Self-related quality of life of elderly submitted to a 12-week aquatic training program
Keywords:Quality of life, Exercise, Aged, Water-based exercise
Background: The aging process commonly affects the quality of life of the elderly. Group physical exercise appears as a conservative and cheap method to improve the quality of life in this population. Aim: To evaluate the self-reported quality of life in a group of elderly submitted to a 12-week aquatic training program. Methods: Twenty-eight elderly (66.0 ± 5.8 years, 29.6 ± 3.6 kg/m²) were enrolled and submitted to a 12-week aquatic training program (02 times/week, 01 hour/session). The quality of life in the elderly was assessed by the World Health Organization Quality of Life for Older Persons (WHOQOL-OLD). Results: The aquatic training program promoted significant improvements in overall quality of life score (baseline vs 12-wk: 83.2±8.5 vs 86.6±10.3, p = 0.02) and in aspects related to "past, present and future activities" (baseline vs 12-wk: 79.9±16.4 vs 85.7±16.6, p = 0.04) and "death and dying" (baseline vs 12-wk: 74.3±23.0 vs 83.0±20.1, p = 0.04). None of the other aspects that assess the quality of life presented improvement after the aquatic training program, except for the aspect related to "social participation" which showed a tendency to improve after 12 weeks of an aquatic training program (baseline vs 12-wk: 74.8±19.1 vs 77.7±21.5, p = 0.05). Also, an improvement in the waist-hip ratio of the elderly was observed after the aquatic training program (baseline vs 12-wk: 0.90±0.07 vs 0.89±0.08; p <0.05). Conclusion: An aquatic training program performed twice a week for 12 weeks improved self-related quality of life in an elderly population.
American College of Sports Medicine, Chodzko-Zajko, W. J., Proctor, D. N., Fiatarone Singh, M. a, Minson, C. T., Nigg, C. R., … Skinner, J. S. (2009). American College of Sports Medicine position stand. Exercise and physical activity for older adults. Medicine and Science in Sports and Exercise, 41(7), 1510–30. https://doi.org/10.1249/MSS.0b013e3181a0c95c
Baena-Beato, P. A., Arroyo-Morales, M., Delgado-Fernández, M., Gatto-Cardia, M. C., & Artero, E. G. (2013). Effects of different frequencies (2-3 days/week) of aquatic therapy program in adults with chronic low back pain. A non-randomized comparison trial. Pain Medicine (Malden, Mass.), 14(1), 145–58. https://doi.org/10.1111/pme.12002
Baena-Beato, P. Á., Artero, E. G., Arroyo-Morales, M., Robles-Fuentes, A., Gatto-Cardia, M. C., & Delgado-Fernández, M. (2014). Aquatic therapy improves pain, disability, quality of life, body composition and fitness in sedentary adults with chronic low back pain. A controlled clinical trial. Clinical Rehabilitation, 28(4), 350–60. https://doi.org/10.1177/0269215513504943
Barker, A. L., Talevski, J., Morello, R. T., Nolan, G. A., De Silva, R. D., & Briggs, A. M. (2016). Jumping into the deep-end: results from a pilot impact evaluation of a community-based aquatic exercise program. Clinical Rheumatology, 35(6), 1593–1601. https://doi.org/10.1007/s10067-015-3096-6
Bocalini, D. S., Serra, A. J., Rica, R. L., & Dos Santos, L. (2010). Repercussions of training and detraining by water-based exercise on functional fitness and quality of life: a short-term follow-up in healthy older women. Clinics (Sao Paulo, Brazil), 65(12), 1305–9. https://doi.org/10.1590/S1807-59322010001200013
Cancela Carral, J. M., & