Portal de Periódicos da CAPES

The Effect of Step Count Increase on Role Limitations for People Living with HIV/AIDS

2017; Lippincott Williams & Wilkins; Volume: 49; Issue: 5S Linguagem: Inglês

10.1249/01.mss.0000517041.43834.c4

1530-0315

Olivia Estill, Camerra C. Miller, Gregory A. Hand, Jason R. Jaggers,

Resilience and Mental Health

Individuals living with HIV/AIDS experience many daily struggles beyond the complications associated with physical illness. These could include psychological stress, mood disorders, and depression, all of which can greatly impact an individual’s daily life. This secondary data analysis was conducted to examine a potential relationship between increase in physical activity and health-related quality of life for people living with HIV/AIDS (PLWHA). METHODS: Participants were recruited as part of a home-based PA intervention aimed to reduce risk factors of cardiovascular disease for PLWHA taking ART. A secondary data analysis was conducted by separating participants into groups according to increases in step count. Clinical and psychological assessments were conducted at baseline and 18 week follow-up. Self-reported mental health was measured using the SF-36 and its specific subscales were used. This analysis focuses on the subscale role limitations due to emotional wellbeing (RE). PA levels were measured via accelerometer. Accelerometer data was considered compliant if the participant had a total on-body time of at least 10 hours a day for 4 days. PA was determined by using the average step count per day. The comparison group consisted of those who increased daily steps by 10% or more. RESULTS: 34 females and 28 males with valid armband data were used for final data analysis. No significant differences were observed between groups at baseline. Those who increased their PA from baseline to follow-up had an average increase of 1502 steps/day and showed a significant increase in their self-reported RE score from 18.18 ± 6.84 at baseline to 40.91 ± 7.89 at 18 weeks on the SF-36 form (p = 0.03), whereas those with no changes in and/or who decreased daily PA by an average of 1195 steps/day showed no change. In conclusion, people living with HIV/AIDs who increased their step count by 10% after 18 weeks showed a significant increase in RE. A relationship between physical activity and emotional well-being could provide a foundation for further study aimed to increase health-related quality of life for people with chronic disease, especially considering the impact it can have on activities or daily living This project was supported by funding through the NIH/NINR R21 Grant 1R21NRO11281 and Theraband®