Aquatic aerobic exercise and physical fitness: from scientific foundations to practical applications
DOI:
https://doi.org/10.12820/rbafs.30e0390Keywords:
Water, Physical exercise, Immersion, ReviewAbstract
Introduction: The aquatic environment offers broad potential for physical training, providing an advantageous alternative, especially for individuals who have difficulties performing exercises on land. In this sense, the literature on aquatic exercise for health promotion has grown significantly. Objective: To present accessible knowledge related to the prescription of aquatic aerobic training in the vertical position, aiming to offer a comprehensive understanding from the scientific foundations to the practical applications for professionals who work with aquatic modalities. Development: In this review, we begin by summarizing the physical properties of the aquatic environment and their effects on the immersed human body. We discuss how buoyancy and drag force influence the biomechanics of movements in water and how hydrostatic pressure and thermal conductivity affect physiological parameters. Then, we address the main possibilities for prescribing aerobic exercises in the aquatic environment, highlighting the advantages and disadvantages of each intensity control parameter while considering differences from the land environment. Finally, we present the findings from aerobic training programs on physical fitness outcomes in young and older adults. The available evidence suggests that aerobic training in the aquatic environment may exhibit characteristics and adaptations similar to multicomponent training in previously inactive individuals. Final Considerations: We expect that aquatic professionals will “immerse themselves” into the knowledge related to aquatic exercise, as this will allow them to optimize the effectiveness of training programs in this environment, promoting health and well-being among practitioners.
Downloads
Translations of this article
References
Alberton CL, Nunes GN, Rau DGDS, Bergamin M, Cavalli AS, Pinto SS. Vertical Ground Reaction Force During a Water-Based Exercise Performed by Elderly Women: Equipment Use Effects. Res Q Exerc Sport. 2019;90(4):479–86. DOI: https://doi.org/10.1080/02701367.2019.1620910
Alberton CL, Fonseca BA, Nunes GN, Bergamin M, Pinto SS. Magnitude of vertical ground reaction force during water-based exercises in women with obesity. Sport Biomech. 2024;23(4):470–83. DOI: https://doi.org/10.1080/14763141.2021.1872690
Torres-Ronda L, Schelling i del Alcázar X. The Properties of Water and their Applications for Training. J Hum Kinet. 2014;44(1):237–48. DOI: https://doi.org/10.2478/hukin-2014-0129
Pendergast DR, Moon RE, Krasney JJ, Held HE, Zamparo P. Human physiology in an aquatic environment. Compr Physiol. 2015;5(4):1705–50. DOI: https://doi.org/10.1002/j.2040-4603.2015.tb00655.x
Andrade LS, Botton CE, David GB, Pinto SS, Häfele MS, Alberton CL. Cardiorespiratory Parameters Comparison Between Incremental Protocols Performed in Aquatic and Land Environments by Healthy Individuals: A Systematic Review and Meta-Analysis. Sports Med. 2022; 52(9):2247-70. DOI: https://doi.org/10.1007/s40279-022-01687-y
Zhou WS, Ren FF, Yang Y, Chien KY. Aquatic Exercise for Health Promotion: A 31-Year Bibliometric Analysis. Percept Mot Skills. 2021;128(5):2166–85. DOI: https://doi.org/10.1177/00315125211032159
EF Education First. EF English Proficiency Index, 2023; Disponível em: https://www.ef.com/wwen/epi/ [2024 outubro].
Becker BE. Aquatic therapy: scientific foundations and clinical rehabilitation applications. PM & R. 2009;1(9):859-72. DOI: https://doi.org/10.1016/j.pmrj.2009.05.017
Bloomfield J, Fricker PA, Fitch KD. Textbook of Science and Medicine in Sport. Champaign: Human Kinetics; 1992.
Finkelstein I, Alberton CL, Figueiredo PAP, Garcia DR, Tartaruga LAP, Kruel LFM. Comportamento da freqüência cardíaca, pressão arterial e peso hidrostático de gestantes em diferentes profundidades de imersão. Rev Bras Ginecol e Obs. 2004;26(9):685–90. DOI: https://doi.org/10.1590/S0100-72032004000900002
Harrison R, Hillman M, Bulstrode S. Loading of the Lower Limb when Walking Partially Immersed: Implications for Clinical Practice. Physiotherapy. 1992;78(3):164–6. DOI: https://doi.org/10.1016/S0031-9406(10)61377-6
Kruel LFM. Peso hidrostático e frequência cardíaca em pessoas submetidas a diferentes profundidades de água [dissertação de mestrado]. Santa Maria: Universidade Federal de Santa Maria; 1994.
