Davy Vancampfort^1,2, Brendon Stubbs^3,4, James Mugisha^5,6

1. KU Leuven – University of Leuven, Department of Rehabilitation Sciences, Leuven, Belgium
2. KU Leuven – University of Leuven, University Psychiatric Center KU Leuven, Leuven-Kortenberg, Belgium3. Physiotherapy Department, South London and Maudsley NHS Foundation Trust, London, UK
3. Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience,

King’s College London, De Crespigny Park, London, UK

5. Butabika National Referral and Mental Health Hospital, Kampala, Uganda
6. Kyambogo University, Kampala, Uganda

Abstract

Background: Self-management strategies such as physical activity (PA) can address disability and optimize mental, physical, social and economic outcomes for persons living with HIV (PLWH). Understanding factors that influence PA behavior in PLWH is a first step in order to devise effective interventions.

Objective: The present review provides a systematic review of the correlates of PA in PLWH in sub-Saharan Africa.

Methods: Electronic databases were searched till April 2016. Keywords included ‘physical activity’ or ‘exercise’ or ‘sports’ and ‘AIDS’ or ‘HIV’.

Results: Ten correlates were identified in 6 studies including 1,015 (329♂) PLWH (mean age range=30.5-40.8years). Lower levels of PA were associated with older age (2/2 studies), a lower number of CD4 cells/μl (1/1), a more severe HIV-stage (1/1), a higher HIV load (1/1), the presence of opportunistic infections (1/1) and a higher BMI (1/1). Fisher’s exact tests showed there were more significant correlates in objective tools versus subjective self-report (P=0.03).

Conclusion: The current review shows that participation in PA by PLWH in sub-Saharan Africa is associated with a range of complex factors which should be considered in the daily care of PLWH. This however might require repackaging of the current interventions for PLWH to allow a focus on PA.

Keywords: Physical activity, exercise, physiotherapy, AIDS, HIV..

DOI: https://dx.doi.org/10.4314/ahs.v18i2.25

Cite as: Vancampfort D, Stubbs B, Mugisha J. Physical activity and HIV in sub-Saharan Africa: a systematic review of correlates and levels. Afri Health Sci. 2018;18(2): 394-406. https://dx.doi.org/10.4314/ahs.v18i2.25

 Physical activity and HIV in Sub-Saharan Africa a systematic review  of correlates and levels.PDF