The impact of swimming and other aquatics on human development, physiology, and the course of some diseases
DOI:
https://doi.org/10.12775/QS.2024.16.52504Keywords
Aquatics, physical activity in the water, cardiovascular system, respiratory system, obesity, mental health, autoimmunological diseases, rheumatology, development of children, biochemistryAbstract
Introduction: In our work, we decided to connect physical activity and hydrotherapy as well as explore the impact of water-based physical activity on human organisms. We focused on the effects on physiology and body development. We also analysed studies that research aquatics activity as a method of treatment. We aim to present scientific evidence about using in-water activity in prevention and rehabilitation.
Results: Physical activity in water has a beneficial influence on the cardiorespiratory system and can be used for both prevention and rehabilitation. It is well-tolerated among patients with chronic obstructive pulmonary disease even if physical comorbidities are present. Swimming can be used as a rehabilitation and even one form of asthma treatment in the paediatric population. Swimming can improve insulin sensitivity, glucose control and reduce biomarkers of endothelial activation. There is data suggesting that the water environment exercises benefit patients with rheumatological diseases like ankylosing spondylitis, rheumatoid arthritis, fibromyalgia and osteoarthritis. A positive impact was observed on the population suffering from ADHD and autism spectrum disorder. The diving by the Bathysmed® protocol seems to decrease symptoms of PTSD. Research conducted on the paediatric population shows that swimming training can benefit motor development. There were no observed impacts of aquatics on IgA levels. In contrast to that swimming can improve the level of TNFα and HSP70.
Conclusions: Recent studies show a positive influence on human development, physiology, and the course of some diseases. They suggest that aquatics can be used as a form of preventing, rehabilitating and even treatment of some illnesses. The conclusions from recent studies need to be confirmed in further research because of their limitations.
References
Visseren F, Mach F, Smulders YM, et al. 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice. Eur Heart J. 2021;42(34):3227-3337. doi:10.1093/EURHEARTJ/EHAB484
WHO GUIDELINES ON PHYSICAL ACTIVITY AND SEDENTARY BEHAVIOUR AT A GLANCE.
Union PO of the E. Council conclusions on the promotion of motor skills, physical and sport activities for children. Published online December 15, 2015. Accessed June 3, 2024. https://op.europa.eu/en/publication-detail/-/publication/6d7173dc-a2ff-11e5-b528-01aa75ed71a1
Union PO of the E. ST/14431/2021/INIT, Conclusions of the Council and of the representatives of the Governments of the Member States meeting within the Council on lifelong physical activity 2021/C 501 I/01. Published online November 30, 2021. Accessed June 3, 2024. https://op.europa.eu/en/publication-detail/-/publication/09ba5847-5bdd-11ec-91ac-01aa75ed71a1/language-en/format-PDF/source-323183973
Union PO of the E. CELEX1, Council Recommendation of 26 November 2013 on promoting health-enhancing physical activity across sectors. Published online November 26, 2013. Accessed June 3, 2024. https://op.europa.eu/en/publication-detail/-/publication/d3256cec-5cc3-11e3-914b-01aa75ed71a1/language-en/format-PDF/source-323184500
EU Physical Activity Guidelines Recommended Policy Actions in Support of Health-Enhancing Physical Activity. Published online 2008.
