A Mobile Application for Exercise Intervention in People Living with HIV
- 15 August 2019
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Medicine & Science in Sports & Exercise
- Vol. 52 (2), 425-433
- https://doi.org/10.1249/mss.0000000000002125
Abstract
Purpose This study aimed to assess 16-wk improvements of physical fitness, metabolic, and psychological parameters in people living with HIV (PLWH) exercising with the support of a smartphone application, as compared with a control group exercising without application. Methods This was a randomized, open-label, pilot study enrolling PLWH in a 16-wk protocol consisting of moderate physical activity three times per week, which included an initial coach-supervised period of 4 wk, followed by 12 wk where participants trained independently. Participants were allocated to either an experimental group that trained using a smartphone application (APP) or a control group that practiced following a hard copy training program (No-APP). At baseline (BL) and after 16 wk (W16), patients were assessed for cardiorespiratory fitness, body composition, blood lipid profile, and POMS. Results Forty-eight PLWH were screened and 38 were eligible: 20 were allocated to the APP group and 18 to the No-APP group. Two APP and two No-APP participants were lost to follow-up. Intention-to-treat analysis showed a W16 improvement from BL of ≥15% V˙ O2peak in 13 (72%) of 18 in APP, but only in 3 (19%) of 16 in No-APP participants (P = 0.025). Significant W16 improvements were observed in APP, but not in No-APP participants, in V˙O2peak; fat mass and fat-free mass percent; total cholesterol, LDL cholesterol, and triglycerides; vigor; and total mood by POMS. Accordingly, significant percent change differences between the APP and the No-APP groups were observed in V˙O2peak; fat and fat-free mass percent; total cholesterol, LDL cholesterol, and triglycerides; and depression, vigor, anger, and total mood by POMS. Conclusions Exercising using a smartphone application improved cardiorespiratory fitness, body composition, cholesterol profiles, and psychological outcomes in PLWH.This publication has 33 references indexed in Scilit:
- Predictive Accuracy of the Veterans Aging Cohort Study Index for Mortality With HIV InfectionJAIDS Journal of Acquired Immune Deficiency Syndromes, 2013
- Healthcare in the pocket: Mapping the space of mobile-phone health interventionsJournal of Biomedical Informatics, 2011
- Quantity and Quality of Exercise for Developing and Maintaining Cardiorespiratory, Musculoskeletal, and Neuromotor Fitness in Apparently Healthy AdultsMedicine & Science in Sports & Exercise, 2011
- Cardiorespiratory Fitness as a Quantitative Predictor of All-Cause Mortality and Cardiovascular Events in Healthy Men and WomenJAMA, 2009
- Characteristics of Physical Activity Guidelines and their Effect on AdherenceSports Medicine, 2009
- Health and the Mobile PhoneAmerican Journal of Preventive Medicine, 2008
- Sex issues in HIV-1-infected persons during highly active antiretroviral therapy: a systematic reviewJournal of Antimicrobial Chemotherapy, 2007
- Environmental Correlates of Physical Activity: A Review of Evidence about Parks and RecreationLeisure Sciences, 2007
- Psychological monitoring of overtraining and staleness.British Journal of Sports Medicine, 1987
- The Interactions of Intensity, Frequency and Duration of Exercise Training in Altering Cardiorespiratory FitnessSports Medicine, 1986