supervised exercises. They
were advised to continue their routine daily activities and self exercises.
Outcomes were measured for both groups at baseline and after 8 weeks. Primary outcomes: grip
strength, 30 seconds chair stand, 6 minutes-walk test and Short Form-36 questionnaire
(SF-36). Secondary outcome: Subjective improvement
At the end of the program, all participants from exercise group were interviewed individually
by principle investigator to allow feedbacks.
It is a randomized controlled trial. HIV-infected adults were recruited from a
community-based Non-Governmental Organization (NGO) for HIV patient services.They were
randomized into exercise group or control group by drawing lots which contained equal number
of orange balls (exercise) and white balls (control)
The participants in exercise group performed an 8-week, 2 times/week supervised exercise
program in the community day center of the recruiting NGO. Exercise sessions were organized
in a group of 2 to 3 participants. The exercises were supervised by a registered
physiotherapist to ensure exercise safety and quality. Exercise intensity was moderate. We
monitored the heart rate of participants during exercise and maintained around 50% to 70% of
maximum heart rate. Blood pressure and oxygen saturation were also checked for safety
purposes. The mode of exercise was combined aerobic and resistance training. It involved
upper and lower limbs cycling, treadmill walking, multi-gym strengthening, stepper exercise,
dumb bell and squatting exercise. The duration for each exercise session was around 45
minutes. Duration and intensity of exercises were adjusted depending on the tolerance and
physical capacity of each participant. In the control group, participants were not given any
supervised exercises. They were advised to continue their routine daily activities and self
exercises. Control group participants were allowed to join into the same training program
after the research had finished.
Outcomes were measured for both groups at baseline and after 8 weeks in the same community
day center. A research assistant who was blinded for the participants grouping was
responsible for data collection. Physical health parameters included grip strength, 30
seconds chair stand and 6 minutes-walk test. Health related quality of life was measured by
Short Form-36 questionnaire (SF-36). Subjective improvement was taken in form of Likert
scale, from -100% to +100% with 10% interval in each possible response.
At the end of the program, all participants from exercise group were interviewed individually
by principle investigator to allow feedbacks.
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