Water-based aerobic training successfully improves lipid profile of dyslipidemic women: a randomized controlled trial
Abstract
Purpose: This study aimed to investigate the effects of water-based aerobic training on the lipid profile and lipoprotein lipase (LPL) levels in premenopausal women with dyslipidemia. Method: Forty women were randomly assigned to: aquatic training (WA; n = 20) or a control group (CG; n = 20). The WA group underwent 12 weeks of water-based interval aerobic training twice a week at intensities ranging from 9 to 15 on the Borg Scale of Perceived Exertion. Total cholesterol (TC), triglycerides (TG), high- (HDL) and low- (LDL) density lipoprotein, TC/HDL ratio, LPL levels, and peak oxygen consumption (VO2peak) were evaluated before and after 12 weeks in both groups. Results: The WA group elicited decreases in TC (9%; effect size [ES] = 0.69; 95% CI [0.05, 1.33]), LDL (16%; ES = 0.78; 95% CI [0.13, 1.42]), and the TC/HDL ratio (17%; ES = 1.13; 95% CI [0.46, 1.79]), as well as increases in VO2peak (10%; ES = 0.64; 95% CI [0.002, 1.27]) and HDL (10%; ES = 0.28; 95% CI [−0.35. 0.90]), without significant changes in TG (ES = 0.16; 95% CI [−0.46, 1.79]) and LPL (ES = 0.36; 95% CI [−0.27, 0.98]) levels. In the CG, no statistically significant changes in any of these variables were found (TC, ES = 0.19, 95% CI [−0.43, 0.82]; LDL, ES = 0.22, 95% CI [−0.40, 0.85]; HDL, ES = 0.05, 95% CI [−0.57, 0.67]; TG, ES = 0.09, 95% CI [−0.53, 0.71]; TC/HDL ratio, ES = 0.20, 95% CI [−0.42, 0.82]; LPL, ES = 0.02, 95% CI [−0.60, 0.64]; VO2peak, ES = 0.20, 95% CI [−0.42, 0.82]). Conclusion: Water-based interval aerobic training positively affected the lipid profile in premenopausal dyslipidemic women.
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Regular physical exercise is associated with beneficial changes in anthropometrics and health markers, such as weight loss, improvement of glycemic control, changes in lipid profile, and gains in muscle strength and oxygen uptake among overweight and obese adults.
“Regular physical exercise is well-documented to have a positive effect on physical performance, and it is associated with numerous beneficial changes in anthropometrics and health markers, such as weight loss, improvement of glycemic control, changes in lipid profile, and gains in muscle strength and oxygen uptake among both overweight and obese adults (Welsh et al., 2024; Pippi et al., 2022; Cost”
From Effect of water-based aerobic training on anthropometric, biochemical, cardiovascular, and explosive strength parameters in young overweight and obese women: a randomized controlled trial (2025) · cites this paper as Costa et al., 2018
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Garber, C. E., Blissmer, B., Deschenes, M. R., Franklin, B. A., Lamonte, M. J., Lee, I.-M., Nieman, D. C., & Swain, D. P. (2011) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e318213fefb · Cited by 9,319 · cited 3× · see citing works
“…to consider that Pechter et al. conducted only two training sessions per week with a relatively low exercise intensity varying from 40% to 50% of VO2peak, which, according to the American College of Sports Medicine (Garber et al., 2011), corresponds to intensities 10 to 11 on the Borg Scale.”
MethodBlood Lipid and Lipoprotein Adaptations to Exercise: A Quantitative Analysis
Durstine, J. L., Grandjean, P. W., Davis, P. G., Ferguson, M. A., Alderson, N. L., & DuBose, K. D. (2001) · Sports Medicine · doi:10.2165/00007256-200131150-00002 · Cited by 588 · see citing works
Water-based exercise improves health-related aspects of fitness in older women
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Wood, G., Taylor, E., Ng, V., Murrell, A., Patil, A., van der Touw, T., Wolden, M., Andronicos, N., & Smart, N. A. (2023) · Sports Medicine · doi:10.1007/s40279-023-01817-0 · Cited by 31 · see citing works
Costa, R. R., Buttelli, A. C. K., Coconcelli, L., Pereira, L. F., Vieira, A. F., Fagundes, A. D. O., Farinha, J. B., Reichert, T., Stein, R., & Kruel, L. F. M. (2019) · Journal of Physical Activity and Health · doi:10.1123/jpah.2018-0602 · Cited by 16 · see citing works
Self-citationBen Cheikh, I., Marzouki, H., Selmi, O., Cherni, B., Bouray, S., Bouhlel, E., Bouassida, A., Knechtle, B., & Chen, Y.-S. (2025) · PeerJ · doi:10.7717/peerj.19020 · Cited by 10 · see citing works
“The water-based aerobic program was adopted from the protocol previously used by Costa et al. (2018) and Costa et al. (2020) .”
- Authors
- Costa, R. R., Pilla, C., Buttelli, A. C. K., Barreto, M. F., Vieiro, P. A., Alberton, C. L., Bracht, C. G., & Kruel, L. F. M.
- Affiliations
- Universidade Federal do Rio Grande do Sul (BR)
- Universidade Federal do Rio Grande do Sul
- Universidade Federal de Pelotas (BR)
- Corresponding author
- Costa, Rochelle Rocha
- ORCID
- Venue
- Research Quarterly for Exercise and Sport
- Publisher
- Informa UK Limited
- Published
- 2018-03-26
- Volume
- 89
- Issue
- 2
- Pages
- 173-182
- ISSN
- 0034-5377 (ISSN-L)
- 0270-1367
- 2168-3824
- OpenAlex
- W2790133187
- Cited by
- 25
- References
- 5
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 2 · 2023: 4 · 2022: 3 · 2021: 1 · 2020: 3 · 2019: 3 · 2018: 1
- FWCI
- 2.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Research Quarterly for Exercise and Sport (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Coordenaçóo de Aperfeiçoamento de Pessoal de Nível Superior
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
- Fundo de Incentivo à Pesquisa e Eventos do Hospital de Clínicas de Porto Alegre
- Topics
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- aquatic exercise, dyslipidemia, lipid profile, lipoprotein lipase, premenopausal women, interval training, peak oxygen uptake, HDL cholesterol, LDL cholesterol, total cholesterol, triglycerides, TC/HDL-C ratio, cardiovascular risk reduction, exercise intervention, sex differences in exercise response
- MeSH terms
- Cardiorespiratory Fitness, Water Sports, Adult, Exercise Therapy, Female, Humans, Lipids, Lipoprotein Lipase, Cholesterol, HDL, Cholesterol, LDL, Middle Aged, Oxygen Consumption, Triglycerides, Premenopause, Dyslipidemias, Physical Conditioning, Human
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