Results of a nine month home-based physical activity intervention for people living with HIV


  • Jason R. Jaggers Department of Health and Sport Sciences, Louisville, KY, 40292
  • Joanna M. Sneed Department of Health and Sport Sciences, Louisville, KY, 40292
  • R.L. Felipe Lobelo Hubert Department of Global Health, Rollins School of Public Health, Atlanta, GA, 30322
  • Gregory A. Hand Department of Health and Sport Sciences, Louisville, KY, 40292
  • Wesley D. Dudgeon Department of Health and Human Performance, Charleston, SC 29424
  • Vivek K. Prasad Department of Health and Sport Sciences, Louisville, KY, 40292
  • Stephanie Burgess College of Nursing, Columbia, SC 29208
  • Steven N. Blair Department of Exercise Science, Columbia, SC 29208



Community intervention, Randomized clinical trial, HIV, Physical Activity, Exercise, Self-care


Background: The purpose of this investigation was to test the feasibility of a home-based moderate-intensity physical activity (MPA) program for people living with HIV/AIDS (PLWHA) currently taking antiretroviral therapy (ART).

Methods: 68 participants recruited for a 9-month home-based PA intervention aimed to reduce risk factors of cardiovascular disease for PLWHA taking ART. All participants received an educational weight loss workbook and a pedometer for self-monitoring of physical activity. The intervention group received elastic Therabands® for strength training in addition to telephone based behavioural coaching. Clinical assessments were conducted at baseline and each follow-up which also included psychometric questionnaires and PA levels via the SenseWear® armband accelerometer.

Results: Of the 57 completing the study, 29 of those were in the intervention group and 28 were in the standard care group. Results show that the home-based PA intervention was not successful in increasing the total amount of MPA for PLWHA. However there was a trend (p=0.08) of decreasing sedentary time. In a secondary analysis those who increased PA by >10% observed decreases in waist circumference and improved functioning at 18 weeks. None of the changes observed were significant after controlling for all potential confounders.  

Conclusions: A home-based exercise approach with telephone-based coaching may not be a feasible method for increasing MPA among PLWHA. Slight decreases in sedentary time indicate some positive changes in activity habits. A possible strategy to improve studies similar to this is to incorporate a group based social interaction each week similar to that of a support group.


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Original Research Articles