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Concurrent training on immunity and physical fitness in HIV/AIDS patients

Introduction:

Investigations of physical training with people living with HIV/Aids emphasize the aerobic, strength and concurrent components in multiple sets.

Objective:

To evaluate the concurrent training with single sets in immune, virological, cardiorespiratory, and muscular parameters in patients with HIV/Aids.

Methods:

Time series, with the participation of six men and one woman who used HAART. The immune parameter was assessed by flow cytometry, the virological, by the HIV-1 RNA 3.0 (bDNA) assay, the cardiopulmonary through the ramp protocol and the muscular parameter by the 15-repetition maximum and the maximum number of abdominal exercises within 1 minute. The training was performed three times a week for 12 weeks with monthly increments and reevaluations. The statistics included absolute value, median and range and the Wilcoxon t test using SPSS, version 20.0 (p<0.05).

Results:

In the immunological parameter, the number of CD4+ T lymphocytes increased (p=0.034). In the virological parameter, the viral load decreased in 2 participants (495 for 51 copies/ml and 72 non-detectable [<50 copies/ml]) and 5 maintained a non-detectable viral load. In the cardiorespiratory parameter there was an increase in the absolute VO2max (p=0.028) and maximum workload (Watt) in the cycloergometer (p=0.015). The workload increased in muscular function of all exercises assessed: peck deck (p=0.018), latissimus dorsi pull down (p=0.017), leg press (p=0.018), arm curl (p=0.016) and triceps extension (p=0.017) and maximum number of abdominal exercises in 1 minute (p=0.018).

Conclusion:

The training improved cardiopulmonary and muscular parameters and caused no deleterious effects on immune parameter or increase in viral load.

HIV; acquired immunodeficiency syndrome; physical activity


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