Factors associated with physical function capacity in an urban cohort of people living with the human immunodeficiency virus in South Africa.
Ronel Roos, Hellen Myezwa, Heleen van Aswegen
PMID 31616799WHAT IT FOUND
Past tuberculosis history did not predict 6-minute walk distance in 84 South African people living with HIV.
Age and gender did: older age and being female were associated with shorter walks, and a prediction equation was proposed.
Key findings
01A self-reported history of pulmonary tuberculosis was not associated with 6-minute walk distance in this cohort.
02Age and gender were the only variables retained in a stepwise regression model predicting 6-minute walk distance, and the model accounted for 34% of the total variance.
03The proposed prediction equation was y = 699.50 - 80.95 (gender: women = 1; men = 0) - 2.35 (age).
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
This analysis used only baseline measurements from a single-blind randomised trial, so it describes associations at one time point and cannot show that any factor caused lower walking distance. Only 17 participants reported a past pulmonary tuberculosis history, and it was self-reported, so the study had limited ability to detect a real tuberculosis effect. Pulmonary function tests were not performed, and time since tuberculosis diagnosis or treatment may have varied, so lung damage from past tuberculosis could not be assessed. The sample was recruited from one Johannesburg clinic and selected for an exercise trial, and all participants could walk without an assistive device, so the findings may not apply to people with more severe mobility problems, active tuberculosis, or more advanced disease. The prediction equation was generated from these 84 participants and was not validated in another group.
The easy way to misread this
Do not conclude that past tuberculosis has no long-term effect on physical function. Only 17 participants reported a past tuberculosis history, it was self-reported, and pulmonary function tests were not performed.