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Moderate and high intensity exercise training in HIV-1 seropositive individuals: a randomized trial
Terry L, Sprinz E, Ribeiro JP
International Journal of Sports Medicine 1999;20(2):142-146
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

HIV-infected individuals are frequently active, but guidelines for exercise in this population lack scientific support, since studies on the effects of exercise training on immunologic variables of HIV-1 positive individuals have shown conflicting results. Exercise capacity, immunologic markers (CD4, CD8 and CD4:CD8 ratio), anthropometric measurements, and depression scores were evaluated to compare the effects of two intensities of aerobic exercise on HIV-1 seropositive individuals. Twenty-one healthy subjects (14 men, 7 women), carriers of the HIV-1 virus (CD4 > 200 cells mm-3), and inactive for at least 6 months, completed a 12 week exercise training program (36 sessions of 1 h, 3 times per week), in a moderate intensity group (60 +/- 4% of maximal heart rate) or a high intensity group (84 +/- 4% of maximal heart rate). Exercise capacity estimated by treadmill time was increased significantly in both moderate intensity (680 +/- 81 s before; 750 +/- 151 s after) and high intensity (651 +/- 122 s before; 841 +/- 158 s after) groups, but the high intensity group presented a significantly larger increment (p < 0.01). There were no significant changes in the immunologic variables, anthropometric measurements or depression scores. Thus, HIV-seropositive individuals that participate in moderate and high intensity exercise programs are able to increase their functional capacity without any detectable changes in immunologic variables, anthropometric measurements or depression scores.

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