RESEARCH PAPER
Depression and physical activity among HIV-positive people: integrated care towards 90-90-90
More details
Hide details
1
Elderly Health Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2
Health Education and Health Promotion, School of Health, Jiroft University of Medical Sciences, Jiroft, Iran
3
Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran
4
Department of Exercise Physiology, Faculty of Sports Sciences, Shahid Bahonar University, Kerman, Iran
5
Health Education and Health Promotion, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
6
Research Center of Addiction and Behavioral Sciences & Diabetes Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
7
Department of Biostatistics and Epidemiology, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
8
Nutrition and Food Security Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Submission date: 2018-12-27
Final revision date: 2019-05-05
Acceptance date: 2019-05-06
Publication date: 2019-07-11
HIV & AIDS Review 2019;18(2):131-136
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Considering the high prevalence of depression and the positive effects of physical activity on human immunodeficiency virus (HIV)-positive patients, the current study was conducted. The aim was to determine the prevalence of depression and to investigate its association with physical activity among people living with HIV (PLWH).
Material and methods:
This descriptive-analytic study was conducted on 122 PLWH aged over 18 years. The participants referred to the Counselling Centre for Behavioural Diseases in Kerman City, Iran in 2018. The data collection tools were the Beck Depression Inventory and the Baecke Physical Activity Inventory.
Results:
The mean scores of physical activity were 6.97 and 7.03 in depressed and non-depressed people, respectively. However, no significant relationship was observed between physical activity and depression. More than 70% of patients were affected by different types of depression; mild, moderate, and severe. Except the education and occupation factors (p = 0.01), no statistically significant difference was observed between participants’ demographic characteristics and depression status.
Conclusions:
Considering the high prevalence of depression and low levels of physical activity among PLWH, and in order to achieve the 90-90-90 goals, serious measures should be taken in this regard. The PLWH are required to pay more attention to their physical activity along with their medicines. Furthermore, sports facilities should be provided for these patients. It is also recommended that they use the instructions provided by the psychologists and sports specialists in the Counselling Centres for Behavioural Diseases.
REFERENCES (31)
1.
CDC. Unpublished AIDS report. Iranian Ministry of Health and Medical Education, 2017.
2.
Smit M, Brinkman K, Geerlings S, et al. Future challenges for clinical care of an ageing population infected with HIV: a modelling study. Lancet Infect Dis 2015; 15: 810-818.
3.
Heaton R, Clifford D, Franklin D, et al. HIV-associated neurocognitive disorders persist in the era of potent antiretroviral therapy CHARTER Study. Neurology 2010; 75: 2087-2096.
4.
Morowatisharifabad MA, Movahed E, Farokhzadian J, et al. Antiretroviral therapy adherence and its determinant factors among people living with HIV/AIDS: a case study in Iran. BMC Res Notes 2019; 12: 162.
5.
Nyamukapa C, Gregson S, Wambe M, et al. Causes and consequences of psychological distress among orphans in eastern Zimbabwe. AIDS Care 2010; 22: 988-996.
6.
Nakimuli-Mpungu E, Bass JK, Alexandre P, et al. Depression, alcohol use and adherence to antiretroviral therapy in sub-Saharan Africa: a systematic review. AIDS Behav 2012; 16: 2101-2118.
7.
Kanmogne GD, Qiu F, Ntone FE, et al. Depressive symptoms in HIV infected and seronegative control subjects in Cameroon: effect of age, education and gender. PLoS One 2017; 12: e0171956.
8.
Bemelmans M, Baert S, Negussie E, et al. Sustaining the future of HIV counselling to reach 90‐90‐90: a regional country analysis. J Int AIDS Soc 2016; 19: 20751.
9.
Cook JA, Burke-Miller JK, Grey DD, et al. Do HIV-positive women receive depression treatment that meets best practice guidelines? AIDS Behav 2014; 18: 1094-1102.
10.
Chapman SB, Aslan S, Spence JS, et al. Shorter term aerobic exercise improves brain, cognition, and cardiovascular fitness in aging. Front Aging Neurosci 2013; 5: 75.
11.
Dufour CA, Marquine MJ, Fazeli PL, et al. A longitudinal analysis of the impact of physical activity on neurocognitive functioning among HIV-infected adults. AIDS Behav 2018; 22: 1562-1572.
