Aquatic exercise training and stable heart failure: A systematic review and meta-analysis

Adsett, Julie A., Mudge, Alison M., Morris, Norman, Kuys, Suzanne and Paratz, Jennifer D. (2015) Aquatic exercise training and stable heart failure: A systematic review and meta-analysis. International Journal of Cardiology, 186 22-28. doi:10.1016/j.ijcard.2015.03.095


Author Adsett, Julie A.
Mudge, Alison M.
Morris, Norman
Kuys, Suzanne
Paratz, Jennifer D.
Title Aquatic exercise training and stable heart failure: A systematic review and meta-analysis
Journal name International Journal of Cardiology   Check publisher's open access policy
ISSN 1874-1754
0167-5273
Publication date 2015-05-01
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.ijcard.2015.03.095
Volume 186
Start page 22
End page 28
Total pages 7
Place of publication Shannon, Clare Ireland
Publisher Elsevier Ireland
Collection year 2016
Language eng
Formatted abstract
Aim

A meta-analysis and review of the evidence was conducted to determine the efficacy of aquatic exercise training for individuals with heart failure compared to traditional land-based programmes.

Methods

A systematic search was conducted for studies published prior to March 2014, using MEDLINE, PUBMED, Cochrane Library, CINAHL and PEDro databases. Key words and synonyms relating to aquatic exercise and heart failure comprised the search strategy. Interventions included aquatic exercise or a combination of aquatic plus land-based training, whilst comparator protocols included usual care, no exercise or land-based training alone. The primary outcome of interest was exercise performance. Studies reporting on muscle strength, quality of life and a range of haemodynamic and physiological parameters were also reviewed.

Results

Eight studies met criteria, accounting for 156 participants. Meta-analysis identified studies including aquatic exercise to be superior to comparator protocols for 6 minute walk test (p < 0.004) and peak power (p < 0.044). Compared to land-based training programmes, aquatic exercise training provided similar benefits for VO2peak, muscle strength and quality of life, though was not superior. Cardiac dimensions, left ventricular ejection fraction, cardiac output and BNP were not influenced by aquatic exercise training.

Conclusions


For those with stable heart failure, aquatic exercise training can improve exercise capacity, muscle strength and quality of life similar to land-based training programmes. This form of exercise may provide a safe and effective alternative for those unable to participate in traditional exercise programmes.
Keyword Aquatic exercise
Cardiomyopathy
Exercise training
Heart failure
Hydrotherapy
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Non HERDC
School of Medicine Publications
 
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