Sport and Self Esteem in Patients Living With HIV

Study Overview
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Brief Summary
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Adapted athletic activity has shown benefits in patients with certain chronic diseases, including improving fatigue and pain in patients with cancer, and improving the symptoms of severe depression. Among Patients Living with Human Immunodeficiency Virus (PLHIV), sport appears to be less common than for people who do not live with HIV. In fact, 44% of PLHIV in a Swiss cohort (10,500 patients) were inactive in 2014, whereas this percentage was 26% in the general population in Switzerland. We did not find any French data on the prevalence of sports activity among PLHIV. The benefits of sport in PLHIV are numerous: meta-analyzes on interventional studies of aerobic and resistance exercises show a significant improvement in maximum oxygen consumption, muscle strength, percentage of body fat, quality of life and symptoms of depression. An improvement in cognitive function was noted in a randomized study. An Iranian randomized study of 2017 showed an improvement in the CD4 count, after 8 weeks of resistive exercise, but two meta-analyzes of 2016 and 2017 did not find a significant change in CD4 or viral load with physical exercise. On the other hand, several studies have shown that sports practice improves self-esteem. In addition, an Australian randomized study in 2006 showed an improvement in self-efficacy in PLHIVs after a six-month exercise (aerobic and resistance) program. Furthermore, self-esteem (defined as positive self-esteem) is a factor facilitating adherence to antiretroviral therapy. The objective of this descriptive study is to evaluate the prevalence of sports activity in a French adult population infected with HIV and to seek an association with self-esteem. In addition, the investigators will look for an association between sport and fatigue, pain, sleep, lymphocyte T CD4 cell levels, viral load.

Official Title
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Assessment of Self-esteem According to the Practice of a Sport Activity in a Population of Adults Living With HIV

Conditions
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HIV Seropositivity

Intervention / Treatment
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* Behavioral: Sports activity


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patient with HIV aged over 18 Patient followed by a physician in one of the participating centers of the Regional coordination of the fight against HIV infection (COREVIH) Pays de la Loire Exclusion Criteria: Refusal or unability to answer the self-questionnaire. Patient Under guardianship

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Behavioral: Sports activity|Evaluation of physical activity using the International Physical Activity Questionnaire (IPAQ) short version.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assessment of self-esteem according to the sport activity of PLHIV | Prevalence of self-esteem (Rosenberg questionnaire) among PLHIV, according to sport activity | six months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Description of the sporting activity of an adult HIV population | Number and frequency of characteristics related to sports activity | Six months | 
| Description of factors associated with sports activity: fatigue | Prevalence of fatigue symptoms | Six months | 
| Description of factors associated with sports activity: pain | Prevalence of pain symptoms | Six months | 
| Description of factors associated with sports activity: sleep | Prevalence of sleep disorders | Six months | 
| Search for a correlation between physical activity and HIV activity | Measure of the correlation between the measured physical activity and CD4 levels and HIV load. | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Sport, HIV, Self Esteem