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出境医 / 临床实验 / Sport and Self Esteem in Patients Living With HIV

Sport and Self Esteem in Patients Living With HIV

Study Description
Brief Summary:

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.


Condition or disease Intervention/treatment
HIV Seropositivity Behavioral: Sports activity

Study Design
Layout table for study information
Study Type : Observational
Estimated Enrollment : 2000 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Assessment of Self-esteem According to the Practice of a Sport Activity in a Population of Adults Living With HIV
Actual Study Start Date : February 1, 2019
Estimated Primary Completion Date : November 30, 2019
Estimated Study Completion Date : December 31, 2019
Arms and Interventions
Outcome Measures
Primary Outcome Measures :
  1. Assessment of self-esteem according to the sport activity of PLHIV [ Time Frame: six months ]
    Prevalence of self-esteem (Rosenberg questionnaire) among PLHIV, according to sport activity


Secondary Outcome Measures :
  1. Description of the sporting activity of an adult HIV population [ Time Frame: Six months ]
    Number and frequency of characteristics related to sports activity

  2. Description of factors associated with sports activity: fatigue [ Time Frame: Six months ]
    Prevalence of fatigue symptoms

  3. Description of factors associated with sports activity: pain [ Time Frame: Six months ]
    Prevalence of pain symptoms

  4. Description of factors associated with sports activity: sleep [ Time Frame: Six months ]
    Prevalence of sleep disorders

  5. Search for a correlation between physical activity and HIV activity [ Time Frame: 6 months ]
    Measure of the correlation between the measured physical activity and CD4 levels and HIV load.


Eligibility Criteria
Contacts and Locations
Tracking Information
First Submitted Date April 16, 2019
First Posted Date April 19, 2019
Last Update Posted Date August 21, 2019
Actual Study Start Date February 1, 2019
Estimated Primary Completion Date November 30, 2019   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: April 16, 2019)
Assessment of self-esteem according to the sport activity of PLHIV [ Time Frame: six months ]
Prevalence of self-esteem (Rosenberg questionnaire) among PLHIV, according to sport activity
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures
 (submitted: April 16, 2019)
  • Description of the sporting activity of an adult HIV population [ Time Frame: Six months ]
    Number and frequency of characteristics related to sports activity
  • Description of factors associated with sports activity: fatigue [ Time Frame: Six months ]
    Prevalence of fatigue symptoms
  • Description of factors associated with sports activity: pain [ Time Frame: Six months ]
    Prevalence of pain symptoms
  • Description of factors associated with sports activity: sleep [ Time Frame: Six months ]
    Prevalence of sleep disorders
  • Search for a correlation between physical activity and HIV activity [ Time Frame: 6 months ]
    Measure of the correlation between the measured physical activity and CD4 levels and HIV load.
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Sport and Self Esteem in Patients Living With HIV
Official Title Assessment of Self-esteem According to the Practice of a Sport Activity in a Population of Adults Living With HIV
Brief Summary

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.

Detailed Description Not Provided
Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population The study population will consist of all HIV-infected patients followed in one of the COREVIH centers of Pays de la Loire participating in this study. Participation in the study will be offered to patients during a usual visit as part of the follow-up of their pathology. The annual number of patients in 2017 being 4300, it is estimated that the number of patients included will be between 1000 and 2000 over 6 months of inclusion with a response rate of at least 50%.
Condition HIV Seropositivity
Intervention Behavioral: Sports activity
Evaluation of physical activity using the International Physical Activity Questionnaire (IPAQ) short version.
Study Groups/Cohorts Not Provided
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Unknown status
Estimated Enrollment
 (submitted: April 16, 2019)
2000
Original Estimated Enrollment Same as current
Estimated Study Completion Date December 31, 2019
Estimated Primary Completion Date November 30, 2019   (Final data collection date for primary outcome measure)
Eligibility Criteria

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
Sex/Gender
Sexes Eligible for Study: All
Ages 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers No
Contacts Contact information is only displayed when the study is recruiting subjects
Listed Location Countries France
Removed Location Countries  
 
Administrative Information
NCT Number NCT03920969
Other Study ID Numbers CHM-2018-S10/002
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement
Plan to Share IPD: Undecided
Responsible Party Centre Hospitalier le Mans
Study Sponsor Centre Hospitalier le Mans
Collaborators
  • COordination REgionale de lutte contre les IST et le VIH (COREVIH) des Pays de la Loire
  • Nantes University Hospital
  • University Hospital, Angers
  • Hospital, La Roche sur Yon
  • Hospital, Saint Nazaire
  • Centre Hospitalier de Cholet
Investigators
Principal Investigator: Lucia Perez, MD CH Le Mans
PRS Account Centre Hospitalier le Mans
Verification Date May 2019