Expert Consensus on an Exercise Prescription Framework for Older People Living With HIV in a South African Setting-A Delphi Study.
Levin Chetty, Saul Cobbing, Verusia Chetty
PMID 39749938WHAT IT FOUND
South African experts agreed a 12-week exercise framework for older people living with HIV should include warm-up, endurance, resistance, cooldown, supervision, screening, and community settings.
This is expert consensus, not evidence the framework improves health.
Key findings
01The panel reached consensus on a 12-week progressive exercise prescription, and all 14 experts agreed warm-up, endurance, resistance, and cooldown were critical.
02Supervised exercise by a health care professional or trained lay personnel was agreed as crucial, but unsupervised exercise did not reach consensus.
03In Round 2, all 14 experts agreed on themes of multidisciplinary collaboration, skill development, task shifting, preparticipation screening, and monitoring and evaluation.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
This is expert consensus, not a patient trial, so it cannot show whether the framework improves health or function. The panel was small and came from physiotherapy, exercise science, and biokinetics backgrounds. The electronic process kept responses anonymous, so themes could not be linked to individual experts. The framework has not been piloted or tested in the South African setting described.
Declared interests
The authors declared no real or perceived vested interest related to the article.
The easy way to misread this
Do not read this as proof that the exercise programme improves health in older people living with HIV. The paper reports expert agreement on a proposed framework, not patient outcomes from a trial.