Wong A, Kwak YS, Scott SD, et al. The effects of swimming training on arterial function, muscular strength, and cardiorespiratory capacity in postmenopausal women with stage 2 hypertension. Menopause. 2018;26(6):653-658. doi:10.1097/GME.0000000000001288
Lee JY, Joo KC, Brubaker PH. Aqua walking as an alternative exercise modality during cardiac rehabilitation for coronary artery disease in older patients with lower extremity osteoarthritis. BMC Cardiovasc Disord. 2017;17(1). doi:10.1186/S12872-017-0681-4
Castro RE, Guimarães GV, Da Silva JMR, Bocchi EA, Ciolac EG. Postexercise Hypotension after Heart Transplant: Water- versus Land-Based Exercise. Med Sci Sports Exerc. 2016;48(5):804-810. doi:10.1249/MSS.0000000000000846
Bocalini DS, Bergamin M, Evangelista AL, et al. Post-exercise hypotension and heart rate variability response after water- and land-ergometry exercise in hypertensive patients. PLoS One. 2017;12(6):e0180216. doi:10.1371/journal.pone.0180216
McNamara RJ, McKeough ZJ, McKenzie DK, Alison JA. Acceptability of the aquatic environment for exercise training by people with chronic obstructive pulmonary disease with physical comorbidities: Additional results from a randomised controlled trial. Physiotherapy. 2015;101(2):187-192. doi:10.1016/J.PHYSIO.2014.09.002
Tizar E, Erdoğan R, Ayhan S, Karabel M, Ensari F. Effect of swimming on respiratory function test and lung capacity in children with asthma. Rev Gestão e Secr. 2023;14(10):17215-17223. doi:10.7769/gesec.v14i10.2936
Casilda-López J, Valenza MC, Cabrera-Martos I, Díaz-Pelegrina A, Moreno-Ramírez MP, Valenza-Demet G. Effects of a dance-based aquatic exercise program in obese postmenopausal women with knee osteoarthritis: a randomized controlled trial. Menopause. 2017;24(7):768-773. doi:10.1097/GME.0000000000000841
Connolly LJ, Nordsborg NB, Nyberg M, Weihe P, Krustrup P, Mohr M. Low-volume high-intensity swim training is superior to high-volume low-intensity training in relation to insulin sensitivity and glucose control in inactive middle-aged women. Eur J Appl Physiol. 2016;116(10):1889-1897. doi:10.1007/S00421-016-3441-8
Soufivand P, Gandomi F, Assar S, et al. The effect of a six-week Aqua Pilates and Aqua Stretch intervention on pain, function, and quality of life in patients affected by ankylosing spondylitis: A rater-blind randomized controlled trial. J Back Musculoskelet Rehabil. 2024;37(2):355-367. doi:10.3233/BMR-230077
Siqueira US, Orsini Valente LG, de Mello MT, Szejnfeld VL, Pinheiro MM. Effectiveness of Aquatic Exercises in Women With Rheumatoid Arthritis. Am J Phys Med Rehabil. 2017;96(3):167-175. doi:10.1097/PHM.0000000000000564
Mengshoel AM, Jokstad K, Bjerkhoel F. Associations between walking time, quadriceps muscle strength and cardiovascular capacity in patients with rheumatoid arthritis and ankylosing spondylitis. Clin Rheumatol. 2004;23(4):299-305. doi:10.1007/S10067-004-0896-5
Eversden L, Maggs F, Nightingale P, Jobanputra P. A pragmatic randomised controlled trial of hydrotherapy and land exercises on overall well being and quality of life in rheumatoid arthritis. BMC Musculoskelet Disord. 2007;8. doi:10.1186/1471-2474-8-23
Sjöquist ES, Brodin N, Lampa J, Jensen I, Opava CH. Physical activity coaching of patients with rheumatoid arthritis in everyday practice: a long-term follow-up. Musculoskeletal Care. 2011;9(2):75-85. doi:10.1002/MSC.199
Fernandes G, Jennings F, Nery Cabral MV, Pirozzi Buosi AL, Natour J. Swimming Improves Pain and Functional Capacity of Patients With Fibromyalgia: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2016;97(8):1269-1275. doi:10.1016/J.APMR.2016.01.026
