Supervised aquatic-based exercise for men with coronary artery disease: a meta-analysis of randomised controlled trials

Cugusi, Lucia; Manca, Andrea; Bassareo, Pier Paolo; Crisafulli, Antonio; Deriu, Franca; Mercuro, Giuseppe

doi:10.1177/2047487319878109

Cited by 12 publications

(9 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These findings suggest that aquatic exercise could have similar CVD risk reduction benefits to land-based exercise in this population. Although this study is a cross-sectional study and outcomes were not measured over time, our findings are in agreement with work by others (Sherlock et al, 2014;Cugusi et al, 2019;Vasić et al, 2019). This study provides support for the CVD risk-reduction role of aquatic exercise and highlights a potential next step, which would be developing a cohort study to measure changes in circulatory function over time.…”

Section: Resultssupporting

confidence: 90%

“…Most of the CVD-related studies conducted on the effects of aquatic exercise on older people, have been focused on people with coronary heart disease and heart failure (Mourot et al, 2009;Cugusi et al, 2019;Vasić et al, 2019), with little work having been completed on the longer-term effects on a general, "older-but-healthy" population (Igarashi and Nogami, 2018). This is an important knowledge gap, considering that a number of researchers debate the positive cardio-protective influence that aquatic exercise may have on our bodies (Tanaka, 2009;Lazar et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…Aquatic exercise (usually swimming and/or aqua aerobics) is being considered as a potential co-adjuvant form of rehabilitation, especially for people with coronary artery disease presenting with musculoskeletal comorbidities (Cugusi et al, 2019) and peripheral arterial disease (Park et al, 2019). In older populations aquatic exercise appears to offer positive outcomes particularly in regard to gait, balance and mobility (Carroll et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Association Between Cardiovascular Function, Measured as FMD and CVC, and Long-Term Aquatic Exercise in Older Adults (ACELA Study): A Cross-Sectional Study

2020

View full text Add to dashboard Cite

Introduction Cardiovascular aging is implicated in the development of cardiovascular disease (CVD). Aquatic exercise is being considered as a co-adjuvant form of rehabilitation, but there is limited evidence for its cardiovascular risk-reduction properties for older people. Our study aimed to address this by exploring the cardiovascular effects of long-term aquatic exercise in older adults in comparison to those who are either inactive or engaged in land-based/mixed training by measurement of micro- and macro-circulation. Flow Mediated Dilatation (FMD) was the primary outcome. Methods This was a pragmatic, 4-group, cross-sectional study. Eighty normotensive adults constituted four ( n = 20) groups. The Aqua group (aged 63.7 ± 7 years) and Land group (aged 65 ± 6 years) consisted of participants engaged in aquatic and land-based training, respectively. The mixed group (Mix) (aged 66 ± 6 years) consisted of participants engaged in both land-based and aquatic training. Self-reported training consisted of ≥2/week for ≥6 months (mean sessions/week = 4 ± 1, 4 ± 1, and 5 ± 2 for each group, respectively). The sedentary group (Sed) (aged 63 ± 6 years) consisted of people who were sedentary for ≥6 months (mean sessions/week 0 ± 0). The primary outcome was %FMD. Secondary outcomes included raw cutaneous vascular conductance (CVC) and CVC max. Results Statistically significant differences (%FMD, raw CVC variables other than baseline) were found between each of the exercise groups (Aqua, Land, Mix) and the sedentary group (Sed) (i.e., 11.2 (4.2) vs. 5.0 (2.3); p < 0.0005, between the Aqua group and Sed group, for %FMD). No specific advantage could be attributed to any one of the exercise groups. Conclusion We reported improvements in NO-mediated endothelial function at micro- and macro-circulatory levels, observing no differences between exercise modes. Our findings provide evidence for the role of aquatic exercise as a “shield” against CVD in older populations.

show abstract

Section: Resultssupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Association Between Cardiovascular Function, Measured as FMD and CVC, and Long-Term Aquatic Exercise in Older Adults (ACELA Study): A Cross-Sectional Study

2020

View full text Add to dashboard Cite

show abstract

“…Other authors have shown that unsupervised NW trainings seem to not fulfill enough increase in exercise intensity in order to achieve those health advantages specific to individuals with DM2 [59]. From this point of view, for those subjects belonging to special populations who choose to carry out unconventional therapeutic exercise-based activities such as NW, aquatic exercise and other fitness workouts, it is imperative to follow the main guidelines on exercise prescription and be supported by the guidance of exercise science specialists for the entire duration of tailored exercise programs [60,61].…”

