The objective of the present study was to compare the neuromuscular, cardiorespiratory and metabolic effects of 12 weeks of aerobic training, strength training and combined training in the aquatic environment in women with MS. For this purpose, 51 postmenopausal, sedentary and MS women were randomly divided into three intervention groups: hydro-aerobic (HA, n = 18, 63.77 ± 5.03 years), hydro-power (HF, n = 16, 61.01 ± 4.93 years) and hydro-combined (HC; n = 17; 60.52 ± 6.91). A subsample participated in eight weeks without physical exercise to characterize a control period. The three intervention groups performed two weekly sessions of 60 minutes for 12 weeks. Before and after the training period, blood tests, muscle strength tests, cardiorespiratory evaluation, functional tests and a questionnaire were performed. For statistical analysis, the Generalized Estimates Equations (GEE) model was used, using the "group" and the "time" as factors. The Bonferroni post hoc was used to locate the differences and the significance index adopted was α = 0.05.
Water-based exercise as a mode of aquatic exercise has been highlighted in the scientific literature. Research on different models of training, aerobic, muscle strength and combined (aerobic and muscle strength), have already demonstrated their beneficial effects on different physical abilities. Recent studies indicate benefits of water-based exercise for the population with metabolic diseases such as hypertension, type 2 diabetes, dyslipidemias and obesity. However, for subjects with metabolic syndrome (MS) there are few studies that investigated which training model in the aquatic environment could generate physical and metabolic improvements. This study is characterized as a randomized clinical trial, which treated three intervention groups with physical exercise programs. A subsample participated in a period of eight weeks without physical exercise to characterize a control period. The subjects in this subsample were later randomized into the intervention groups.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
51
The subjects performed training in aquatic environment
Systolic and diastolic blood pressure
mmHg
Time frame: 12 weeks
Strength tests: Maximum dynamic muscle strength
One repetition test: how many kilograms the subject is able to withstand on a repetition of elbow flexion and knee extension exercise
Time frame: 12 weeks
EMG test
Maximum isometric amplitude of the electromyographic signal of the vastus lateralis and rectus femoris muscles
Time frame: 12 weeks
Time Up and go test
How long (in seconds) the subject needs to lift from a chair, walk 2.44 meters, and sit in a chair again
Time frame: 12 weeks
Sit and Stand test
How often in 30 seconds the subject is able to get up and sit on a chair.
Time frame: 12 weeks
Triglyceride levels
blood test: mg/dl
Time frame: 12 weeks
HDL cholesterol levels
blood test: mg/dl
Time frame: 12 weeks
Fasting blood glucose levels
blood test: mg/dl
Time frame: 12 weeks
Waist circumference
centimeters
Time frame: 12 weeks
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