12.
Zlatar ZZ, Towler S, McGregor KM, et al. Functional language networks in sedentary and physically active older adults. J Int Neuropsychol Soc 2013; 19: 625-634.
13.
Wirth MD, Jaggers JR, Dudgeon WD, et al. Association of markers of inflammation with sleep and physical activity among people living with HIV or AIDS. AIDS Behav 2015; 19: 1098-1107.
14.
Garber CE, Blissmer B, Deschenes MR, et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 2011; 43: 1334-1359.
15.
Brown B, Peiffer J, Martins R. Multiple effects of physical activity on molecular and cognitive signs of brain aging: can exercise slow neurodegeneration and delay Alzheimer’s disease? Mol Psychiatry 2013; 18: 864.
16.
Fazeli PL, Marquine MJ, Dufour C, et al. Physical activity is associated with better neurocognitive and everyday functioning among older adults with HIV disease. AIDS Behav 2015; 19: 1470-1477.
17.
Frantz JM, Murenzi A. The physical activity levels among people living with human immunodeficiency virus/acquired immunodeficiency syndrome receiving high active antiretroviral therapy in Rwanda. SAHARA J 2013; 10: 113-118.
18.
Jaggers JR, Prasad VK, Dudgeon WD, et al. Associations between physical activity and sedentary time on components of metabolic syndrome among adults with HIV. AIDS Care 2014; 26: 1387-1392.
19.
Kanmogne GD, Kuate CT, Cysique LA, et al. HIV-associated neurocognitive disorders in sub-Saharan Africa: a pilot study in Cameroon. BMC Neurol 2010; 10: 60.
20.
Florindo AA, Latorre Mdo R, Santos EC, et al. Validity and reliability of the Baecke questionnaire for the evaluation of habitual physical activity among people living with HIV/AIDS. Cad Saude Publica 2006; 22: 535-541.
21.
Gajewski PD, Falkenstein M. Physical activity and neurocognitive functioning in aging – a condensed updated review. Eur Rev Aging Phys Act 2016; 13: 1.
22.
Roos R, Myezwa H, van Aswegen H. “Not easy at all but I am trying”: barriers and facilitators to physical activity in a South African cohort of people living with HIV participating in a home-based pedometer walking programme. AIDS Care 2015; 27: 235-239.
23.
Montoya JL, Wing D, Knight A, et al. Development of an mHealth Intervention (iSTEP) to promote physical activity among people living with HIV. J Int Assoc Prov AIDS Care 2015; 14: 471-475.
24.
Dirajlal-Fargo S, Webel AR, Longenecker CT, et al. The effect of physical activity on cardiometabolic health and inflammation in treated HIV infection. Antivir Ther 2016; 21: 237-245.
25.
Coleman CL. Health related quality of life and depressive symptoms among seropositive African Americans. Appl Nurs Res 2017; 33: 138-141.
26.
Nobakht A, Mohraz M, Rahimzadeh M, et al. The effect of cognitive behavioural therapy on depression, anxiety, and stress in women with HIV. HIV AIDS Rev 2018; 17: 218-223.
27.
Prasithsirikul W, Chongthawonsatid S, Ohata PJ, et al. Depression and anxiety were low amongst virally suppressed, long-term treated HIV-infected individuals enrolled in a public sector antiretroviral program in Thailand. AIDS Care 2017; 29: 299-305.
28.
Shah KN, Majeed Z, Yoruk YB, et al. Enhancing physical function in HIV-infected older adults: a randomized controlled clinical trial. Health Psychol 2016; 35: 563-573.
29.
Mobaein A. Compression of depression frequency in HIV positive and HIV negative among IV drug abusers. Journal of Guilan University of Medical Sciences 2011; 19: 71-76.
30.
Capitão CG, Finotelli I Jr, de Macena CS. Evaluation of depression and anxiety on HIV/AIDS in-patient. J AIDS HIV Res 2011; 3: 240-246.
31.
Ickovics JR, Hamburger ME, Vlahov D, et al. Mortality, CD4 cell count decline, and depressive symptoms among HIV-seropositive women: longitudinal analysis from the HIV Epidemiology Research Study. JAMA 2001; 285: 1466-1474.