PROGRESSIVE RESISTANCE TRAINING in ELDERLY HIV- POSITIVE PATIENTS: DOES IT WORK?

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dc.contributor.authorSouza, Paula Maria Loiola de
dc.contributor.authorJacob-Filho, Wilson
dc.contributor.authorSantarem, Jose Maria
dc.contributor.authorSilva, Alexandre Rodrigues da
dc.contributor.authorLi, Ho Yeh
dc.contributor.authorBurattini, Marcelo Nascimento [UNIFESP]
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T13:51:43Z
dc.date.available2016-01-24T13:51:43Z
dc.date.issued2008-10-01
dc.description.abstractBACKGROUND: Elderly people present alterations in body composition and physical fitness, compromising their quality of life. Chronic diseases, including HIV/AIDS, worsen this situation. Resistance exercises are prescribed to improve fitness and promote healthier and independent aging. Recovery of strength and physical fitness is the goal of exercise in AIDS wasting syndrome.OBJECTIVE: This study describes a case series of HIV-positive elderly patients who participated in a progressive resistance training program and evaluates their body composition, muscular strength, physical fitness and the evolution of CD4(+) and CD8(+) cell counts.METHODS: Subjects were prospectively recruited for nine months. the training program consisted of three sets of 8-12 repetitions of leg press, seated row, lumbar extension and chest press, performed with free weight machines hts, twice/week for one year. Infectious disease physicians followed patients and reported all relevant clinical data. Body composition was assessed by anthropometric measures and dual-energy x-ray absorptiometry before and after the training program.RESULTS: Fourteen patients, aged 62-71 years old, of both genders, without regular physical activity who had an average of nine years of HIV/AIDS history were enrolled. the strengths of major muscle groups increased (74%-122%, p=0.003-0.021) with a corresponding improvement in sit-standing and walking 2.4 m tests (p=0.003). There were no changes in clinical conditions and body composition measures, but triceps and thigh skinfolds were significantly reduced (p=0.037). in addition, there were significant increases in the CD4(+) counts (N=151 cells; p=0.008) and the CD4(+)/CD8(+) ratio (0.63 to 0.81, p=0.009).CONCLUSION: Resistance training increased strength, improved physical fitness, reduced upper and lower limb skinfolds, and were associated with an improvement in the CD4(+) and CD4(+)/CD8(+) counts in HIV positive elderly patients without significant side effects.en
dc.description.affiliationUniv São Paulo, Fac Med, Dept Pathol, São Paulo, Brazil
dc.description.affiliationUniv São Paulo, Fac Med, Dept Clin Med, São Paulo, Brazil
dc.description.affiliationUniv São Paulo, Fac Med, Dept Infect Dis, São Paulo, Brazil
dc.description.affiliationUniv São Paulo, Fac Med, Discipline Med Informat & LIM 01 03, Hosp Clin, São Paulo, Brazil
dc.description.affiliationUniv São Paulo, Ctr Estudos Ciencias Atividade Fis CECAFI, Fac Med, São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Infect Dis Clin, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Infect Dis Clin, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent619-624
dc.identifierhttp://dx.doi.org/10.1590/S1807-59322008000500009
dc.identifier.citationClinics. São Paulo: Hospital Clinicas, Univ São Paulo, v. 63, n. 5, p. 619-624, 2008.
dc.identifier.doi10.1590/S1807-59322008000500009
dc.identifier.issn1807-5932
dc.identifier.scieloS1807-59322008000500009
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/30925
dc.identifier.wosWOS:000260168400008
dc.language.isoeng
dc.publisherHospital Clinicas, Univ São Paulo
dc.relation.ispartofClinics
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectWeight liftingen
dc.subjectHIV/AIDSen
dc.subjectElderlyen
dc.subjectBody compositionen
dc.subjectPhysical fitnessen
dc.titlePROGRESSIVE RESISTANCE TRAINING in ELDERLY HIV- POSITIVE PATIENTS: DOES IT WORK?en
dc.typeinfo:eu-repo/semantics/article
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