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Abstract
Infectious Diseases Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology
HIV and its treatment with antiretroviral therapy increase the risk of noncommunicable diseases (NCDs) tied to physical inactivity. Older African American men are also at high risk for NCDs. We tested the efficacy of a theory-based intervention to increase adherence to federal aerobic and muscle-strengthening physical activity (PA) guidelines among African American men aged 40 years and older living with HIV. We randomized African American men aged 40 years and older living with HIV to a three-session social cognitive theory-informed health promotion intervention targeting PA or a one-session health awareness control condition. The primary outcome was PA guideline adherence assessed (self-reported) preintervention, immediate postintervention, and 3, 6, and 12 months postintervention. Secondary outcomes were the number of days on which participants reported moderate-intensity aerobic PA, vigorous-intensity aerobic PA, and muscle-strengthening PA in the past 7 days. Of 302 participants, 255 completed the 12-month postintervention measures. Generalized estimated equation logistic regression indicated that the health promotion intervention participants had higher odds of meeting PA guidelines than health awareness control participants, adjusting for baseline adherence (p = 0.011). Health promotion intervention participants also reported more muscle-strengthening PA (p = 0.001), vigorous-intensity aerobic PA (p = 0.049), and moderate-intensity aerobic PA (p = 0.010) than control participants. The rise in self-reported adherence to PA guidelines and improvements in muscle-strengthening and aerobic PA considered separately suggest that a relatively brief behavioral intervention can increase PA among African American men aged 40 years and older living with HIV and potentially curb their risk of NCDs that PA can prevent.
Effects of a Health Promotion Intervention on Physical Activity in African American Men Living with HIV: Randomized Controlled Trial
Creators
John B. Jemmott - University of Pennsylvania
Loretta S. Jemmott - Drexel University
Jingwen Zhang - University of California, Davis
Larry D. Icard - Nelson Mandela University
Terri-Ann Kelly - Rutgers School of Nursing
Ian Frank - University of Pennsylvania
Scarlett L. Bellamy - Drexel University
Publication Details
AIDS patient care and STDs, v 35(10), pp 377-384
Publisher
Mary Ann Liebert, Inc
Number of pages
8
Grant note
R01 MD006232; P30 AI045008; P30 MH097488 / National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
Resource Type
Journal article
Language
English
Academic Unit
Epidemiology and Biostatistics; College of Nursing and Health Professions
Web of Science ID
WOS:000697801600001
Scopus ID
2-s2.0-85117946171
Other Identifier
991019168426104721
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