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.