Impact of short-term water exercise programs on weight, body composition, metabolic profile and quality of life of obese women
Keywords:Water gym, Obesity, Quality of life, Weight loss
Physical exercises performed in water, such as water aerobics, have a minimal impact on the joints and are frequently indicated to help obese individuals to lose weight. The objective of this study was to compare the effects of two water programs (continuous vs intermittent) on the body composition, resting energy expenditure (REE), metabolic profile, and quality of life of obese women without nutritional intervention. Twenty-seven sedentary female volunteers (mean age and BMI of 42.8±7.4 years and 36.1±6.3kg.m-2, respectively) were selected and allocated randomly into two groups: continuous water exercise (CON) and intermittent water exercise (INT). Both programs lasted two months with 3 weekly sessions of 60 minutes each. The following evaluations were performed before and after the intervention: anthropometry (weight and body circumferences), body composition (fat mass and fat-free mass), metabolic profile (glycemia and lipid profile), REE (indirect calorimetry), and quality of life (SF-36 Questionnaire).Comparisons between groups and times (initial and final) were performed using the nonparametric Wilcoxon test. The groups did not differ in any of the variables analyzed at the initial time (Ti) and at the final time (Tf). Comparison of Ti vs f revealed significant reductions of weight (-0.6 kg), BMI(-0.3 kg.m-2), fat mass (-0.6 kg), arm circumference (-1.8cm) and hip circumference (-4.0cm) for CON group and significant reductions of only fat mass (-0.6kg)and arm circumference (-2.0cm) for INT group. Regarding quality of life, improvement in social and vitality aspects was observed in CON group and improvement in vitality and health status in INT group. Short-term water exercise programs not associated with nutritional monitoring have a modest impact on the weight, body composition and metabolic profile of obese women, with better results for programs with continuous characteristics. However, the improvement of quality of life aspects should not be overlooked.
Alves, R.V., Mota, J., Costa, M.C., & Alves, J.G.B. (2004). Physical fitness and elderly health effects of hydrogymnastics. Rev Bras Med Esporte., 10(1), pp.38-43.
American College of Sports Medicine (ACSM). (2003). Diretrizes do ACSM para os testes de esforço e sua prescrição. Rio de Janeiro: Guanabara Koogan.
Antunes, H.K., Stella, S.G., Santos, R.F., Bueno, O.F.A, & Mello, M.T. (2005). Depression, anxiety and quality of life scores in seniors after an endurance exercise program. Rev Bras Psiquiatr., 27(4), pp.266-271. https://doi.org/10.1590/S1516-44462005000400003
Atan, T. (2013). Effect of music on anaerobic exercise performance. Biol Sport., 30(1), pp.35-39. https://doi.org/10.5604/20831862.1029819
Bender, T., Nagy, G., Barna, I., Tefner, I., Kádas, E., & Géher, P. (2007). The effect of physical therapy on beta-endorphin levels. Eur J Appl Physiol., 100(4), pp.371-382. https://doi.org/10.1007/s00421-007-0469-9
Brasil. (2004). Vigilância alimentar e nutricional - SISVAN: orientações básicas para a coleta, processamento, análise de dados e informação em serviços de saúde. Brasília: Ministério da Saúde.
Broeder, C.E., Burrhus, K.A., Sranevik, L.S., & Wilmore, J.H. (1992). The effects of either high-intensity resistence or endurance training on resting metabolic rate. Eur J Clin Nutr., 55(4), pp.802-810.
Callway, C.W., Chumlea, W.C., Bouchard, C., Himes, J.H., Lohman, T.G., Martin, A.D. Circumferences. In: Lohman, T.G., Roche, A.F., & Martorell, R. (1988). Anthropometric standardization reference manual. Champaign, IL: Human Kinetics, pp.39-54.
