Balance as an assessment of health-related quality of life in people living with HIV
DOI:
https://doi.org/10.14198/jhse.2019.142.20Keywords:
Standing balance, HIV dementia, HRQoLAbstract
Background: Balance and cognitive decline are impairments in people living with HIV (PLWH). These impairments predispose to fall-related injuries, affecting health-related quality of life (HRQoL). This study assessed standing balance and cognition after a three-month fitness program and its relationship to HRQoL. Methods: Fifty-four PLWH participating in a community-based fitness program participated in this study. Standing balance with eyes open and eyes closed was measured with a pressure mat. Cognition was assessed using the HIV dementia scale (HDS), while the Functional Assessment of HIV Infection (FAHI) was used as a measure of HRQoL. Paired t-tests compared balance values while linear regression explored the association between balance and HDS scores with HRQoL. Results: Balance values with eyes open improved significantly (p=0.04). Linear regression showed a significant association between the three predictors and HRQoL (r = .50; p = .017). Conclusions: Standing balance and mental status play a significant role in HRQoL in PLWH.
Funding
La Perla de Gran Precio, San Juan, Puerto RicoDownloads
References
Althoff, N., Smit, M., Reiss, P. & Justice, A.C. (2016). HIV and ageing: improving quantity and quality of life. Curr Opin HIV AIDS, 11(5), 527-536. https://doi.org/10.1097/COH.0000000000000305
American College of Sports Medicine, Riebe, D., Ehrman, J.K., Liguori, G. & Magal, M. (2018). ACSM's guidelines for exercise testing and prescription, 10th ed. Philadelphia, PA: Wolters Kluwer.
Bauer, L.O., Ceballos, N.A., Shanley, J.D. & Wolfson, L.I. (2005). Sensorimotor dysfunction in HIV/AIDS: effects of antiretroviral treatment and comorbid psychiatric disorders. AIDS, 19(5),495-502. https://doi.org/10.1097/01.aids.0000162338.66180.0b
Brenton-Rule, A., Mattock, J., Carroll, M., Dalbeth, N., Bassett, S., Menz, H. B., & Rome, K. (2012). Reliability of the TekScan MatScan(R) system for the measurement of postural stability in older people with rheumatoid arthritis. J Foot Ankle Res, 5, 21. https://doi.org/10.1186/1757-1146-3-11
Centner, C.M., Bateman, K.J. & Heckmann, J.M. (2013). Manifestations of HIV infection in the peripheral nervous system. Lancet Neurol, 12(3), 295-309. https://doi.org/10.1016/S1474-4422(13)70002-4
Erlandson, K.M., Allshouse, A.A., Jankowski, C.M., Mawhinney, S., Kohrt, W.M. & Campbell, T.B. (2014). Relationship of physical function and quality of life among persons aging with HIV infection. AIDS, 28(13), 1939-1943. https://doi.org/10.1097/QAD.0000000000000384
Giacomozzi, C. (2010) Appropriateness of plantar pressure measurement devices: a comparative technical assessment. Gait & posture, 32(1),141-144. https://doi.org/10.1016/j.gaitpost.2010.03.014
Goetschius, J., Feger, M.A., Hertel, J. & Hart, J.M. Validating Center of Pressure Balance Measurements Using the MatScan(R) Pressure Mat. (2017). J Sport Rehabil , 1-14. https://doi.org/10.1123/jsr.2017-0152
Hawkins, K.L., Brown, T.T., Margolick, J.B. & Erlandson, K.M. (2017) Geriatric syndromes: new frontiers in HIV and sarcopenia. AIDS, 31 Suppl 2, S137-S146. https://doi.org/10.1097/QAD.0000000000001444
Kisner, C., Colby, L.A. & Borstad, J. (2018). Therapeutic exercise : foundations and techniques, 7th ed. Philadelphia, PA: F.A. Davis Company.
Nakagawa, F., May, M., Phillips, A. (2013). Life expectancy living with HIV: recent estimates and future implications. Curr Opin Infect, 26(1), 17-25. https://doi.org/10.1097/QCO.0b013e32835ba6b1
Ofotokun, I., Titanji, K., Vunnava, A., Roser-Page, S., Vikulina, T., Villinger,…Weitzmann, M.N., (2016). Antiretroviral therapy induces a rapid increase in bone resorption that is positively associated with the magnitude of immune reconstitution in HIV infection. AIDS, 30(3), 405-414. https://doi.org/10.1097/QAD.0000000000000918
Ortiz. A., Ramirez-Marrero, F., Rosario, M., Venegas-Rios, H. (2014) Long-Term Participation in a Community-Based Fitness Program for Hispanic Adults Living with HIV Influences Health-Related Outcomes. Journal of PhysicalTherapy and Health Promotion, 2(1),1-7. https://doi.org/10.18005/PTHP0201001
Palmieri, R.M., Ingersoll, C.D., Stone, M.B. & Krause, B.A. (2002). Center-of-Pressure Used in the Assessment of Postural Control. J Sport Rehabil, 11,51-66. https://doi.org/10.1123/jsr.11.1.51
Peterman, A.H., Cella, D., Mo, F. & McCain, N. (1997). Psychometric validation of the revised Functional Assessment of Human Immunodeficiency Virus Infection (FAHI) quality of life instrument. Qual Life Res, 6(6), 572-584. https://doi.org/10.1023/A:1018416317546
Power, C., Selnes, O.A., Grim, J.A. & McArthur, J.C. (1995). HIV Dementia Scale: a rapid screening test. J Acquir Immune Defic Syndr Hum Retrovirol, 8(3), 273-278. https://doi.org/10.1097/00042560-199503010-00008
Richert, L., Dehail, P., Mercié, P., Dauchy, F. A., Bruyand, M., Greib, C., ...Chene., G. (2011). High frequency of poor locomotor performance in HIV-infected patients. AIDS, 25(6),797-805. https://doi.org/10.1097/QAD.0b013e3283455dff
Shumway-Cook, A. & Woollacott M.H. (2017). Motor control : translating research into clinical practice, 2nd ed. Philadelphia, PA: Wolters Kluwer.