Section: Discussionmentioning

confidence: 99%

Effects of a Supervised Nordic Walking Program on Obese Adults with and without Type 2 Diabetes: The C.U.R.I.A.Mo. Centre Experience

Pippi

Blasio

Aiello

et al. 2020

JFMK

Self Cite

View full text Add to dashboard Cite

Exercise is a convenient non-medical intervention, commonly recommended in metabolic syndrome and type 2 diabetes (DM2) managements. Aerobic exercise and aerobic circuit training have been shown to be able to reduce the risk of developing DM2-related complications. Growing literature proves the usefulness of Nordic walking as exercise therapy in different disease populations, therefore it has a conceivable use in DM2 management. Aims of this study were to analyze and report the effects of two different supervised exercises (gym-based exercise and Nordic walking) on anthropometric profile, blood pressure values, blood chemistry and fitness variables in obese individuals with and without DM2. In this study, 108 obese adults (aged 45–65 years), with or without DM2, were recruited and allocated into one of four subgroups: (1) Gym-based exercise program (n = 49) or (2) Nordic walking program (n = 37) for obese adults; (3) Gym-based exercise program (n = 10) or (4) Nordic walking program (n = 12) for obese adults with DM2. In all exercise subgroups, statistically significant improvements in body weight, body mass index, fat mass index, muscular flexibility and maximal oxygen uptake (VO2 max) were observed. Moreover, a higher percentage of adherence to the gym-based program compared to Nordic walking was recorded. Our findings showed that, notwithstanding the lower adherence, a supervised Nordic walk is effective as a conventional gym-based program to improve body weight control, body composition parameters, muscular flexibility and VO2 max levels in obese adults with and without type 2 diabetes.

show abstract

“…Recent investigations in people with DM and cardiovascular disease have reported beneficial effects following unconventional forms of exercise, such as aquatic-based exercise, Nordic walking, specific gym-fitness activities, Yoga, Pilates, Tai Chi, and dance-based activities. Less common approaches have been shown to induce positive cardiovascular effects, also improving general well-being, social inclusion, and quality of life of the participants [141][142][143][144][145][146][147].…”

Section: Exercise As Therapy For Diabetes Mellitus: Unconventional Anmentioning

confidence: 99%

Diabetic Cardiomyopathy and Ischemic Heart Disease: Prevention and Therapy by Exercise and Conditioning

Crisafulli

Pagliaro

Roberto

et al. 2020

IJMS

Self Cite

View full text Add to dashboard Cite

Metabolic syndrome, diabetes, and ischemic heart disease are among the leading causes of death and disability in Western countries. Diabetic cardiomyopathy is responsible for the most severe signs and symptoms. An important strategy for reducing the incidence of cardiovascular disease is regular exercise. Remote ischemic conditioning has some similarity with exercise and can be induced by short periods of ischemia and reperfusion of a limb, and it can be performed in people who cannot exercise. There is abundant evidence that exercise is beneficial in diabetes and ischemic heart disease, but there is a need to elucidate the specific cardiovascular effects of emerging and unconventional forms of exercise in people with diabetes. In addition, remote ischemic conditioning may be considered among the options to induce beneficial effects in these patients. The characteristics and interactions of diabetes and ischemic heart disease, and the known effects of exercise and remote ischemic conditioning in the presence of metabolic syndrome and diabetes, are analyzed in this brief review.

show abstract

Supervised aquatic-based exercise for men with coronary artery disease: a meta-analysis of randomised controlled trials

Cited by 12 publications

References 19 publications

The Association Between Cardiovascular Function, Measured as FMD and CVC, and Long-Term Aquatic Exercise in Older Adults (ACELA Study): A Cross-Sectional Study

The Association Between Cardiovascular Function, Measured as FMD and CVC, and Long-Term Aquatic Exercise in Older Adults (ACELA Study): A Cross-Sectional Study

Effects of a Supervised Nordic Walking Program on Obese Adults with and without Type 2 Diabetes: The C.U.R.I.A.Mo. Centre Experience

Diabetic Cardiomyopathy and Ischemic Heart Disease: Prevention and Therapy by Exercise and Conditioning

Contact Info

Product

Resources

About