Castro, M., Caiuby, A.V.S., Draibe, S.A., & Canziani, M.E.F. (2003). Qualidade de vida de pacientes com insuficiência renal crônica em hemodiálise avaliado através do instrumento genérico SF-36. Rev. Assc Med Bras., 49(3), pp.245-249. https://doi.org/10.1590/S0104-42302003000300025
Cheik, N.C., Reis, I.T., Heredia, R.A.G., Ventura, M.L., Tufik, S., Antunes, H.K.M., & Mello, M.T. (2003). Efeitos do exercício físico e da atividade física na depressão e ansiedade em indivíduos idosos. Rev Bras Ci e Mov., 11(3), pp.45-51.
Ciconelli, R.M., Ferraz, M.B., & Santos, W. (1998). Tradução para a língua portuguesa e validação do questionário genérico de avaliação de qualidade de vida SF-36 (Brasil SF-36). Rev Bras Reumatol., 39(3), pp.143 -150.
Donnelly, J.E., Blair, S.N., Jakicic, J.M., Manore, M.M., Rankin, J.W., & Smith, B.K. (2009). American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Medicine and science in sports and exercise, 41(2), pp.459-471.Eckerson, J., & Anderson, T. (1992). Physiological response to water aerobics. J Sports Med Phys Fitness., 32(2), pp.255-261.
Fett, C.A. (2005). Avaliação metabólica nutricional de obesas no basal e após tratamento com dieta hipocalórica e treinamento em circuito. Doctoral Thesis in Internal Medicine – Faculdade de Medicina de Ribeirão Preto – Universidade de São Paulo: Ribeirão Preto.
Friedewald, W.T., Levy, R.I., & Fredrickson, D.S. (1972). Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem., 18(6), pp.499-502.
Garber, C.E., Blissmer, B., Deschenes, M.R., Franklin, B.A., Lamonte, M.J., Lee, I.M., & Swain, D.P. (2011). American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Medicine and science in sports and exercise, 43(7), pp.1334-1359. https://doi.org/10.1249/MSS.0b013e318213fefb
Garrow, J.S., & Summerbell, C.D. (1995). Meta-analysis: effect of exercise, with or without dieting, on the body composition of overweight subjects. Eur J Clin Nutr., 49(1), pp.1-10.
Gubiani, G.L., Pires-Neto, C.S., Petroski, E.L., & Lopes, A.S. (2001). Efeitos da hidroginástica sobre indicadores antropométricos de mulheres entre 60 e 80 anos de idade. Revista Brasileira de Cineantropometria e Desempenho Humano, 3(1), pp.34-41.
Guszkowska, M. (2004). Effects of exercise on anxiety, depression and mood. Psychiatr Pol., 38(4), pp.611-620.
Kruel, L.F.M. (2000). Alterações fisiológicas e biomecânicas em indivíduos praticando exercícios de hidroginástica dentro e fora d'água. Doctoral Thesis. Universidade Federal de Santa Maria: Santa Maria, RS.
Kruel, L.F.M., Barella, R.E., Graef, F., Brentano, M.A., Figueiredo, P.P., Cardoso, A., & Severo, C.R. (2005). Efeitos de um treinamento de força aplicado em mulheres praticantes de hidroginástica. Rev Bras Fisiol Exerc., 4(1), pp.32-38.
Lousada, E.R. (2007). Alterações em alguns aspectos da composição corporal em mulheres obesas após o programa de exercício físico. Master's thesis in Physical Education – Universidade São Judas Tadeu: São Paulo.