Ruhe, A., Fejer, R., Walker, B. (2011). Center of pressure excursion as a measure of balance performance in patients with non-specific low back pain compared to healthy controls: a systematic review of the literature. Eur Spine J, 20(3),358-368. https://doi.org/10.1007/s00586-010-1543-2
Shah, K., Hilton, T.N., Myers, L., Pinto, J.F., Luque, A.E. & Hall W.J. (2012). A new frailty syndrome: central obesity and frailty in older adults with the human immunodeficiency virus. J Am Geriatr Soc, 60(3),545-549. https://doi.org/10.1111/j.1532-5415.2011.03819.x
Skinner, S., Adewale, A.J., DeBlock, L., Gill, M.J. & Power, C. (2009). Neurocognitive screening tools in HIV/AIDS: comparative performance among patients exposed to antiretroviral therapy. HIV Med, 10(4), 246-252. https://doi.org/10.1111/j.1468-1293.2008.00679.x
Sullivan, E.V., Rosenbloom, M.J., Rohlfing, T., Kemper, C.A., Deresinski, S., & Pfefferbaum, A. (2011). Pontocerebellar contribution to postural instability and psychomotor slowing in HIV infection without dementia. Brain Imaging Behav, 5(1),12-24. https://doi.org/10.1007/s11682-010-9107-y
Viala-Danten, M., Dubois, D., Gilet, H., Martin, S., Peeters, K. & Cella, D. (2010). Psychometric evaluation of the functional assessment of HIV Infection (FAHI) questionnaire and its usefulness in clinical trials. Qual Life Res 19(8), 1215-1227. https://doi.org/10.1007/s11136-010-9674-9
Weitzmann, M.N., Ofotokun, I., Titanji, K., Sharma, A. & Yin, M.T. (2016). Bone Loss Among Women Living With HIV. Curr HIV/AIDS Rep, 13(6),367-373. https://doi.org/10.1007/s11904-016-0336-6
Wojna, V., Skolasky, R.L., McArthur, J.C., Maldonado, E., Hechavarria, R., Mayo, R.,…Kraiselburd, E. (2007). Spanish validation of the HIV dementia scale in women. AIDS Patient Care STDS, 21(12), 930-941. https://doi.org/10.1089/apc.2006.0180
Zhen, L., Liang, Y., Wang, L., Sheng, J. & Ma, S. (2016). Reliability and Validity of Center of PRessure MEasures for Balance Assessment in Older Adults. J Phys Ther Sci, 28,1364-1367. https://doi.org/10.1589/jpts.28.1364
Downloads
Statistics
Published
How to Cite
Issue
Section
License
Copyright (c) 2019 Journal of Human Sport and Exercise
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Each author warrants that his or her submission to the Work is original and that he or she has full power to enter into this agreement. Neither this Work nor a similar work has been published elsewhere in any language nor shall be submitted for publication elsewhere while under consideration by JHSE. Each author also accepts that the JHSE will not be held legally responsible for any claims of compensation.
Authors wishing to include figures or text passages that have already been published elsewhere are required to obtain permission from the copyright holder(s) and to include evidence that such permission has been granted when submitting their papers. Any material received without such evidence will be assumed to originate from the authors.
Please include at the end of the acknowledgements a declaration that the experiments comply with the current laws of the country in which they were performed. The editors reserve the right to reject manuscripts that do not comply with the abovementioned requirements. The author(s) will be held responsible for false statements or failure to fulfill the above-mentioned requirements.
This title is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International license (CC BY-NC-ND 4.0).
You are free to share, copy and redistribute the material in any medium or format. The licensor cannot revoke these freedoms as long as you follow the license terms under the following terms:
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
NonCommercial — You may not use the material for commercial purposes.
NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
Transfer of Copyright
In consideration of JHSE’s publication of the Work, the authors hereby transfer, assign, and otherwise convey all copyright ownership worldwide, in all languages, and in all forms of media now or hereafter known, including electronic media such as CD-ROM, Internet, and Intranet, to JHSE. If JHSE should decide for any reason not to publish an author’s submission to the Work, JHSE shall give prompt notice of its decision to the corresponding author, this agreement shall terminate, and neither the author nor JHSE shall be under any further liability or obligation.
Each author certifies that he or she has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article, except as disclosed on a separate attachment. All funding sources supporting the Work and all institutional or corporate affiliations of the authors are acknowledged in a footnote in the Work.
Each author certifies that his or her institution has approved the protocol for any investigation involving humans or animals and that all experimentation was conducted in conformity with ethical and humane principles of research.
Competing Interests
Biomedical journals typically require authors and reviewers to declare if they have any competing interests with regard to their research.
JHSE require authors to agree to Copyright Notice as part of the submission process.
