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Published on: August 22, 2014
The dose-effect relationship of aquatic exercise in improving physical function in older adults
Jiahui Wang1, Fuyou Li1, Jingwen Chen2
1Beijing Normal University, Beijing, China.
Aquatic exercise significantly enhances physical function in older adults, improving balance, muscle strength, and cardiopulmonary capacity. High-frequency, long-term combined resistance and aerobic training programs are most effective for these benefits.
Area of Science:
- Gerontology and Exercise Science
- Rehabilitation and Physical Therapy
Background:
- Global population aging increases risks of falls and functional dependence in the elderly.
- Aquatic exercise offers low-impact, multi-muscle engagement beneficial for elderly physical function.
- Previous research lacked integration of multidimensional indicators and dose-effect relationships in aquatic exercise studies.
Purpose of the Study:
- To systematically evaluate the effects of aquatic exercise on multidimensional physical functions in the elderly.
- To determine the differential effects of various aquatic exercise intervention programs on elderly physical function.
Main Methods:
- A meta-analysis of 23 randomized controlled trials (RCTs) involving 1179 healthy elderly individuals (≥60 years) was conducted.
- Searched Chinese and English databases up to April 2025, assessing risk of bias using the Cochrane tool.
- Extracted intervention program details (type, duration, frequency) and functional indicators, using RevMan 5.4 for meta-analysis and subgroup analysis.
Main Results:
- Aquatic exercise significantly improved static and dynamic balance, lower limb strength, upper limb strength, and cardiopulmonary function (2MST).
- Resistance training showed the greatest effect on dynamic balance, while combined resistance and aerobic training yielded the most significant gains in lower limb strength.
- Long-term (>12 weeks) and high-frequency (>2 times/week) interventions, particularly combined resistance and aerobic training, were most effective for dynamic balance and lower limb strength.
Conclusions:
- Aquatic exercise offers comprehensive physical function improvements for the elderly population.
- Recommended interventions include high-frequency (>2 times/week) and long-term (>12 weeks) combined resistance and aerobic training programs.
- Future research should standardize parameters and explore psychological/social benefits, while clinical practice should tailor interventions to individual deficits.
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