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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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Source: Barbaro Giuseppe, Boccara Franc (eds.). Cardiovascular Disease in AIDS. 2nd edition. — Springer,2009. — 169 p.. 2009
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