Alberton CL, Tartaruga MP, Pinto SS, Cadore EL, Antunes AH, Finatto P, et al. Vertical ground reaction force during water exercises performed at different intensities. Int J Sports Med. 2013;34(10):881–7. DOI: https://doi.org/10.1055/s-0032-1331757
Alberton CL, Finatto P, Pinto SS, Antunes AH, Cadore EL, Tartaruga MP, et al. Vertical ground reaction force responses to different head-out aquatic exercises performed in water and on dry land. J Sports Sci. 2015;33(8):795–805. DOI: https://doi.org/10.1080/02640414.2014.964748
Delevatti RS, Alberton CL, Kanitz AC, Marson EC, Kruel LFM. Vertical ground reaction force during land- and water-based exercise performed by patients with type 2 diabetes. Med Sport. 2015;6(1):2501-8.
Gomes MB, Andrade LS, Nunes GN, Weymar MK, Schaun GZ, Alberton CL. The Role of Water-Based Exercise on Vertical Ground Reaction Forces in Overweight Children: A Pilot Study. Obesities. 2021;1(3):209–19. DOI: https://doi.org/10.3390/obesities1030019
Alberton CL, Zaffari P, Pinto SS, Reichert T, Bagatini NC, Kanitz AC, et al. Water-based exercises in postmenopausal women: Vertical ground reaction force and oxygen uptake responses. Eur J Sport Sci. 2021;21(3):331–40. DOI: https://doi.org/10.1080/17461391.2020.1746835
Brito Fontana H, Haupenthal A, Ruschel C, Hubert M, Ridehalgh C, Roesler H. Effect of Gender, Cadence, and Water Immersion on Ground Reaction Forces During Stationary Running. J Orthop Sport Phys Ther. 2012;42(5):437–43. DOI: https://doi.org/10.2519/jospt.2012.3572
Haupenthal A, Ruschel C, Hubert M, de Brito Fontana H, Roesler H. Loading forces in shallow water running in two levels of immersion. J Rehabil Med. 2010;42(7):664–9. DOI: https://doi.org/10.2340/16501977-0587
Louder TJ, Searle CJ, Bressel E. Mechanical parameters and flight phase characteristics in aquatic plyometric jumping. Sports Biomech. 2016;15(3):342-56. DOI: https://doi.org/10.1080/14763141.2016.1162840
Schinzel E, Kast S, Kohl M, von Stengel S, Jakob F, Kerschan-Schindl K, et al. The effect of aquatic exercise on bone mineral density in older adults. A systematic review and meta-analysis. Front Physiol. 2023;14:1135663. DOI: https://doi.org/10.3389/fphys.2023.1135663
Dowzer CN, Reilly T, Cable NT. Effects of deep and shallow water running on spinal shrinkage. Br J Sports Med. 1998;32(1):44–8. DOI: https://doi.org/10.1136/bjsm.32.1.44
Alexander R. Mechanics and Energetics of Animal Locomotion. London: Chapman & Hall, 1977.
Pinto SS, Alberton CL, Becker ME, Olkoski MM, Kruel LFM. Respostas cardiorespiratórias em exercícios de hidroginástica executados com e sem o uso de equipamento resistivo. Rev Port Ciên Desp. 2006;6(3):336–41. DOI: https://doi.org/10.5628/rpcd.06.03.336
Pinto SS, Alberton CL, Figueiredo PAP, Tiggemann CL, Kruel LFM. Respostas de freqüência cardíaca, consumo de oxigênio e sensação subjetiva ao esforço em um exercício de hidroginástica executado por mulheres em diferentes situações com e sem o equipamento aquafins. Rev Bras Med Esporte. 2008;14(4):357–61. DOI: https://doi.org/10.1590/S1517-86922008000400007
Pinto SS, Cadore EL, Alberton CL, Silva EM, Kanitz AC, Tartaruga MP, et al. Cardiorespiratory and neuromuscular responses during water aerobics exercise performed with and without equipment. Int J Sports Med. 2011;32(12):916–23. DOI: https://doi.org/10.1055/s-0031-1283176
Pöyhönen T, Kyröläinen H, Keskinen KL, Hautala A, Savolainen J, Mälkiä E. Electromyographic and kinematic analysis of therapeutic knee exercises under water. Clin Biomech. 2001;16(6):496–504. DOI: https://doi.org/10.1016/S0268-0033(01)00031-6
Skinner A, Thomson A. Duffield: Exercícios na Água. 3. ed. São Paulo: Manole, 1985.
