Related Experiment Video
Updated: Jan 3, 2026

Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty
Published on: October 6, 2016
Contemporary Lifestyle Modification Interventions to Improve Metabolic Comorbidities in HIV
1Metabolism Unit, Massachusetts General Hospital and Harvard Medical School, 5 Longfellow Place, Boston, MA, 02114, USA. kfitch@mgh.harvard.edu.
Insights
Lifestyle changes can help manage diabetes, obesity, and hypertension in people with HIV (PWH). While some studies show benefits, more research is needed for effective, sustainable lifestyle strategies.
Area of Science:
- Medical science
- Public health
- Lifestyle medicine
Background:
- People with HIV (PWH) have high rates of metabolic comorbidities like diabetes, obesity, dyslipidemia, and hypertension, which are cardiovascular disease risk factors.
- Bone diseases such as osteopenia, osteoporosis, and fragility fractures are also common in PWH.
- Lifestyle modifications, including diet and physical activity, can help prevent and manage these comorbidities.
Purpose of the Study:
- To review recent literature on lifestyle habits in PWH.
- To evaluate the effectiveness of lifestyle interventions for metabolic comorbidities in PWH.
Main Methods:
- Literature review of recent studies.
- Analysis of clinical trials on lifestyle modification interventions.
Main Results:
- Recent studies provide insights into PWH lifestyle habits and the potential of lifestyle modification.
- Clinical trials indicate some benefits of lifestyle interventions on traditional comorbidity risk factors.
- Significant heterogeneity and inconsistent results exist across studies.
Conclusions:
- Further clinical trials are necessary to develop feasible, effective, and sustainable lifestyle strategies.
- Lifestyle interventions show promise but require more research for consistent, impactful outcomes in PWH.
Purpose Of Review:
Metabolic comorbidities including diabetes, obesity, dyslipidemia, and hypertension, all of which are traditional cardiovascular disease risk factors that are highly prevalent in people with HIV (PWH). Bone disease including osteopenia, osteoporosis, and fragility fractures is also prevalent in PWH. These comorbidities may be prevented and treated in part with lifestyle modification, including changes to dietary and physical habits. The purpose of this review is to highlight recent literature that characterizes current lifestyle habits in PWH as well as the effectiveness of lifestyle strategies to improve metabolic comorbidities prevalent in PWH.
Recent Findings:
Recent studies have expanded our knowledge regarding the current lifestyle habits of PWH as well as the potential for lifestyle modification to prevent or improve comorbidities prevalent in PWH. Clinical trials focusing on lifestyle modification have shown some benefit of such interventions on traditional risk factors for comorbidities; however, significant heterogeneity exists between studies and results are not consistent. Further clinical trials are needed including developing lifestyle strategies that are feasible, effective, and sustainable to prevent and decrease prevalence of comorbidities in this population.
Related Concept Videos
Atherosclerosis III: Management
Lifestyle Factors and Health
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
Hypertension IV: Drug Therapy and Lifestyle Modifications
Retrovirus Life Cycles
Coronary Artery Disease IV: Preventive Measures
Diabetes: Management and Pharmacotherapy
Insulin remains the cornerstone of treatment for most patients with type 1 and many...

