Telehealth Exercise Intervention in Older Adults With HIV: Protocol of a Multisite Randomized Trial

Krisann K Oursler, Vincent C Marconi, Brandon C Briggs, John D Sorkin, Alice S Ryan, FIT VET Project Team, Krisann K Oursler, Vincent C Marconi, Brandon C Briggs, John D Sorkin, Alice S Ryan, FIT VET Project Team

Abstract

People with HIV (PWH) have reduced cardiorespiratory fitness, but a high intensity, easily disseminated exercise program has not yet been successfully developed in older PWH. The purpose of this article is to describe a synchronous telehealth exercise intervention in older PWH, delivered from one medical center to two other centers. Eighty older PWH (≥50 years) on antiretroviral therapy will be randomized to exercise or delayed entry control groups. Functional circuit exercise training, which does not entail stationary equipment, will be provided by real-time videoconferencing, 3 times weekly for 12 weeks, to small groups. Continuous remote telemonitoring of heart rate will ensure high exercise intensity. We hypothesize that telehealth exercise will be feasible and increase cardiorespiratory fitness and reduce sarcopenia and frailty. Findings will provide new insight to target successful aging in older PWH and can also be widely disseminated to PWH of any age or other patient populations.

Trial registration: ClinicalTrials.gov NCT04103593.

Copyright © 2021 Association of Nurses in AIDS Care.

Figures

Figure 1.
Figure 1.
Overview of the Tele-EX design: high-intensity functional circuit exercise training delivered by live videoconferencing. The group exercise training sessions will be approximately an hour, including warm up (8-10 min), functional circuit training (48 min), and cool-down/stretching (8-10 min). An instructor will lead each exercise in order as a group through three unique circuits. Although functional exercise involves multiple muscle groups and dynamic motion, each exercise is classified as either aerobic exercise (AEX) or resistance training (RT) based on its primary purpose. The duration of each exercise is dependent on the individual’s capacity, but the goal is 3 minutes of AEX and 2 minutes of RT per circuit. Participants will be progressed through each circuit with minimal rest between AEX and RT exercises. The number of circuits performed per session and the inter-circuit rest period will be adjusted based on the exercise progression protocol.

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