Showing posts with label exercise. Show all posts
Showing posts with label exercise. Show all posts

Tuesday, December 8, 2015

Stonewall Fitness: Exercise and living with HIV/AIDS


By David Smith
 

PictureIt’s no doubt that HIV/AIDS has had a huge impact on the GLBT community; it has affected many people within our community. Today over 1.3 million people (World Health Organization 2011) are living with HIV/AIDS and there have been many advancements in educational, prevention and treatment services offered that have turned the disease from a death sentence to on the verge of a cure.

Living a healthy lifestyle and exercising regularly can have many benefits for people who live with HIV/AIDS. Greg Louganis for example was diagnosed with HIV shortly before the 1988 Olympics, he stated in his book that he was afraid he would be too sick to compete and almost called it quits. However the fact that he was exercising regularly and staying consistent with a healthy diet not only helped to keep the virus at bay but to keep his immune system strong, to the point he was able to fight off other infections such as the flu a lot quicker than his HIV negative teammates. (Louganis. G Breaking the Surface 1996).




HIV/AIDS is a virus that targets the immune system; it essentially attacks and breaks down the immune system making it much weaker and unable to fight off other infection. Many of the illness and death attributed to HIV/AIDS actually come from other viruses and infection such as pneumonia and shingles. The immune system at that point is so weak from the HIV/AIDS virus that it is very vulnerable and unable to amount a proper defense, letting the infection take over the body.

Two conditions associated with HIV/AIDS are lipodystrophy and muscular atrophy. Lipodystrophy is a change in how the body stores, processes and utilizes fat. It can lead to rapid and unhealthy weight loss or weight gain and significantly manipulating your fat stores at a dangerous level. (AIDS Info, National Institute of Health) This is unhealthy as it can affect your intake of fat-soluble vitamins as well as lead to an increased risk of heart disease, high cholesterol, stroke and diabetes. The specific cause is unknown but it is believed that HIV/AIDS combined with other factors such as age, race and sex play a significant role.

Muscular atrophy is the wasting away of muscle, both in strength and the muscle tissue itself becomes more and more diminished. This leads to reduced strength and functionality, it also significantly increases your risk of injury ranging from fractures on the bone, decreased bone strength, joint issues, inflammation of tendons and ligaments as well can increase risk of infection.

Both of these conditions can lead to exhaustion, fatigue, and inability to perform regular tasks, mental conditions including depression, anxiety, increased stress and body image issues.

There has been inconsistent research in regards to specific benefits to exercise for people with HIV/AIDS but as more studies are being done we are constantly learning new information on how exercise can supplement a treatment program.

Exercise has consistently shown to help control and maintain healthy body composition with the efficient processing and storage of fat and fat-soluble vitamins. By maintaining a constant, healthy percentage of body fat you immediately reduce your risk of heart attack, stroke, diabetes, and other metabolic, cardiovascular and pulmonary disease. Partaking in a consistent exercise program as suitable to your condition can be beneficial in helping your body maintain a regular and healthy function. This is best accomplished by partaking in aerobic or cardio-based exercise programs. Depending on what your goals are these may include long duration exercise at a moderate intensity (walking, jogging, swimming, cycling) or higher intensity shorter duration exercises (High intensity interval training, sprinting). Both types have been shown to reduce fat and help maintain a healthy body fat percentage.
PictureNipples at the 2013 AIDS walk/run
Exercise also helps you strengthen and maintain a strong immune system, through the constant engagement of your body’s system it can help fight off bacterial and viral infections.

Resistance training can have a significant effect on reducing and even reversing muscular atrophy. By keeping the muscles constantly engaged and working, you are strengthening the muscles; they become stronger, bigger and more efficient. Not only that but weight bearing exercises have been shown to increase bone density, making your bones stronger and better able to hold the weight.  This helps maintain strong joints and bones to allow you to function and perform at a higher level as well maintain your physical health and quality of life for a much longer period of time. It also significantly reduces your risk or injury as you will better be able to recover and not be harmed as easily during impact. Resistance training does not only include weight lifting but body weight exercises, resistance bands and just about anything you can come up with that involves an increased weight load.