Incorporating physical activity in the comprehensive care of people living with HIV starting antiretroviral therapy: Insights from a specialized care setting in São Paulo, Brazil.

<h4>Background</h4>Managing HIV infection as a chronic condition includes encouraging adoption of healthy behaviors and promotion of physical activity (PA). However, people living with HIV (PLH) are often under social and programmatic vulnerability that may compromise behavior change. Un...

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Autores principales:	Ardiles Vitor Santos, Elisabete Cristina Morandi Santos, Camila Melo Picone, Tulio Gamio Dias, Sandra Maria Lima Ribeiro, Alex Antonio Florindo, Aluisio Cotrim Segurado
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/d8e63188a1ad4023823054637b8dc81e
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spelling	oai:doaj.org-article:d8e63188a1ad4023823054637b8dc81e2021-12-02T20:09:42ZIncorporating physical activity in the comprehensive care of people living with HIV starting antiretroviral therapy: Insights from a specialized care setting in São Paulo, Brazil.1932-620310.1371/journal.pone.0254168https://doaj.org/article/d8e63188a1ad4023823054637b8dc81e2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254168https://doaj.org/toc/1932-6203<h4>Background</h4>Managing HIV infection as a chronic condition includes encouraging adoption of healthy behaviors and promotion of physical activity (PA). However, people living with HIV (PLH) are often under social and programmatic vulnerability that may compromise behavior change. Understanding such barriers is crucial for successful incorporation of PA in their comprehensive care.<h4>Methods and findings</h4>In this study, we describe PA, energy intake from diet, and anthropometry of a cohort of PLH starting antiretroviral therapy (ART) at a Brazilian reference clinic, report how PA was addressed in routine care and investigate association between PA, energy intake and psychosocial constructs that may facilitate PA (social support and self-efficacy for PA). Among 61 PLH (86.9% males, mean age = 32.5 years) anthropometry was normal, but 47.5% reported PA below recommendations. Despite presenting high social support scores, family encouragement for PA was low, and self-efficacy classified as medium. Chart reviews yielded infrequent reports concerning PA. After adjusting for gender and age, we found a negative association between energy intake from diet and self-efficacy, but none between PA and energy intake or between PA and psychosocial constructs.<h4>Conclusions</h4>We conclude that patients in our cohort were insufficiently active when starting ART, and that PA was poorly addressed by caretakers in routine HIV care. Nevertheless, social support and self-efficacy scores suggest potential for behavioral change. Caregivers should therefore start considering patients' vulnerabilities and establishing strategies to help them overcome barriers to incorporate PA in their comprehensive care effectively.Ardiles Vitor SantosElisabete Cristina Morandi SantosCamila Melo PiconeTulio Gamio DiasSandra Maria Lima RibeiroAlex Antonio FlorindoAluisio Cotrim SeguradoPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254168 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ardiles Vitor Santos Elisabete Cristina Morandi Santos Camila Melo Picone Tulio Gamio Dias Sandra Maria Lima Ribeiro Alex Antonio Florindo Aluisio Cotrim Segurado Incorporating physical activity in the comprehensive care of people living with HIV starting antiretroviral therapy: Insights from a specialized care setting in São Paulo, Brazil.
description	<h4>Background</h4>Managing HIV infection as a chronic condition includes encouraging adoption of healthy behaviors and promotion of physical activity (PA). However, people living with HIV (PLH) are often under social and programmatic vulnerability that may compromise behavior change. Understanding such barriers is crucial for successful incorporation of PA in their comprehensive care.<h4>Methods and findings</h4>In this study, we describe PA, energy intake from diet, and anthropometry of a cohort of PLH starting antiretroviral therapy (ART) at a Brazilian reference clinic, report how PA was addressed in routine care and investigate association between PA, energy intake and psychosocial constructs that may facilitate PA (social support and self-efficacy for PA). Among 61 PLH (86.9% males, mean age = 32.5 years) anthropometry was normal, but 47.5% reported PA below recommendations. Despite presenting high social support scores, family encouragement for PA was low, and self-efficacy classified as medium. Chart reviews yielded infrequent reports concerning PA. After adjusting for gender and age, we found a negative association between energy intake from diet and self-efficacy, but none between PA and energy intake or between PA and psychosocial constructs.<h4>Conclusions</h4>We conclude that patients in our cohort were insufficiently active when starting ART, and that PA was poorly addressed by caretakers in routine HIV care. Nevertheless, social support and self-efficacy scores suggest potential for behavioral change. Caregivers should therefore start considering patients' vulnerabilities and establishing strategies to help them overcome barriers to incorporate PA in their comprehensive care effectively.
format	article
author	Ardiles Vitor Santos Elisabete Cristina Morandi Santos Camila Melo Picone Tulio Gamio Dias Sandra Maria Lima Ribeiro Alex Antonio Florindo Aluisio Cotrim Segurado
author_facet	Ardiles Vitor Santos Elisabete Cristina Morandi Santos Camila Melo Picone Tulio Gamio Dias Sandra Maria Lima Ribeiro Alex Antonio Florindo Aluisio Cotrim Segurado
author_sort	Ardiles Vitor Santos
title	Incorporating physical activity in the comprehensive care of people living with HIV starting antiretroviral therapy: Insights from a specialized care setting in São Paulo, Brazil.
title_short	Incorporating physical activity in the comprehensive care of people living with HIV starting antiretroviral therapy: Insights from a specialized care setting in São Paulo, Brazil.
title_full	Incorporating physical activity in the comprehensive care of people living with HIV starting antiretroviral therapy: Insights from a specialized care setting in São Paulo, Brazil.
title_fullStr	Incorporating physical activity in the comprehensive care of people living with HIV starting antiretroviral therapy: Insights from a specialized care setting in São Paulo, Brazil.
title_full_unstemmed	Incorporating physical activity in the comprehensive care of people living with HIV starting antiretroviral therapy: Insights from a specialized care setting in São Paulo, Brazil.
title_sort	incorporating physical activity in the comprehensive care of people living with hiv starting antiretroviral therapy: insights from a specialized care setting in são paulo, brazil.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/d8e63188a1ad4023823054637b8dc81e
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Incorporating physical activity in the comprehensive care of people living with HIV starting antiretroviral therapy: Insights from a specialized care setting in São Paulo, Brazil.

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