Physical activity is associated with reduced fatigue in adults living with HIV/AIDS

J Adv Nurs. 2016 Dec;72(12):3104-3112. doi: 10.1111/jan.13084. Epub 2016 Sep 16.

Abstract

Aims: The aim of this study was to describe the relationships among home-based physical activity, fatigue, sleep, gender and quality of life in people living with HIV/AIDS BACKGROUND: Fatigue is a common and distressing symptom among people living with HIV/AIDS. Few interventions exist that effectively reduce fatigue in this population. Physical activity has shown promise to reduce fatigue in other populations, but its impact on fatigue in HIV/AIDS has not yet been explored.

Design: This study was conducted using a prospective, descriptive cohort design.

Methods: Overall, 90 adults living with HIV/AIDS completed cross-sectional measures. Home-based physical activity was measured using a 7-day self-report diary. Fatigue was measured using the self-reported HIV-Related Fatigue Scale. Sleep was assessed using wrist actigraphy and quality of life was assessed using the HIV-Associated Quality of Life Scale. Data were collected from December 2012-April 2013 and analysed using correlations and multiple linear regression.

Results: The number of minutes of home-based physical activity was significantly associated with reduced fatigue among people living with HIV/AIDS. In addition, increased fatigue was associated with decreased quality of life. No associations were found among fatigue, sleep or gender.

Conclusions: Our study demonstrates that physical activity in the home setting is an effective strategy to reduce fatigue among people living with HIV/AIDS. Future work developing and testing interventions to improve home-based physical activity in this population is needed.

Keywords: HIV/AIDS; fatigue; nurses; nursing; sleep; symptom management.

MeSH terms

  • Acquired Immunodeficiency Syndrome / therapy*
  • Adult
  • Cross-Sectional Studies
  • Exercise*
  • Fatigue
  • Female
  • HIV Infections / therapy*
  • Humans
  • Male
  • Middle Aged
  • Prospective Studies
  • Quality of Life*