Rewald S, Lenssen AFT, Emans PJ, de Bie RA, van Breukelen G, Mesters I. Aquatic Cycling Improves Knee Pain and Physical Functioning in Patients With Knee Osteoarthritis: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2020;101(8):1288-1295. doi:10.1016/j.apmr.2019.12.023
Alkatan M, Baker JR, Machin DR, et al. Improved Function and Reduced Pain after Swimming and Cycling Training in Patients with Osteoarthritis. J Rheumatol. 2016;43(3):666-672. doi:10.3899/JRHEUM.151110
Munukka M, Waller B, Häkkinen A, et al. Effects of progressive aquatic resistance training on symptoms and quality of life in women with knee osteoarthritis: A secondary analysis. Scand J Med Sci Sport. 2020;30(6):1064-1072. doi:10.1111/sms.13630
Alonso-Rodríguez AM, Sánchez-Herrero H, Nunes-Hernández S, Criado-Fernández B, González-López S, Solís-Muñoz M. Efficacy of hydrotherapy versus gym treatment in primary total knee prosthesis due to osteoarthritis: A randomized controlled trial. An Sist Sanit Navar. 2021;44(2):225-241. doi:10.23938/ASSN.0963
Hattabi S, Forte P, Kukic F, et al. A Randomized Trial of a Swimming-Based Alternative Treatment for Children with Attention Deficit Hyperactivity Disorder. Int J Environ Res Public Health. 2022;19(23). doi:10.3390/ijerph192316238
Ansari S, Hosseinkhanzadeh AA, AdibSaber F, Shojaei M, Daneshfar A. The Effects of Aquatic Versus Kata Techniques Training on Static and Dynamic Balance in Children with Autism Spectrum Disorder. J Autism Dev Disord. 2021;51(9):3180-3186. doi:10.1007/s10803-020-04785-w
Gibert L, Coulange M, Reynier JC, et al. Comparing meditative scuba diving versus multisport activities to improve post-traumatic stress disorder symptoms: a pilot, randomized controlled clinical trial. Eur J Psychotraumatol. 2022;13(1). doi:10.1080/20008198.2022.2031590
Chortane OG, Amara S, Barbosa TM, et al. Effect of High-Volume Training on Psychological State and Performance in Competitive Swimmers. Int J Environ Res Public Health. 2022;19(13). doi:10.3390/IJERPH19137619
Borioni F, Biino V, Tinagli V, Pesce C. Effects of Baby Swimming on Motor and Cognitive Development: A Pilot Trial. Percept Mot Skills. 2022;129(4):977-1000. doi:10.1177/00315125221090203
Leo I, Leone S, Dicataldo R, et al. A Non-Randomized Pilot Study on the Benefits of Baby Swimming on Motor Development. Int J Environ Res Public Heal 2022, Vol 19, Page 9262. 2022;19(15):9262. doi:10.3390/IJERPH19159262
Karatrantou K, Stavrou V, Hasioti P, Varveri D, Krommidas C, Gerodimos V. An enjoyable school-based swimming training programme improves students’ aquaticity. Acta Paediatr Int J Paediatr. 2020;109(1):166-174. doi:10.1111/apa.14920
Varveri D, Flouris AD, Smirnios N, Pollatou E, Karatzaferi C, Sakkas GK. Developing and testing an instrument to assess aquaticity in humans. J Bodyw Mov Ther. 2016;20(3):497-503. doi:10.1016/J.JBMT.2015.12.013
Naczk A, Gajewska E, Naczk M. Effectiveness of swimming program in adolescents with down syndrome. Int J Environ Res Public Health. 2021;18(14). doi:10.3390/ijerph18147441
Hall-López J, Ochoa-Martínez P, Teixeira AMMB, Moncada-Jiménez JA, Dantas EM. [Effect of hydrogymnastics physical exercise on serum level of immunoglobulin A in elderly women]. Rev Chilena Infectol. 2015;32(3):272-277. doi:10.4067/S0716-10182015000400003
Kotowska J, Jówko E, Cieśliński I, Gromisz W, Sadowski J. IL-6 and HSPA1A Gene Polymorphisms May Influence the Levels of the Inflammatory and Oxidative Stress Parameters and Their Response to a Chronic Swimming Training. Int J Environ Res Public Health. 2022;19(13). doi:10.3390/ijerph19138127
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Copyright (c) 2024 Jakub Wróblewski, Weronika Kawecka, Wiktor Wróblewski, Paweł Zalewski, Jan Biłogras
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