Facilitators and barriers to physical activity in middle-aged and older adult(s) HIV infected persons: a systematic review of qualitative studies

PURPOSE: This study aims to objectively evaluate and synthesize qualitative studies on the facilitators and barriers to PA among middle-aged and older adults living with HIV. METHODS: A systematic search was conducted in four databases-Web of Science, Embase, PubMed, and CINAHL-covering the period from January 2000 to December 2024. The included studies were qualitatively reviewed according to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) guidelines. A meta-aggregative approach was used to summarize and categorize the identified facilitators and barriers. RESULTS: A total of 9 articles were included in the study, identifying 71 facilitators and 59 barriers. These factors were categorized into two main themes and seven sub-themes. CONCLUSION: PA among middle-aged and older adults living with HIV is influenced by multiple factors. There is a need to deeply understand the actual situation of this population and focus on the core elements affecting PA in order to improve the health of middle-aged and older adults living with HIV and help address the global issue of HIV and aging. SYSTEMATIC REVIEW REGISTRATION: Identifier: CRD42024498010

• Epidemiology and Determinants of Health
  • Determinants of Health
• Determinants of Health
  • Other
• Population(s)
  • Older adults (>50 years)
  • General HIV+ population