학술논문

The effects of a 16-week aerobic exercise programme on cognitive function in people living with HIV.
Document Type
Article
Source
AIDS Care. Jun2017, Vol. 29 Issue 6, p667-674. 8p.
Subject
*COGNITION disorders
*HIV infection complications
*AEROBIC exercises
*CARDIOPULMONARY system
*COGNITION
*EXERCISE tests
*HIV infections
*HIV-positive persons
*NEUROPSYCHOLOGICAL tests
*PATIENT compliance
*STATISTICAL sampling
*SLEEP
*AEROBIC capacity
*RANDOMIZED controlled trials
*ACCELEROMETRY
*TREATMENT effectiveness
*TREATMENT duration
*PHYSICAL activity
*DESCRIPTIVE statistics
*PREVENTION
Language
ISSN
0954-0121
Abstract
High levels of cardiovascular fitness and physical activity are associated with higher levels of cognitive function in people with HIV, thus, they may reduce the risk of developing HIVassociated neurocognitive disorder (HAND). This study aimed to investigate the effects of a 16- week aerobic exercise intervention on cognitive function in people with HIV. Eleven participants living with HIV were recruited into the study. Participants were randomised into either an exercise group (n = 5), that completed a 16-week aerobic exercise programme training, 3 times per week (2 supervised sessions and one unsupervised session) or a control group (n = 6) that received no intervention. Outcomes measured included cognitive function (Montreal cognitive assessment (MOCA) and the Trail making tests A and B), aerobic fitness (modified Bruce protocol), sleep quality (Pittsburgh sleep quality index; PSQI) and physical activity levels (sevenday accelerometry). At baseline, higher levels of moderate physical activity were positively correlated with higher MOCA scores and levels of aerobic fitness were negatively associated with Trail A scores (P = 0.04 and P = 0.001 respectively). However, exercise training did not induce any significant improvements in cognitive function or aerobic fitness. The overall mean adherence rate to the exercise programme was 60%. In conclusion, in the present study a 16-week aerobic exercise intervention did not affect the cognitive function of participants with HIV. It is likely that longer intervention periods and/or higher adherence rates to exercise might be needed for an aerobic exercise programme to be effective in improving cognitive function in a cohort with no baseline cognitive impairments. [ABSTRACT FROM AUTHOR]