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. 2021 Sep-Oct;32(5):536-547.
doi: 10.1097/JNC.0000000000000230.

Purely Behavioral: A Scoping Review of Nonpharmacological Behavioral and Lifestyle Interventions to Prevent Cardiovascular Disease in Persons Living With HIV

Affiliations

Purely Behavioral: A Scoping Review of Nonpharmacological Behavioral and Lifestyle Interventions to Prevent Cardiovascular Disease in Persons Living With HIV

S Raquel Ramos et al. J Assoc Nurses AIDS Care. 2021 Sep-Oct.

Abstract

Cardiovascular disease (CVD) is the leading cause of death in the United States, accounting for 900,000 deaths annually. People living with HIV are at a higher risk of developing CVD. We conducted a scoping review guided by the Joanna Briggs Institute Manual for Evidence Synthesis. In July 2020, six databases were searched: PubMed, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, Web of Science, Embase, and The Cochrane Central Register of Controlled Trials, as well as reference lists of relevant studies and key journals. Our review identified 18 studies that addressed nonpharmacological behavioral interventions into the following: physical activity (n = 6), weight loss (n = 2), dietary interventions (n = 1), and multicomponent interventions (n = 9). In the past 10 years, there has been an increased emphasis on nonpharmacological behavioral approaches, including the incorporation of multicomponent interventions, to reduce cardiovascular risk in people living with HIV. The extant literature is limited by underrepresentation of geographic regions and populations that disproportionately experience CVD.

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Figures

Figure 1.
Figure 1.
PubMed search strategy.
Figure 2.
Figure 2.
Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension diagram. Note. CINAHL 5 Cumulative Index to Nursing and Allied Health Literature.
Figure 3.
Figure 3.
Map of nonpharmacological behavioral interventions in the United States.

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