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Hernandez Alavarez E.D.1, Mancera Soto E.1, Alonso I.A.1, Cadena J.S.1, Devia I.J.1, González K.J.1, Ramírez C.A.1, Rodriguez N.J.1, Sarmiento A.T.1
1Univerisdad Nacional de Colombia, Cundinamarca, Bogota, Colombia
Background: HIV is associated with low levels of physical activity and unhealthy lifestyles, as supported in previous studies worldwide. Knowledge of the level of physical activity and lifestyle of vulnerable populations is an essential element to guide interventions based on, promotion of healthy habits.
Purpose: To characterize the level of physical activity and lifestyles of people living with HIV/AIDS in a health promoting institution (HPI) in Bogota D.C.
Methods: A descriptive, cross-sectional pilot study was conducted. For the engagement of the population, a direct call was made to HPI users. The overall level of physical activity, by items, and lifestyles of 159 patients living with HIV/AIDS was assessed, with the use of FANTASTIC and the International Physical Activity Questionnaire (IPAQ), which were to be completed individually with advice from the researchers
Results: 159 subjects were enrolled; 80% male, 20% female. Average of age 40.6 years, 167.6 cm tall, and weighing 55-65 kg. Four main distribution patterns were described, from level of education, income and medical history data. 56% of the population was in Pattern 3, (single men, with an average age of 38 years, socio-economic level 2 and an incomplete high school). 26% in Pattern 1 (women in socio-economic level 1, incomplete elementary level and they are registered in the subsidized system). In the IPAQ, high category, the item that best represented was work with an energy expenditure of 6954.1 ± 9492.9 METS and the least was transport with an average of 1244.9 ± 3514.4. In FANTASTIC, 31.4% is in the excellent category, 47.2% good, 11.9% fair, 8.2% bad and 1.2% dangerous. Six clusters were defined. The most representative were 3 and 2 with 56% of the population. Cluster 3 characterized by high levels of physical activity, a lifestyle between fair and poor with a Pattern 1. Cluster 2 with a high level of physical activity and excellent life style with a Pattern 4. 44% of the population is distributed in cluster 1, 4, 5 and 6. Clusters 5 and 6 showed low to moderate levels of physical activity.
Conclusion(s): The population has levels of vigorous physical activity directly related to the work item which was associated to job demands that involve maintaining prolonged postures while standing or walking. However, they have low level of physical activity in their free time and were not involved in a physical activity program for health. Classification by clusters guides the design and implementation of physical activity and improved lifestyle programs, especially in the population of clusters 3, 5 and 6.
Implications: National response to HIV occurs in two scenarios: the first is related to individual interventions included in the System of Health through insurance schemes; and the second refers to collective interventions included in the National HIV and AIDS Response Plan. These intervention scenarios dont have physical activity and healthy lifestyles programs for people with HIV, so is an opportunity for physical therapy action through implementation of physical exercise programs and education to increase the level of quality of life and improved health.
Funding acknowledgements: We hereby Acknowledgements to DIB Universidad Nacional de Colombia and to ASICS HIP for support us and funding these project
Topic: Health promotion & wellbeing/healthy ageing
Ethics approval: Research Ethics Committee of the HIP ASICS Asistencia Científica de Alta Complejidad Record No. CEI 066 of 8 July 2015.
All authors, affiliations and abstracts have been published as submitted.
