Aquatic exercise blood lactate levels compared with land based exercise blood lactate levels


  • Stephen John Payton City of Glasgow College, United Kingdom



Aquatic therapy, Exercise, Blood lactate


Water based exercise is a popular medium for exercise for a number of populations from athletic to elderly to post orthopaedic. Many of the physiological variables have been studied on the benefits of aquatic exercise such as reduction in impact, range of motion and heart rate response. One area which has been overlooked is blood lactate (BLac) response to exercise in water. Exercise in water may elicit different physiological responses to blood lactate levels. If the objective is to improve a client’s exercise tolerance, then understanding the physiological difference to exercise in water will enable the clinician/coach to formulate appropriate interventions to enable to use this medium to the benefit of a patient and or an athlete. This study is a systematic review of peer-reviewed papers, which have compared BLac levels during aquatic exercise and land based exercise. A systematic search on a number of peer reviewed search engines resulted in 13 studies.




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Robinson LE, Devor ST, Merrick MA, Buckworth J. The effects of land vs. aquatic plyometrics on power, torque, velocity, and muscle soreness in women. The Journal of Strength & Conditioning Research. 2004 Feb 1;18(1):84-91.

Shono T, Fujishima K, Hotta N, Ogaki T, Masumoto K. Cardiorespiratory response to low-intensity walking in water and on land in elderly women. Journal of physiological anthropology and applied human science. 2001;20(5):269-74.

Becker BE. Aquatic therapy: scientific foundations and clinical rehabilitation applications. PM&R. 2009 Sep 30;1(9):859-72.

Castro-Sánchez AM, Matarán-Peñarrocha GA, Lara-Palomo I, Saavedra-Hernández M, Arroyo-Morales M, Moreno-Lorenzo C. Hydrotherapy for the treatment of pain in people with multiple sclerosis: a randomized controlled trial. Evidence-based complementary and alternative medicine. 2012;2012.

Waller B, Munukka M, Multanen J, Rantalainen T, Pöyhönen T, Nieminen MT, Kiviranta I, Kautiainen H, Selänne H, Dekker J, Sipilä S. Effects of a progressive aquatic resistance exercise program on the biochemical composition and morphology of cartilage in women with mild knee osteoarthritis: protocol for a randomised controlled trial. BMC musculoskeletal disorders. 2013 Mar 7;14(1):82.

Chu KS, Rhodes EC, Taunton JE, Martin AD. Maximal physiological responses to deep-water and treadmill running in young and older women. Journal of aging and physical activity. 2002 Jul;10(3):306-13.

Norsk PE, Bonde-Petersen FL, Christensen NJ. Catecholamines, circulation, and the kidney during water immersion in humans. Journal of Applied Physiology. 1990 Aug 1;69(2):479-84.

Benfield RD, Hortobágyi T, Tanner CJ, Swanson M, Heitkemper MM, Newton ER. The effects of hydrotherapy on anxiety, pain, neuroendocrine responses, and contraction dynamics during labor. Biological research for nursing. 2010 Jul;12(1):28-36.

Waller B, Lambeck J, Daly D. Therapeutic aquatic exercise in the treatment of low back pain: a systematic review. Clinical Rehabilitation. 2009 Jan;23(1):3-14.

Wilder RP, Brennan DK. Physiological responses to deep water running in athletes. Sports medicine. 1993 Dec 1;16(6):374-80.

Hinman RS, Heywood SE, Day AR. Aquatic physical therapy for hip and knee osteoarthritis: results of a single-blind randomized controlled trial. Physical therapy. 2007 Jan 1;87(1):32-43.

Casaburi R, Patessio A, Ioli F, Zanaboni S, Donner CF, Wasserman K. Reductions in exercise lactic acidosis and ventilation as a result of exercise training in patients with obstructive lung disease. American Review of Respiratory Disease. 1991 Jan;143(1):9-18.

Raherison C, Girodet PO. Epidemiology of COPD. European Respiratory Review. 2009 Dec 1;18(114):213-21.

Madias NE. Hemodynamically mediated glomerular injury and the progressive nature of kidney disease. Kidney international. 1983;23:647-55.

Glass B, Wilson D, Blessing D, Miller E. A Physiological Comparison of Suspended Deep Water Running to Hard Surface Running. The Journal of Strength & Conditioning Research. 1995 Feb 1;9(1):17-21.

Svedenhag J, Seger J. Running on land and in water: comparative exercise physiology. Medicine and Science in Sports and Exercise. 1992 Oct 1;24(10):1155-60.

Town, G.P. and Bradley, S.S., 1991. Maximal metabolic responses of deep and shallow water running in trained runners. Medicine and Science in Sports and Exercise, 23(2), pp.238-241.

Nakanishi Y, Kimura T, Yokoo Y. Maximal physiological responses to deep water running at thermoneutral temperature. Appl Human Sci. 1999;18:31–5.

Rutledge, E., Silvers, W.M., Browder, K. and Dolny, D., 2007. Metabolic-Cost Comparison Between Submaximal Land and Aquatic Treadmill Exercise. International Journal of Aquatic Research and Education, 1(2), p.4.

Chu, K.S., Rhodes, E.C., Taunton, J.E. and Martin, A.D., 2002. Maximal physiological responses to deep-water and treadmill running in young and older women. Journal of aging and physical activity, 10(3), pp.306-313.

Frangolias, D.D. and Rhodes, E.C., 1995. Maximal and ventilatory threshold responses to treadmill and water immersion running. Medicine and Science in Sports and Exercise, 27(7), pp.1007-1013.

Silvers, W.M., Bressel, E., Dickin, D.C., Killgore, G. and Dolny, D.G., 2014. Lower-extremity muscle activity during aquatic and land treadmill running at the same speeds. Journal of sport rehabilitation, 23(2), pp.107-122.

Becker, B.E., 2009. Aquatic therapy: scientific foundations and clinical rehabilitation applications. PM&R, 1(9), pp.859-872.

Connelly, T.P., Sheldahl, L.M., Tristani, F.E., Levandoski, S.G., Kalkhoff, R.K., Hoffman, M.D. and Kalbfleisch, J.H., 1990. Effect of increased central blood volume with water immersion on plasma catecholamines during exercise. Journal of applied physiology, 69(2), pp.651-656.

Yazigi, F., Pinto, S., Colado, J., Escalante, Y., Armada-da-Silva, P.A., Brasil, R. and Alves, F., 2013. The cadence and water temperature effect on physiological responses during water cycling. European Journal of Sport Science, 13(6), pp.659-665.

Cook, S.B., Scarneo, S.E. and McAvoy, R.M., 2013. Physiological effects of an acute bout of shallow water sprinting. International Journal of Aquatic Research and Education, 7(2), p.3.

Lim, K.I. and Rhi, S.Y., 2014. The effects of landed and aquatic treadmill walking at moderate intensity on heart rate, energy expenditure and catecholamine. Journal of exercise nutrition & biochemistry, 18(2), p.197.

Benelli, P., Ditroilo, M. and De Vito, G., 2004. Physiological responses to fitness activities: a comparison between land-based and water aerobics exercise. Journal of Strength and Conditioning Research, 18, pp.719-722.

Brody, L.T. and Geigle, P.R., 2009. Aquatic exercise for rehabilitation and training. Human Kinetics.


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How to Cite

Payton, S. J. (2018). Aquatic exercise blood lactate levels compared with land based exercise blood lactate levels. Journal of Human Sport and Exercise, 13(3), 659–666.



Review Paper