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AIDS and Behavior
Published in: AIDS and Behavior 3/2019

01-03-2019 | Original Paper

Physical Activity Intensity is Associated with Symptom Distress in the CNICS Cohort

Authors: Allison R. Webel, Amanda L. Willig, Wei Liu, Abdus Sattar, Stephen Boswell, Heidi M. Crane, Peter Hunt, Mari Kitahata, W. Christopher Matthews, Michael S. Saag, Michael M. Lederman, Benigno Rodriguez

Published in: AIDS and Behavior | Issue 3/2019

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Abstract

Symptom distress remains a challenging aspect of living with HIV. Physical activity is a promising symptom management strategy, but its effect on symptom distress has not been examined in a large, longitudinal HIV-infected cohort. We hypothesized that higher physical activity intensity would be associated with reduced symptom distress. We included 5370 people living with HIV (PLHIV) who completed patient-reported assessments of symptom distress, physical activity, alcohol and substance use, and HIV medication adherence between 2005 and 2016. The most frequent and burdensome symptoms were fatigue (reported by 56%), insomnia (50%), pain (46%), sadness (45%), and anxiety (45%), with women experiencing more symptoms and more burdensome symptoms than men. After adjusting for age, sex, race, time, HIV medication adherence, alcohol and substance use, site, and HIV RNA, greater physical activity intensity was associated with lower symptom intensity. Although individual symptoms may be a barrier to physical activity (e.g. pain), the consistent association between symptoms with physical activity suggests that more intense physical activity could mitigate symptoms experienced by PLHIV.
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Metadata
Title
Physical Activity Intensity is Associated with Symptom Distress in the CNICS Cohort
Authors
Allison R. Webel
Amanda L. Willig
Wei Liu
Abdus Sattar
Stephen Boswell
Heidi M. Crane
Peter Hunt
Mari Kitahata
W. Christopher Matthews
Michael S. Saag
Michael M. Lederman
Benigno Rodriguez
Publication date
01-03-2019
Publisher
Springer US
Published in
AIDS and Behavior / Issue 3/2019
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-018-2319-7

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