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Effects of Supervised Exercise on Physical Health and Quality of Life Among Older HIV Adults

20 november 2018 bijgewerkt door: Chi Hong, CHUNG, The Society for AIDS Care

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.

Studie Overzicht

Toestand

Voltooid

Conditie

Interventie / Behandeling

Gedetailleerde beschrijving

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.

Studietype

Ingrijpend

Inschrijving (Werkelijk)

21

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

  • Hongkong
      • Hong Kong, Hongkong
        • The Society for AIDS Care Day Centre

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

50 jaar en ouder (Volwassen, Oudere volwassene)

Accepteert gezonde vrijwilligers

Nee

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

Inclusion Criteria:

  1. Participants with HIV age > 50, treating with antiretroviral therapy
  2. No contraindication to moderate intensity exercise
  3. Independent Outdoor walker without assistance
  4. Sedentry participants who have not received any structural / supervised exercise program in the past 1 year

Exclusion Criteria:

  1. Age <50
  2. Unstable or unfit for exercise
  3. Wheelchair user or assisted walker
  4. Already had regular exercise habit or under structural exercise program in the past 1 year

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Behandeling
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Enkel

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: Exercise group
8-week moderate intensity exercise training under supervision
Ander: Moderate intensity exercise training under supervision
Upper and lower limbs cycling, treadmill walking, multi-gym strengthening, stepper exercise, dumb bell and squatting exercise
Geen tussenkomst: Control group
No supervised exercise training given. Participants were advised to continue their routine daily activities and self exercises if they have

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Change of SF-36 scores
Tijdsspanne: Change from Baseline SF-36 scores at 8 weeks
Short Form 36 (SF-36) questionnaire is used to assess health related quality of life
Change from Baseline SF-36 scores at 8 weeks
Change of Grip strength
Tijdsspanne: Change from Baseline grip strength at 8 weeks
Maximum grip strength of the participant in kg
Change from Baseline grip strength at 8 weeks
Change of 30 seconds chair stand
Tijdsspanne: Change from Baseline performance at 8 weeks
Number of times that the participant stand up and sit down within 30 seconds
Change from Baseline performance at 8 weeks
Change of 6 minutes walk test
Tijdsspanne: Change from Baseline performance at 8 weeks
The distance (in meters) which the participant is able to walk in 6 minutes
Change from Baseline performance at 8 weeks

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Subjective improvement
Tijdsspanne: Subjective change after 8 weeks compare to baseline
Subjective physical improvement reported by participant (from -100% to +100%)
Subjective change after 8 weeks compare to baseline

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

The Society for AIDS Care

Medewerkers

The University of Hong Kong

Onderzoekers

  • Hoofdonderzoeker: Chi Hong Chung, MSc, The Society for AIDS Care

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

1 november 2017

Primaire voltooiing (Werkelijk)

31 maart 2018

Studie voltooiing (Werkelijk)

31 maart 2018

Studieregistratiedata

Eerst ingediend

16 november 2018

Eerst ingediend dat voldeed aan de QC-criteria

19 november 2018

Eerst geplaatst (Werkelijk)

21 november 2018

Updates van studierecords

Laatste update geplaatst (Werkelijk)

23 november 2018

Laatste update ingediend die voldeed aan QC-criteria

20 november 2018

Laatst geverifieerd

1 november 2018

Meer informatie

Termen gerelateerd aan deze studie

Trefwoorden

Andere studie-ID-nummers

  • supervised exercise

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

ONBESLIST

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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