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Walden University *

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Health Science

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Dec 6, 2023

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docx

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Webel, A. R., Perazzo, J., Longenecker, C. T., Jenkins, T., Sattar, A., Rodriguez, M., Schreiner, N., & Josephson, R. A. (2018). The influence of exercise on cardiovascular health in sedentary adults with human immunodeficiency virus. Journal of Cardiovascular Nursing , 33 (3), 239–247. https://doi.org/10.1097/jcn.0000000000000450 This study shows the various lifestyle of being physically active with patients who have HIV and similar patients who do not have HIV. This research design uses the data derived from a cross-sectional analysis of baseline data from a clinical trail. They analyze the participants of self-management interventions based on exercise and cardiovascular outcomes. The study was conducted in Cleveland, Ohio via flyers and posters. Participants who contacted the research group had to be above 18, at high risk for developing CVD (cardio vascular disease), some participants were excluded from the research study if they met various criteria. Participants self-reported demographics, and consented to medical chart contractions- including years of HIV diagnosis and current CD4+ T-cell count and CD4+ T-cell nadir. For physical activity, participants wore a ActiGraph GT3X/+ accelerometer with specific instructions. For Blood pressure and Body Mass Index we obtained for each patient by a trained professional using the same weighting and height measuring technique. All participants underwent the same Cardiovascular scans using CT, cardiopulmonary exercise test, and laboratory measures. The statistical data was analyzed conformed using Stata version 14.0. Data was categorical variables were compiled into frequency and percentages. The research group used liner regression to identify similarities with participants (with and without HIV) for physical activity and cardiovascular health indicators while adjusting age, gender, BMI for relevant covariates. Strengths of research The research group had some great strengths in performing this study. From the beginning, they had specific inclusion criteria. This ensure that they had no outliers during their study that could skew their results. When performing measurements, they clearly stated how they measured everything. This prevents a void of not knowing if their measurements were or were not uniform. The numerical data that was collected was graphed in various ways was appropriate displayed, but was textually accurate and explained. Weakness:
This sample size of this group is small when compared to the area that it was conducted. Given that this study was conducted in Cleveland, Ohio, I would have liked to seen a larger sample size conducive for the area that better represents the community. Additionally, as stated in the paper, the median age of the population is a little bit older. This does pose limitations as this could affect the cardiovascular outcomes, which are more likely to be reduce with age. Lastly, as this research was conducted only over a week, a longer sampling time would be beneficial, which could show the benefits over a longer period of time with the added progression of how the participants body adapted over the longer length of time. Also on the flip side, if participants could not meet the requirements, the researchers could the regression of the participant’s body.
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