Comparison of Muscle Strength, Aerobic Capacity and Body Composition between Healthy Adolescents and Those Living with HIV: A Systematic Review and Meta-Analysis

Rafaela Catherine da Silva Cunha de Medeiros, Isis Kelly dos Santos, Anna Luiza Vasconcelos de Oliveira, Carlos Jean Damasceno de Goes, Jason Azevedo de Medeiros, Tatiane Andreza Lima da Silva, Juliany de Souza Araujo, Phelipe Wilde de Alcântara Varela, Ricardo Ney Cobucci, Breno Guilherme de Araújo Tinoco Cabral and Paulo Moreira Silva Dantas
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Rafaela Catherine da Silva Cunha de Medeiros: Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal 59078-970, Brazil
Isis Kelly dos Santos: Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal 59078-970, Brazil
Anna Luiza Vasconcelos de Oliveira: Department of Nutrition, Federal University of Rio Grande do Norte, Natal 59078-970, Brazil
Carlos Jean Damasceno de Goes: Department of Physical Activity, Federal University of Rio Grande do Norte, Natal 59078-970, Brazil
Jason Azevedo de Medeiros: Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal 59078-970, Brazil
Tatiane Andreza Lima da Silva: Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal 59078-970, Brazil
Juliany de Souza Araujo: Department of Physical Activity, Federal University of Rio Grande do Norte, Natal 59078-970, Brazil
Phelipe Wilde de Alcântara Varela: Department of Physical Activity, Federal University of Rio Grande do Norte, Natal 59078-970, Brazil
Ricardo Ney Cobucci: Biotechnology Graduate Program, Potiguar University of Rio Grande do Norte, Natal 59078-970, Brazil
Breno Guilherme de Araújo Tinoco Cabral: Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal 59078-970, Brazil
Paulo Moreira Silva Dantas: Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal 59078-970, Brazil

IJERPH, 2021, vol. 18, issue 11, 1-11

Abstract: Background : The adverse effects of antiretroviral therapy associated with complications generated by human immunodeficiency virus (HIV) promote impairments in physical fitness in adolescents. Objective : To analyze the aerobic capacity, muscle strength, and body composition of adolescents living with HIV compared with a healthy population of the same age. Methods : Searches were performed in the MEDLINE, Embase, Web of Science, Scopus and SportDiscus databases until September 2019 and updated in April 2020. Eligibility Criteria: adolescents of both sexes in the age group from 10 to 19 years; living with HIV; cross-sectional, case–control, cohort studies; comparing with a healthy population. Mean differences and 95% Confidence intervals (CIs) were calculated using RevMan (software for systematic reviews). Results : Five articles were included, involving 197 adolescents living with HIV (16 to 18 years) and 185 without infection (13 to 18 years), with the sample in each study ranging from 15 to 65 adolescents. Aerobic capacity and muscle strength were reduced in adolescents with HIV, and body mass index was also significantly lower in this group. Conclusion : Adolescents living with HIV have impaired cardiorespiratory fitness, muscle strength, and body composition when compared to their uninfected peers. However, this systematic review provides limited evidence on the differences between the physical fitness outcomes of adolescents living with HIV compared to healthy adolescents.

Keywords: physical fitness; cardiorespiratory fitness; child health; adolescents; human immunodeficiency virus (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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