Arborelius M, Ballidin UI, Lilja B, Lundgren CE. Hemodynamic changes in man during immersion with the head above water. Aerosp Med. 1972;43(6):592–8.
Pendergast DR, Lundgren CEG. The underwater environment: cardiopulmonary, thermal, and energetic demands. J Appl Physiol. 2009;106(1):276–83. DOI: https://doi.org/10.1152/japplphysiol.90984.2008
Johansen LB, Pump B, Warberg J, Christensen NJ, Norsk P. Preventing hemodilution abolishes natriuresis of water immersion in humans. Am J Physiol Integr Comp Physiol. 1998;275(3):R879–88. DOI: https://doi.org/10.1152/ajpregu.1998.275.3.R879
Craig AB, Dvorak M. Thermal regulation during water immersion. J Appl Physiol. 1966;21(5):1577–85. DOI: https://doi.org/10.1152/jappl.1966.21.5.1577
Graef F, Tartaruga L, Alberton C, Kruel L. Freqüência cardíaca em homens imersos em diferentes temperaturas de água. Rev Port Ciên Desp. 2005;3(5):266–73. DOI: https://doi.org/10.5628/rpcd.05.03.266
Srámek P, Simecková M, Janský L, Savlíková J, Vybíral S. Human physiological responses to immersion into water of different temperatures. Eur J Appl Physiol. 2000;81(5):436–42. DOI: https://doi.org/10.1007/s004210050065
Kruel LFM, Peyré-Tartaruga LA, Coertjens M, Dias ABC, Da Silva RC, Rangel ACB. Using Heart Rate to Prescribe Physical Exercise During Head-Out Water Immersion. J Strength Cond Res. 2014;28(1):281–9. DOI: https://doi.org/10.1519/JSC.0b013e318295d534
Gabrielsen A, Videbaek R, Johansen LB, Warberg J, Christensen NJ, Pump B, et al. Forearm vascular and neuroendocrine responses to graded water immersion in humans. Acta Physiol Scand. 2000;169(2):87-94. DOI: https://doi.org/10.1046/j.1365-201x.2000.00680.x
Christie JL, Sheldahl LM, Tristani FE, Wann LS, Sagar KB, Levandoski SG, et al. Cardiovascular regulation during head-out water immersion exercise. J Appl Physiol. 1990;69(2):657–64. DOI: https://doi.org/10.1152/jappl.1990.69.2.657
Park KS, Kyu Choi J, Saeng Park Y. Cardiovascular Regulation during Water Immersion. Appl Hum Sci J Physiol Anthropol. 1999;18(6):233–41. DOI: https://doi.org/10.2114/jpa.18.233
Alberton C, Finatto P, Pinto S, Antunes A, Cadore E, Kruel L. Comparação das respostas cardiorrespiratórias de repouso entre os meios terrestre e aquático. Rev Bras Ativ Fís Saúde. 2013;18(3):387-95. DOI: https://doi.org/10.12820/rbafs.v.18n3p387
Kruel LFM, Coertjens M, Pinto SS, Alberton CL, Brentano MA. Efeito da imersão sobre o comportamento do consumo de oxigênio de repouso. Rev Bras Ativ Fís Saúde. 2006;11(2):25–31.
