Association of physical inactivity with hypertension and low educational level in people living with HIV / AIDS

AIDS Care. 2018 Aug;30(8):1004-1009. doi: 10.1080/09540121.2018.1441968. Epub 2018 Feb 22.

Abstract

The aim of this study was to determine the prevalence of physical inactivity and whether it is associated with sociodemographic, lifestyle, clinical, anthropometric, and body composition variables in people living with HIV/AIDS (PLWHA). This study makes use of data from a cohort of 288 adults aged ≥19 years, conducted between October 2009 and July 2011. The variables studied were sex, age, education, income, skin color, tobacco use, alcohol intake, body mass index, body fat percentage, waist circumference, and waist-hip ratio, length of HIV/AIDS diagnosis, use of antiretroviral therapy and length of its use, CD4, hypertension (HT) and diabetes mellitus. Physical inactivity was defined as a score below 600 metabolic equivalent minutes/week according to the International Physical Activity Questionnaire - Short Version. Poisson multiple regression was applied in the multivariate analysis with a significance level of 5%. The prevalence of physical inactivity was 44.1%. Education of ≤4 years of study (prevalence ratio [PR]: 1.71) and HT (PR: 1.49) were associated with physical inactivity. Physical inactivity was highly prevalent in PLWHA and associated with low educational level and HT. We highlight the simultaneous association between two cardiometabolic risk factors, HT and physical inactivity.

Keywords: HIV; Sedentary lifestyle; body composition; cardiovascular disease; hypertension; socioeconomic factors.

MeSH terms

  • Adult
  • Aged
  • Brazil
  • Cohort Studies
  • Educational Status*
  • Female
  • HIV Infections / complications*
  • HIV Infections / physiopathology*
  • Humans
  • Hypertension / complications*
  • Male
  • Middle Aged
  • Sedentary Behavior*
  • Young Adult