Melo, M.T., Bolosco, R.A., Esteves, A.M., & Tufik, S. (2005). O exercício físico e os aspectos psicobiológicos. Rev Bras Med Esporte., 11, pp.203-207. https://doi.org/10.1590/S1517-86922005000300010
Monteiro, R.C.A., Riether, P.T.A., & Burini, R.C. (2004). Efeito de um programa misto de intervenção nutricional e exercício físico sobre a composição corporal e os hábitos alimentares de mulheres obesas em climatérios. Rev Nutr., 17(4), pp.479-489. https://doi.org/10.1590/S1415-52732004000400008
Pinto, L.G., Dias, R.M.R., Salvador, E.P., Júnior, A.F., & Lima, C.V.G. (2008). Efeito da utilização de bandas elásticas durante aulas de hidroginástica na força muscular de mulheres. Rev Bras Med Esporte., 14(5), pp.450-453. https://doi.org/10.1590/S1517-86922008000500010
Pinto, S.S., Alberton, C.L., Figueiredo, P.A.P., Tiggemann, C.L., & Kruel, L.F.M. (2008). Respostas de freqüência cardíaca, consumo de oxigênio e sensação subjetiva a esforço em um exercício de hidroginástica executado por mulheres em diferentes situações com e sem o equipamento Aquafins. Rev Bras Med Esporte., 14(4), pp.357-361. https://doi.org/10.1590/S1517-86922008000400007
Poehlman, E.T., Denino, W.F., Beckett, T., Kinaman, K.A., Dionne, I.J., Dvorak, R., & Ades, P.A. (2002). Effects of endurance and resistance training on total daily energy expenditure in young women: a controlled randomized trial. J Clin Endocrinol & Metab., 87(3), pp.1004-1009. https://doi.org/10.1210/jcem.87.3.8282
Pöyhönen, T., Keskinen, K.L., Hautala, A., & Mälkiä, E. (2000). Determination of hydrodinamic drag forces and drag coefficients on human leg/foot model during knee exercise. Clin Biomech., 15(4), pp.256-260. https://doi.org/10.1016/S0268-0033(99)00070-4
Pöyhönen, T., Sipilä, S., Keskinen, K.L., Hautala, A., Savolainen, J., & Mälkiä, E. (2002). Effects of aquatic resistance training on neuromuscular performance in healthy women. Med Sci Sports Exerc., 34(12), pp.2103-2109. https://doi.org/10.1097/00005768-200212000-00036
Segal, K.R., Van Loan, M., Fitzgerald, P.I., Hodgdon, J.A., & Van Itaiie, T.B. (1998). Lean body mass estimation by bioelectrical impedance analysis: a four-site cross-validation study. Am J Clin Nutr., 47(1), pp.7-l4. https://doi.org/10.1093/ajcn/47.1.7
Shiraev, T., & Barclay, G. (2012). Evidence based exercise - clinical benefits of high intensity interval training. Aust Fam Physician., 41(12), pp.960-962.
Sova, R. (1998). Hidroginástica na terceira idade. São Paulo: Manole.
Takeshima, N., Rogers, M.E., Watanabe, W.F., Brechue, W.F., Okada, A., Yamada, T., Islam, M.M., & Hayano, J. (2002). Water-based exercise improves health-related aspects of fitness in older women. Med Sci Sports Exerc., 34(3), pp.544-551. https://doi.org/10.1097/00005768-200203000-00024
Viana, M.V., Filho, J.F., Dantas, E.H.M., & Perez, A.J. (2007). Effects of a programme of physical exercises competitors on muscle mass, aerobic power and corporal composition in adults aerobic and anaerobic. Fit Perf J., 6(3), pp.136-139.
Vieira, J.L.L., Porcu, M., & Rocha, P.G.M. (2007). A prática de exercícios físicos regulares como terapia complementar ao tratamento de mulheres com depressão. J Bras Psiquiatr., 56(1), pp.23-28. https://doi.org/10.1590/S0047-20852007000100007
Wallman, K., Plant, L.A., Rakimov, B., & Maiorana, A.J. (2009). The effects of two modes of exercise on aerobic fitness and fat mass in an overweight population. Research in Sports Medicine: An International Journal, 17(3), pp.156-170. https://doi.org/10.1080/15438620903120215
Weir, J.B. (1949). New methods for calculating metabolic rate with special reference to protein metabolism. J Physiol., 109(1-2), pp.1–9. https://doi.org/10.1113/jphysiol.1949.sp004363
Wing, R.R. (1999). Physical activity in the treatment of the adulthood overweight and obesity: current evidence and research issues. Med Sci Sports Exerc., 31(11Suppl), pp.S547-552. https://doi.org/10.1097/00005768-199911001-00010
World Health Organization. (1998). Obesity: preventing and managing the global epidemic. Report of a WHO Consulation. Geneva: World Health Organization (Technical Report Series, N° 894).
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