Mekjavic IB, Bligh J. The increased oxygen uptake upon immersion. Eur J Appl Physiol Occup Physiol. 1989;58(5):556–62. DOI: https://doi.org/10.1007/BF02330712
Mann T, Lamberts RP, Lambert MI. Methods of prescribing relative exercise intensity: physiological and practical considerations. Sports Med. 2013;43(7):613–25. DOI: https://doi.org/10.1007/s40279-013-0045-x
Franklin BA, Hodgson J, Buskirk ER. Relationship between Percent Maximal O2 Uptake and Percent Maximal Heart Rate in Women. Res Q Exerc Sport. 1980;51(4):616–24. DOI: https://doi.org/10.1080/02701367.1980.10609322
Katch V, Weltman A, Sady S, Freedson P. Validity of the relative percent concept for equating training intensity. Eur J Appl Physiol Occup Physiol. 1978;39(4):219–27. DOI: https://doi.org/10.1007/BF00421445
Swain DP, Abernathy KS, Smith CS, Lee SJ, Bunn SA. Target heart rates for the development of cardiorespiratory fitness. Med Sci Sports Exerc. 1994;26(1):112–6. DOI: https://doi.org/10.1249/00005768-199401000-00019
Kanitz AC, Delevatti RS, Reichert T, Liedtke GV, Ferrari R, Almada BP, et al. Effects of two deep water training programs on cardiorespiratory and muscular strength responses in older adults. Exp Gerontol. 2015;64:55–61. DOI: https://doi.org/10.1016/j.exger.2015.02.013
Meredith-Jones K, Legge M, Jones LM. Circuit Based Deep Water Running Improves Cardiovascular Fitness, Strength and Abdominal Obesity in Older, Overweight Women Aquatic Exercise Intervention in Older Adults. Med Sport. 2009;13(1):5–12. DOI: https://doi.org/10.2478/v10036-009-0002-9
Pinto SS, Alberton CL, Cadore EL, Zaffari P, Baroni BM, Lanferdini FJ, et al. Water-Based Concurrent Training Improves Peak Oxygen Uptake, Rate of Force Development, Jump Height, and Neuromuscular Economy in Young Women. J Strength Cond Res. 2015;29(7):1846–54. DOI: https://doi.org/10.1519/JSC.0000000000000820
Silva MR, Alberton CL, Portella EG, Nunes GN, Martin DG, Pinto SS. Water-based aerobic and combined training in elderly women: Effects on functional capacity and quality of life. Exp Gerontol. 2018;106:54–60. DOI: https://doi.org/10.1016/j.exger.2018.02.018
Tsourlou T, Benik A, Dipla K, Zafeiridis A, Kellis S. The Effects of a Twenty-Four–Week Aquatic Training Program on Muscular Strength Performance in Healthy Elderly Women. J Strength Cond Res. 2006;20(4):811-8. DOI: https://doi.org/10.1519/00124278-200611000-00014
Ogonowska-Slodownik A, Richley Geigle P, Morgulec-Adamowicz N. Head-Out Water-Based Protocols to Assess Cardiorespiratory Fitness—Systematic Review. Int J Environ Res Public Health. 2020;17(19):7215. DOI: https://doi.org/10.3390/ijerph17197215
Wasserman K, Whipp BJ, Koyl SN, Beaver WL. Anaerobic threshold and respiratory gas exchange during exercise. J Appl Physiol. 1973;35(2):236–43. DOI: https://doi.org/10.1152/jappl.1973.35.2.236
Conconi F, Ferrari M, Ziglio PG, Droghetti P, Codeca L. Determination of the anaerobic threshold by a noninvasive field test in runners. J Appl Physiol. 1982;52(4):869–73. DOI: https://doi.org/10.1152/jappl.1982.52.4.869
Alberton CL, Andrade LS, Pinheiro RB, Pinto SS. Anaerobic Threshold in a Water-Based Exercise: Agreement Between Heart Rate Deflection Point and Lactate Threshold Methods. J Strength Cond Res. 2021;35(9):2472–8. DOI: https://doi.org/10.1519/JSC.0000000000003161
