监督炼计划对艾滋病毒感染和没有艾滋病毒感染的老年人炼自我效能的影响:对健康衰老研究炼的二次分析
Melissa P Wilson1, Catherine M Jankowski2, Paul F Cook2
1Department of Medicine, Division of Infectious Disease, University of Colorado Denver-Anschutz Medical Campus, 12700 E. 19th Ave., Mail Stop B168, Aurora, CO, 80045, USA. melissa.wilson@cuanschutz.edu.
AIDS and behavior
|October 30, 2024
概括
艾滋病毒感染的老年人运动自效率低于血清阴性同龄人. 运动干预措施没有显著改变自我有效性,这表明需要额外的支持策略来改善艾滋病毒感染者的运动坚持.
科学领域:
- 老年学是一门学科.
- 运动生理学 运动生理学
- 传染性疾病 传染性疾病
背景情况:
- 由于有效的抗逆转录病毒疗法,艾滋病毒感染者 (PWH) 的寿命越来越长,但他们面临越来越多的慢性疾病和身体限制.
- 定期运动对于管理疾病负担至关重要,但艾滋病毒感染的老年人遇到身体活动的独特障碍.
- 运动自我效能 (ESE) 对于开始和维持运动至关重要,了解其水平可以揭示障碍.
研究的目的:
- 在24周的监督运动干预之前和期间,比较较老的PWH和血清阴性对照之间的ESE.
- 评估ESE在两个组的干预过程中的变化.
主要方法:
- 参与者 (32 PWH,37对照组,中位数年龄56岁) 进行了12周的中度强度运动,随后进行了12周的中度或高强度运动.
- 运动自我效益调查在基线 (第0周),第12周和第24周进行.
- 统计分析比较了不同组之间的ESE分数和随着时间的推移.
主要成果:
- 在干预之前,PWH的ESE分数 (61.3) 与对照组 (73.8) 相比显著较低 (p=0.01).
- 在PWH或对照组中,ESE得分从基线到第12周没有显著变化 (p>0.17).
- 在组合组的第13周和第24周之间没有观察到ESE的显著变化 (p=0.06).
结论:
- 与血清阴性同行相比,艾滋病毒感染的老年人表现出较低的运动自我有效性.
- 实施的监督炼干预措施在任何一组中都没有显著改善ESE.
- 未来的干预措施应整合有针对性的策略,如短信或指导,以增强ESE和促进在PWH中的炼坚持.
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