Browsing by Author "Nabaggala, Elyvania"

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Aerobic exercise protocol for people living with HIV : A logic model approach
(Turkish Journal of Kinesiology, 2025-06-30) Mwebaze, Nicholas; Nsibambi, Constance A. N.; Ojara, Ricky Richard; Chebet, Milton; Rukanga, Julius Ceasor; Opio, Paul; Nabaggala, Elyvania; Lumbuye, Linika; Nahwera, Loyce
There are many challenges that people living with HIV (PLHIV) often face including psychological health challenges such as muscle loss, fatigue, and mental health disorders. Regular physical activity, particularly aerobic exercise, has been shown to improve cardiovascular health, muscle strength, and mental well-being. However, there are not many clear exercise guides with evidence for practitioners and PLHIV to use as a reference while engaging in physical activities. Therefore, a structured and supervised exercise programs were designed tailored to the specific needs of PLHIV was tested and found effective. The study utilized a logic model to design, implement, and evaluate a supervised aerobic exercise program aimed at improving clinical outcomes among PLHIV. The logic model served as a framework to align inputs, activities, and expected outcomes, ensuring a systematic and evidence-based approach. A detailed exercise protocol for 6 days a week was designed for clients to engage in at least 3 days with not less than 2 days of rest in a week. A total of 135 participants were enrolled and randomly assigned 67 to experimental and 67 control group. The experimental group engaged in a five-phase aerobic exercise regimen, including warm-up, endurance training, cool-down, recovery, and flexibility exercises, performed three times per week with music set at 120–150 BPM to guide intensity. The control group was followed-up with weekly phone calls to ensure they don’t feel left out of the study. Clinical outcomes, including immunological markers (CD4 cell count), functional work capacity, and psychological well-being, were assessed before and after the intervention. Results indicated significant improvements with a p-value of < 0.01 in: aerobic capacity, muscle strength, mental health, and immune function among participants in the exercise group compared to controls. These findings suggest that this aerobic exercise protocol is a safe and effective complementary intervention for improving the quality of health in PLHIV. Incorporating supervised exercise programs using this protocol into routine HIV care could enhance long-term health outcomes and overall well-being in this population. This exercise protocol is therefore recommended for use in people living with HIV.
Determinants of children’s participation in organised physical activities: a case of Kawempe division-Kampala Uganda
(Kyambogo University, 2021-07) Nabaggala, Elyvania
The study aimed at establishing determinants of participation in Organised Physical Activities among primary school age going children (7-15 years) in Kawempe Division using descriptive cross sectional design. A sample size of 433 respondents was selected and data was collected from 265 respondents (15 LC II, 10 coaches, 12 PES teachers and 228 children) using questionnaires, interviews guides, observation guides and document analysis. Analysis of quantitative data was through frequencies and percentages and qualitative data was through content framework using Nvivo software (QRS International). The study involved 99 children outside school with 92 (93%) boys and seven (7%) girls and 129 children inside school with 66 (51%) girls and 63 (49%) boys. Children between the age of 7-9 years 34 (34%), 10-12 years 46 (47%) and 13-15 years 19 (19%) participated outside school. Both in and outside school, team activities were more offered. The study revealed that demographic factors such as gender and age; socio-economic support from parents, coaches and teachers; built environment including availability of facilities, safety and security of areas and perceived benefits were determinants of children participation in OPA. The study concluded that there are factors negatively affecting children’s participation and interventional strategies need to be devised to improve participation in OPA. The study recommended that all children should be motivated and offered opportunities to get more active through funding OPA both inside and outside school.
Effects of aerobic exercise on health outcomes and quality of health in people living with HIV on antiretroviral therapy
(Advances in Health and Exercise, 2025-05-18) Mwebaze, Nicholas; Chebet, Milton; Linika, Lumbuye; Nabaggala, Elyvania; Nahwera, Loyce
HIV remains a global major public health issue and the cases in developing countries are so high. Antiretroviral Therapy (ART) plays a big role in reducing the morbidity and mortality among the people living with HIV (PLHIV). The ART is associated with long-term side effects including an increased risk of Non-Communicable Diseases (NCDs) such as cardiovascular disease, diabetes, and metabolic syndrome. These complications negatively impact the quality of life of PLHIV, necessitating holistic approaches to care. While ART controls viral replication, complementary strategies, including lifestyle interventions like exercise, are essential to mitigate NCDs. Exercise, particularly aerobic and resistance training, has been shown to improve cardiovascular health, metabolic function, and psychological well-being in PLHIV. Specific exercises such as walking, jogging, cycling, swimming, and weight training can help manage NCDs effectively when tailored to an individual’s fitness level and health needs. Supervised exercise programs, led by professionals such as clinical exercise physiologists, are critical to ensure safety, optimize benefits, and encourage adherence. These programs could be integrated into HIV care to provide structured and effective interventions. In limited resource countries, access to exercise facilities, and a lack of trained professionals present significant barriers to implementing exercise programs for PLHIV. Additionally, cultural misconceptions and a lack of awareness about the role of exercise in health management hinder uptake. However, from the reviewed papers, research gaps exist regarding context-specific exercise protocols, the long-term benefits of supervised exercise, and how to best implement these programs in resource-limited settings. In conclusion, structured exercise programs hold great potential to improve health outcomes and quality of life for PLHIV on ART. Addressing existing barriers and conducting further research are essential to maximize the impact of exercise as a tool for managing NCDs in this population.