Pinto SS, Brasil RM, Alberton CL, Ferreira HK, Bagatini NC, Calatayud J, et al. Noninvasive Determination of Anaerobic Threshold Based on the Heart Rate Deflection Point in Water Cycling. J Strength Cond Res. 2016;30(2):518–24. DOI: https://doi.org/10.1519/JSC.0000000000001099
Andrade LS, Häfele MS, Schaun GZ, Rodrigues SN, Gomes MB, David GB, et al. Ponto de deflexão da frequência cardíaca como método não invasivo para determinar o limiar anaeróbio no meio aquático em idosas treinadas. Rev Bras Fisiol Exerc. 2020;19(6):468–77. DOI: https://doi.org/10.33233/rbfex.v19i6.4202
Costa RR, Kanitz AC, Reichert T, Prado AKG, Coconcelli L, Buttelli ACK, et al. Water-based aerobic training improves strength parameters and cardiorespiratory outcomes in elderly women. Exp Gerontol. 2018;108:231–9. DOI: https://doi.org/10.1016/j.exger.2018.04.022
Costa RR, Vieira AF, Coconcelli L, Fagundes AO, Buttelli ACK, Pereira LF, et al. Uso de Estatinas Melhora a Proteção Cardiometabólica Promovida pelo Treinamento Físico em Ambiente Aquático: Um Ensaio Clínico Randomizado. Arq Bras Cardiol. 2021;117(2):270–8. DOI: https://doi.org/10.36660/abc.20200197
Delevatti RS, Kanitz AC, Alberton CL, Marson EC, Lisboa SC, Pinho CDF, et al. Glucose control can be similarly improved after aquatic or dry-land aerobic training in patients with type 2 diabetes: A randomized clinical trial. J Sci Med Sport. 2016;19(8):688–93. DOI: https://doi.org/10.1016/j.jsams.2015.10.008
Delevatti R, Schuch FB, Kanitz AC, Alberton CL, Marson EC, Lisboa SC, et al. Quality of life and sleep quality are similarly improved after aquatic or dry-land aerobic training in patients with type 2 diabetes: A randomized clinical trial. J Sci Med Sport. 2018;21(5):483–8. DOI: https://doi.org/10.1016/j.jsams.2017.08.024
Häfele MS, Alberton CL, Schaun GZ, Häfele V, Nunes GN, Andrade LS, et al. Quality of life responses after combined and aerobic water-based training programs in older women: a randomized clinical trial (ACTIVE Study). Aging Clin Exp Res. 2022;34(5):1123–31. DOI: https://doi.org/10.1007/s40520-021-02040-5
Häfele MS, Alberton CL, Schaun GZ, Nunes GN, Brasil B, Alves MM, et al. Aerobic and combined water-based trainings in older women: Effects on strength and cardiorespiratory outcomes. J Sports Med Phys Fitness. 2022;62(2):177–83. DOI: https://doi.org/10.23736/S0022-4707.21.12035-3
Häfele MS, Alberton CL, Häfele V, Schaun GZ, Nunes GN, Calonego C, et al. Water-Based Training Programs Improve Functional Capacity, Cognitive and Hemodynamic Outcomes? The ACTIVE Randomized Clinical Trial. Res Q Exerc Sport. 2023;94(1):24–34. DOI: https://doi.org/10.1080/02701367.2021.1935433
Robertson RJ, Noble BJ. Perception of physical exertion: methods, mediators, and applications. Exerc Sport Sci Rev. 1997;25:407–52. DOI: https://doi.org/10.1249/00003677-199700250-00017
Alberton CL, Pinto SS, Gorski T, Antunes AH, Finatto P, Cadore EL, et al. Rating of perceived exertion in maximal incremental tests during head-out water-based aerobic exercises. J Sports Sci. 2016;34(18):1691–8. DOI: https://doi.org/10.1080/02640414.2015.1134804
