Water-based exercise improves health-related aspects of fitness in older women
Abstract
PURPOSE: The purpose of this study was to determine the physiological responses of elderly women to a well-rounded exercise program performed in water (WEX). METHODS: The participants (60-75 yr of age) were randomly divided into a training (TR) group (N = 15) and a control group (N = 15). The TR group participated in a 12-wk supervised WEX program, 70 min x day(-1), 3 d x wk(-1). The WEX consisted of 20 min of warm-up and stretching exercise, 10 min of resistance exercise, 30 min of endurance-type exercise (walking and dancing), and 10 min of cool-down exercise. RESULTS: The WEX led to an increase (P < 0.05) in peak VO2 (12%) and VO2 at lactate threshold (20%). Muscular strength evaluated by a hydraulic resistance machine increased significantly at resistance dial setting 8 (slow) for knee extension (8%), knee flexion (13%), chest press (7%) and pull (11%), shoulder press (4%) and pull (6%), and back extension (6%). Vertical jump (9%), side-stepping agility (22%), trunk extension (11%), and FEV1.0 (7%) also increased significantly. There was a significant decrease in skin-fold thickness (-8%), low-density lipoprotein (LDL) cholesterol (-17%), and total cholesterol (-11%). There were no significant changes in these variables in the control group. CONCLUSION: These results indicate that WEX elicits significant improvements in cardiorespiratory fitness, muscular strength, body fat, and total cholesterol in older adult women. Water-based exercise appears to be a very safe and beneficial mode of exercise that can be performed as part of a well-rounded exercise program.
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Aquatic-based resistance exercises have shown promising results in improving strength and muscle mass in older individuals and metabolic health in patients with non-communicable diseases.
“In such clinical conditions, aquatic-based resistance exercises could also be a low-impact exercise alternative as they have shown promising results in improving strength and muscle mass in older individuals [141,142], as well as metabolic health in patients with non-communicable diseases [143,144].”
From Global consensus on optimal exercise recommendations for enhancing healthy longevity in older adults (ICFSR) (2025) · cites this paper as [141]
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- Authors
- TAKESHIMA, N., ROGERS, M. E., WATANABE, E., BRECHUE, W. F., OKADA, A., YAMADA, T., ISLAM, M. M., & HAYANO, J.
- Affiliations
- Nagoya City University (JP)
- Aichi Medical University (JP)
- Venue
- Medicine & Science in Sports & Exercise
- Published
- 2002-03
- Volume
- 34
- Issue
- 3
- Pages
- 544-551
- ISSN
- 0195-9131 (ISSN-L)
- OpenAlex
- W2106438817
- Cited by
- 329
- References
- 42
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 9 · 2023: 10 · 2022: 16 · 2021: 12 · 2020: 20 · 2019: 12 · 2018: 18 · 2017: 10 · 2016: 17 · 2015: 22 · 2014: 15 · 2013: 21 · 2012: 22
- FWCI
- 11.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medicine & Science in Sports & Exercise (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
- Keywords
- aquatic exercise, older women, cardiorespiratory fitness, peak oxygen uptake, lactate threshold, muscle strength, resistance training, agility, fat mass, skinfold thickness, total cholesterol, LDL cholesterol, exercise safety
- MeSH terms
- Aged, Body Composition, Female, Humans, Lipids, Middle Aged, Oxygen Consumption, Physical Fitness, Exercise, Muscle, Skeletal
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