Evidence map›Paper›PMID 29984584›Full record

ArticleAIDS research and human retroviruses2018

Low Levels of Physical Activity Among Older Persons Living with HIV/AIDS Are Associated with Poor Physical Function.

Rachel H Safeek, Katherine S Hall, Felipe Lobelo, Carlos Del Rio, Audrey L Khoury, Tammy Wong, Miriam C Morey, Mehri S McKellar

Abstract read
In one paragraph

Article in AIDS research and human retroviruses, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Physical activity and exercise for older people living with HIV - the perceptions of health care professionals.SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance · 2025
    Article
  6. Challenges to Physical Activity Participation Among Older People Living with HIV: Scoping Review.International journal of environmental research and public health · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Rachel H Safeek1 Center for AIDS Research at Emory University, Emory University School of Medicine , Atlanta, Georgia .
Katherine S Hall2 Division of Geriatrics, Department of Medicine, Duke University Medical Center , Durham, North Carolina.
Felipe Lobelo5 Exercise is Medicine Global Research and Collaboration Center, Emory Rollins School of Public Health, Emory University , Atlanta, Georgia .
Carlos Del Rio1 Center for AIDS Research at Emory University, Emory University School of Medicine , Atlanta, Georgia .
Audrey L Khoury7 University of North Carolina School of Medicine , Chapel Hill, North Carolina.
Tammy Wong7 University of North Carolina School of Medicine , Chapel Hill, North Carolina.
Miriam C Morey2 Division of Geriatrics, Department of Medicine, Duke University Medical Center , Durham, North Carolina.
Mehri S McKellar3 Claude D. Pepper Older Americans Independence Center, Duke University Medical Center , Durham, North Carolina.
Duke Medical Center · USUniversity of North Carolina at Chapel Hill · US

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Nwora Lance Okeke · 2005 to 2026
$50.5M
Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Virginia B Kraus · 2006 to 2026
$24.6M
NIAID NIH HHS P30 AI064518NIA NIH HHS P30 AG028716
6 · The paper itself

Abstract

Antiretroviral therapy (ART) has prolonged lives of persons living with HIV/AIDS (PLWHA), resulting in greater incidence of aging-related diseases and disability. Physical activity (PA) is recommended for healthy aging, but little is known about PA in older PLWHA. The purpose of this study was to objectively assess PA levels in older PLWHA and the associations with physical function. Twenty-one PLWHA, ≥50 years old, on ART with undetectable HIV-1 viral loads, wore an accelerometer to assess PA, including number of steps, activity intensity, and energy expenditure over 7 days. A physical function performance battery assessing aerobic capacity, strength, and gait speed was also completed. Average age was 66, and 67% were male. An average of 3,442 (interquartile range: 4,613) steps were walked daily, with 254.9 kcals expended. Participants spent most waking hours (75%) sedentary, with minimal hours (24%) in light-intensity activity. Only 5 min per day (35 min per week), on average, were spent in moderate-to-vigorous physical activity (MVPA). Maximal gait speed and 6-min walk test significantly correlated (p < .05) with all PA outcomes. Usual gait speed significantly correlated with all PA outcomes, except for daily kcals and light-intensity activity. Greater PA was associated with better physical performance, while high sedentary time was associated with poorer performance. To our knowledge, this is the first study to objectively measure PA in older PLWHA. Our findings indicate that older PLWHA accumulate substantial sedentary time. Most (86%) do not achieve recommended MVPA levels. This activity profile was associated with poor physical function. Providers should promote PA among PLWHA.

Indexed as

AccelerometryAgedAnti-HIV AgentsCD4 Lymphocyte CountExerciseFemaleHIVHIV InfectionsHumansMaleMiddle AgedViral LoadAnti-HIV AgentsaccelerometryagingHIVphysical activityphysical function

Identifiers

PMID29984584
PMCPMC6909688
OpenAlexW2882950329

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.