Andrade LS, Kanitz AC, Häfele MS, Schaun GZ, Pinto SS, Alberton CL. Relationship between oxygen uptake, heart rate, and perceived effort in an aquatic incremental test in older women. Int J Environ Res Public Health. 2020;17(22):8324. DOI: https://doi.org/10.3390/ijerph17228324
Brown SP, Chitwood LF, Beason KR, McLemore DR. Physiological correlates with perceived exertion during deep water running. Percept Mot Skills. 1996;83(1):155–62. DOI: https://doi.org/10.2466/pms.1996.83.1.155
David GB, Andrade LS, Schaun GZ, Alberton CL. HR, VO2, and RPE Relationships in an Aquatic Incremental Maximum Test Performed by Young Women. J Strength Cond Res. 2017;31(10):2852–8. DOI: https://doi.org/10.1519/JSC.0000000000001719
Shono T, Fujishima K, Hotta N, Ogaki T, Ueda T, Otoki K, et al. Physiological Responses and RPE during Underwater Treadmill Walking in Women of Middle and Advanced Age. J Physiol Anthropol Appl Human Sci. 2000;19(4):195–200. DOI: https://doi.org/10.2114/jpa.19.195
Eston R, Connolly D. The use of ratings of perceived exertion for exercise prescription in patients receiving β-blocker therapy. Sport Med. 1996;21(3):176–90. DOI: https://doi.org/10.2165/00007256-199621030-00003
Alberton CL, Antunes AH, Beilke DD, Pinto SS, Kanitz AC, Tartaruga MP, et al. Maximal and Ventilatory Thresholds of Oxygen Uptake and Rating of Perceived Exertion Responses to Water Aerobic Exercises. J Strength Cond Res. 2013;27(7):1897–903. DOI: https://doi.org/10.1519/JSC.0b013e3182736e47
Borg G. Psychophysical scaling with applications in physical work and the perception of exertion. Scand J Work Environ Health. 1990;16:55–8. DOI: https://doi.org/10.5271/sjweh.1815
Andrade LS, Pinto SS, Silva MR, Campelo PC, Rodrigues SN, Gomes MB, et al. Randomized Clinical Trial of Water-Based Aerobic Training in Older Women (WATER Study): Functional Capacity and Quality of Life Outcomes. J Phys Act Health. 2020;17(8):781–9. DOI: https://doi.org/10.1123/jpah.2019-0552
Andrade LS, Pinto SS, Silva MR, Schaun GZ, Portella EG, Nunes GN, et al. Water-based continuous and interval training in older women: Cardiorespiratory and neuromuscular outcomes (WATER study). Exp Gerontol. 2020; 134:110914. DOI: https://doi.org/10.1016/j.exger.2020.110914
Reichert T, Kanitz AC, Delevatti RS, Bagatini NC, Barroso BM, Kruel LFM. Continuous and interval training programs using deep water running improves functional fitness and blood pressure in the older adults. Age. 2016;38(1):20. DOI: https://doi.org/10.1007/s11357-016-9882-5
Barbosa TM, Marinho DA, Reis VM, Silva AJ, Bragada JA. Physiological assessment of head-out aquatic exercises in healthy subjects: a qualitative review. J Sports Sci Med. 2009;8(2):179–89.
Raffaelli C, Lanza M, Zanolla L, Zamparo P. Exercise intensity of head-out water-based activities (water fitness). Eur J Appl Physiol. 2010;109(5):829–38. DOI: https://doi.org/10.1007/s00421-010-1419-5
Alberton CL, Olkoski MM, Pinto SS, Becker ME, Martins Kruel LF. Cardiorespiratory Responses of Postmenopausal Women to Different Water Exercises. Int J Aquat Res Educ. 2007;1(4):363–72. DOI: https://doi.org/10.25035/ijare.01.04.06
Neves MT, Häfele MS, Alberton CL. Frequência cardíaca e índice de esforço percebido em diferentes exercícios de hidroginástica em idosas. Rev bras prescr fisiol exerc. 2021;15(96):154–62.
