Conclusion
In HIV patients like in people with and without CVD [42], both anaerobic and aerobic training induce some health benefits and improve physical fitness at different levels of body functions (Table 2), but the prescription and supervision of resistance training remain a medical task based on some limitations (Table 3).
Table 2 Physiological and biochemical effects of aerobic exercise (endurance) and anaerobic exercise (resistance training).
Adapted [42, 43 and 84]| Parameters | Endurance | Resistance training |
| Body composition, metabolism and muscle strength | ||
| Bone density | ++ | ++ |
| Body fat (%) | - - | - |
| Lean body mass | 0 | ++ |
| Basal metabolic rate | +/0 | + |
| Muscle strength | 0/+ | +++ |
| Biochemistry | ||
| Cholesterol | ||
| HDL | +/0 | +/0 |
| LDL | -/0 | -/0 |
| Triglycerides | — | -/0 |
| Insulin (basal) | - | - |
| Insulin sensitivity | ++ | ++ |
| Insulin response to glucose | — | — |
| Cardiovascular system | ||
| Resting heart rate | — | 0 |
| Systolic blood pressure | -/0 | 0 |
| Diastolic blood pressure | -/0 | 0 |
| Vo2 max | +++ | +/0 |
| Resting cardiac output | 0 | 0 |
| Maximal cardiac output | ++ | 0 |
| Resting and maximal stroke volume | ++ | 0 |
| Submaximal and maximal endurance time | +++ | ++ |
| Submaximal exercise rate-pressure product | —- | — |
Table 3 Clinical conditions totally or partially contraindicating aerobic and resistance exercise
| Absolute contraindication | With caution | |
| Cardiovascular diseases (CVD) | ||
| Uncontrolled CVD | x | |
| Heart failure | x | |
| Aortic stenosis or dissection | x | |
| Myocarditis | x | |
| Endocarditis | x | |
| Pericarditis | x | |
| Pulmonary hypertension | x | |
| Arrhythmias | x | |
| Others | ||
| Diabetes | x | |
| Marfan syndrome | x | |
| Musculoskeletal (myopathies, osteoarthritis etc.) | x | |
| Risks for CVD | x | |
| Uncontrolled hypertension (180-110mm Hg) | x | |
| Uncontrolled hypertension (160-100mm Hg) | x | |
| Pacemaker/defibrillator carriers | x |
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