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Behavioral and Physical Activity Interventions for HAND.

Jessica L Montoya1, Brook Henry1, David J Moore2,3

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Summary
This summary is machine-generated.

HIV-associated neurocognitive disorders (HAND) affect up to 50% of individuals with HIV. Lifestyle changes like exercise, diet, sleep, and medication adherence may reduce HAND incidence and severity by lowering inflammation.

Keywords:
Antiretroviral therapy adherenceCognitionDietExerciseNutritionPhysical activitySleep

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Area of Science:

  • Neuroscience
  • Infectious Diseases
  • Public Health

Background:

  • HIV-associated neurocognitive disorders (HAND) affect 30-50% of people with HIV.
  • HAND, even mild forms, impairs daily functioning, affecting medication adherence and driving.
  • Effective behavioral interventions for HAND are lacking, representing a significant unmet need.

Purpose of the Study:

  • To identify modifiable lifestyle factors as potential targets for behavioral interventions to mitigate HAND.
  • To explore the relationship between lifestyle, inflammation, oxidative stress, and HAND.
  • To address the unmet need for strategies reducing the incidence and consequences of HAND.

Main Methods:

  • Literature review of existing research on HAND and lifestyle factors.
  • Analysis of modifiable lifestyle factors including physical activity, diet, sleep, and medication adherence.
  • Examination of the potential mechanisms linking lifestyle factors to HAND, such as inflammation and oxidative stress.

Main Results:

  • Physical activity, diet, sleep, and antiretroviral medication adherence are identified as key modifiable lifestyle factors.
  • These lifestyle factors may reduce inflammation and oxidative stress, which are implicated in HAND.
  • The review suggests these factors can be targeted for behavioral interventions.

Conclusions:

  • Adopting healthy lifestyle factors may be a viable strategy to reduce the incidence and/or severity of HAND.
  • Targeting physical activity, diet, sleep, and medication adherence offers a promising avenue for HAND intervention.
  • Further research into evidence-based behavioral interventions focusing on these lifestyle modifications is warranted.