A hospital-based exercise program to improve body composition, strength, and abdominal adiposity in 2 HIV-infected children.
Two girls, aged 10 and 17 years, both with perinatally acquired HIV infection, participated in a 12-week, hospital-based exercise rehabilitation program of progressive resistance exercise training with an aerobic component. Weight, height, skin-fold thickness (4 sites), lean body and fat mass (assessed by dual-energy x-ray absorptiometry), and visceral adiposity (assessed by single-slice CT scan) were measured at the start and at the competition of the training program. After 12 weeks of training, both girls showed improved muscle strength (up to 64% increase in some muscle groups) and decreased visceral adipose tissue (up to 23%) and subcutaneous adipose tissue (up to 21%). One child decreased her total body fat by 9%. No adverse effects of the program were seen. These preliminary data suggest that progressive resistance exercise training in a medically supervised environment is safe and feasible for children with HIV infection. Most of these improvements were sustained or had increased at follow-up after home-based training.
Miller
Tracie L
TL
Division of Pediatric Clinical Research, Department of Pediatrics, University of Miami Miller School of Medicine, Miami, Florida, USA.
D000293:Adolescent; D001823:Body Composition; D002648:Child; D005081:Exercise Therapy; D005260:Female; D015658:HIV Infections / Q000150:complications / Q000151:congenital / Q000534:rehabilitation*; D006801:Humans; D008060:Lipodystrophy / Q000534:rehabilitation*; D053580:Muscle Strength