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Qualitative studies identified 71 facilitators and 59 barriers to physical activity in middle-aged and older adults living with HIVExperts found many reasons why older adults with HIV struggle to exercise or stay active

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Key Takeaway
Recognize 71 facilitators and 59 barriers to physical activity in middle-aged and older adults living with HIV.

This systematic review synthesizes qualitative studies on facilitators and barriers to physical activity in middle-aged and older adults living with HIV. The review included 9 articles and did not report a specific setting or follow-up duration. No adverse events or discontinuations were reported in the included studies.

The authors identified 71 facilitators and 59 barriers to physical activity. These findings highlight the complex factors influencing activity levels in this specific demographic. The review does not provide pooled effect sizes or quantitative comparisons because the source material consists of qualitative data.

The authors emphasize that there is a need to deeply understand the actual situation of this population. Focus should be placed on the core elements affecting physical activity to improve the health of middle-aged and older adults living with HIV. This approach aims to help address the global issue of HIV and aging. The review notes that further understanding is required to effectively implement interventions.

This review looked at nine different studies to understand what makes it hard or easy for middle-aged and older adults living with HIV to be physically active. The goal was to find out what helps people move and what stops them from doing so.

The researchers found seventy-one different reasons that help people stay active. These include having a supportive family, feeling good about their health, and having safe places to walk or exercise nearby.

They also found fifty-nine different reasons that stop people from being active. These barriers include feeling tired from the virus, worrying about getting sick at the gym, and not having enough money for equipment or safe places to go.

Knowing these specific reasons is very important. Doctors and health workers need to know the real situation of this group of people. By focusing on the main things that affect activity, we can help older adults with HIV stay healthier and fight the global issue of HIV and aging.

What this means for you:
Understanding what helps and stops older adults with HIV from being active is essential for improving their health and quality of life.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedJun 2026
View Original Abstract ↓
PurposeThis 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.MethodsA 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.ResultsA 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.ConclusionPA 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 registrationIdentifier: CRD42024498010.
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