title: Global physical activity levels among people living with HIV: a systematic review and meta-analysis.
abstract: OBJECTIVE
  It is unclear how much physical activity people living with HIV (PLWH) engage in. We conducted a meta-analysis to investigate physical activity levels and its predictors in PLWH.
  
  
  METHODS
  PubMed, PsycARTICLES, and CINAHL Plus were searched by two independent reviewers from inception till 1 April 2016 using the keywords: "HIV" OR "AIDS" AND "physical activity" OR "exercise" OR "sports". A random effects meta-analysis was conducted.
  
  
  RESULTS
  Across 24 studies including 34 physical activity levels there were 3780 (2471♂) PLWH (mean age range: 37-58 years). PLWH spent 98.9 (95%CI = 64.8-133.1) minutes per day being physically active which is lower than in most other populations with chronic diseases. 50.7% (95%CI = 39.3-62%) (n = 2052) of PLWH complied with the physical activity guidelines of 150 min moderate intensity physical activity per week. The number of steps walked per day in 252 PLWH was 5899 (95%CI = 5678-6418), which is below the 10,000 steps per day recommendation.
  
  
  CONCLUSIONS
  Our data demonstrate that a considerable proportion of PLWH are insufficiently physically active. Future lifestyle interventions specifically targeting the prevention of physical inactivity in PLWH are warranted. Implications for Rehabilitation Many people living with HIV do not comply with general health recommendations. Physical activity counseling should be key in the rehabilitation of people living with HIV.
authors.affiliation: a Department of Rehabilitation Sciences , KU Leuven - University of Leuven , Leuven , Belgium.|b University Psychiatric Center KU Leuven, KU Leuven - University of Leuven , Leuven , Kortenberg , Belgium.
authors.forename: Davy
authors.initials: D
authors.lastname: Vancampfort
authors.affiliation: c Butabika National Referral and Mental Health Hospital , Kampala , Uganda.|d Kyambogo University , Kampala , Uganda.
authors.forename: James
authors.initials: J
authors.lastname: Mugisha
authors.affiliation: b University Psychiatric Center KU Leuven, KU Leuven - University of Leuven , Leuven , Kortenberg , Belgium.
authors.forename: Marc
authors.initials: M
authors.lastname: De Hert
authors.affiliation: a Department of Rehabilitation Sciences , KU Leuven - University of Leuven , Leuven , Belgium.
authors.forename: Michel
authors.initials: M
authors.lastname: Probst
authors.affiliation: e Institute of Brain, Behaviour and Mental Health , University of Manchester , Manchester , UK.
authors.forename: Joseph
authors.initials: J
authors.lastname: Firth
authors.affiliation: f Department of Sport and Exercise Science , University of Portsmouth , Portsmouth , Hampshire , UK.
authors.forename: Paul
authors.initials: P
authors.lastname: Gorczynski
authors.affiliation: g Department of Physiotherapy , South London and Maudsley NHS Foundation Trust , London , UK.|h Department of Health Service and Population Research, Institute of Psychiatry, Psychology and Neuroscience , King's College London , London , UK.
authors.forename: Brendon
authors.initials: B
authors.lastname: Stubbs
mesh_terms: D015444:Exercise / Q000502:physiology*; D015658:HIV Infections / Q000503:physiopathology*; D006801:Humans
keywords: AIDS; Exercise; HIV; physical activity