Barbosa TM, Sousa VF, Silva AJ, Reis VM, Marinho DA, Bragada JA. Effects of Musical Cadence in the Acute Physiologic Adaptations to Head-Out Aquatic Exercises. J Strength Cond Res. 2010;24(1):244–50. DOI: https://doi.org/10.1519/JSC.0b013e3181b296fd
Raffaelli C, Milanese C, Lanza M, Zamparo P. Water-based training enhances both physical capacities and body composition in healthy young adult women. Sport Sci Health. 2016;12(2):195–207. DOI: https://doi.org/10.1007/s11332-016-0275-z
Farinha C, Teixeira AM, Serrano J, Santos H, Campos MJ, Oliveiros B, et al. Impact of Different Aquatic Exercise Programs on Body Composition, Functional Fitness and Cognitive Function of Non-Institutionalized Elderly Adults: A Randomized Controlled Trial. Int J Environ Res Public Health. 2021;18(17):8963. DOI: https://doi.org/10.3390/ijerph18178963
Bocalini DS, Serra AJ, Murad N, Levy RF. Water- versus land-based exercise effects on physical fitness in older women. Geriatr Gerontol Int. 2008;8(4):265–71. DOI: https://doi.org/10.1111/j.1447-0594.2008.00485.x
Broman G, Quintana M, Lindberg T, Jansson E, Kaijser L. High intensity deep water training can improve aerobic power in elderly women. Eur J Appl Physiol. 2006;98(2):117–23. DOI: https://doi.org/10.1007/s00421-006-0237-2
Haynes A, Naylor LH, Carter HH, Spence AL, Robey E, Cox KL, et al. Land-walking vs. water-walking interventions in older adults: Effects on aerobic fitness. J Sport Heal Sci. 2020;9(3):274–82. DOI: https://doi.org/10.1016/j.jshs.2019.11.005
Irandoust K, Taheri M, Mirmoezzi M, H’mida C, Chtourou H, Trabelsi K, et al. The Effect of Aquatic Exercise on Postural Mobility of Healthy Older Adults with Endomorphic Somatotype. Int J Environ Res Public Health. 2019;16(22):4387. DOI: https://doi.org/10.3390/ijerph16224387
White T, Smith BS. The efficacy of aquatic exercise in increasing strength. Sport Med Train Rehabil. 1999;9(1):51–9. DOI: https://doi.org/10.1080/15438629909512544
Martínez PY, Hall López JA, Paredones Hernández A, Martin Dantas EH. Effect of periodized water exercise training program on functional autonomy in elderly women. Nutr Hosp. 2015; 31(1): 351–6.
Pernambuco CS, Borba-Pinheiro CJ, Vale RGS, Di Masi F, Monteiro PKP, Dantas EHM. Functional autonomy, bone mineral density (BMD) and serum osteocalcin levels in older female participants of an aquatic exercise program (AAG). Arch Gerontol Geriatr. 2013;56(3):466–71. DOI: https://doi.org/10.1016/j.archger.2012.12.012
Kaneda K, Sato D, Wakabayashi H, Hanai A, Nomura T. A Comparison of the Effects of Different Water Exercise Programs on Balance Ability in Elderly People. J Aging Phys Act. 2008;16(4):381–92. DOI: https://doi.org/10.1123/japa.16.4.381
Silva LA da, Tortelli L, Motta J, Menguer L, Mariano S, Tasca G, et al. Effects of aquatic exercise on mental health, functional autonomy and oxidative stress in depressed elderly individuals: A randomized clinical trial. Clinics (Sao Paulo). 2019;74:e322. DOI: https://doi.org/10.6061/clinics/2019/e322
Pasetti SR, Gonçalves A, Padovani CR. Continuous training versus interval training in deep water running: health effects for obese women. Rev Andaluza Med del Deport. 2012;5(1):3–7. DOI: https://doi.org/10.1016/S1888-7546(12)70002-3
Rica RL, Carneiro RMM, Serra AJ, Rodriguez D, Pontes Junior FL, Bocalini DS. Effects of water-based exercise in obese older women: Impact of short-term follow-up study on anthropometric, functional fitness and quality of life parameters. Geriatr Gerontol Int. 2013;13(1):209–14. DOI: https://doi.org/10.1111/j.1447-0594.2012.00889.x
Andrade LS. Treinamento aeróbio no meio aquático: efeitos crônicos na aptidão física e parâmetros de intensidade utilizados na prescrição de adultos e idosos [tese de doutorado]. Pelotas: Universidade Federal de Pelotas; 2023.
Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA, Minson CT, Nigg CR, Salem GJ, et al. American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sport Exerc. 2009;41(7):1510–30. DOI: https://doi.org/10.1249/MSS.0b013e3181a0c95c

Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Luana Siqueira Andrade, Cristine Lima Alberton

This work is licensed under a Creative Commons Attribution 4.0 International License.
When submitting a manuscript to the Revista Brasileira de Atividade Física & Saúde, the authors retain the copyright to the article and authorize the Revista Brasileira de Atividade Física & Saúde to publish the manuscript under the Creative Commons Attribution 4.0 License and identify it as the original publication source.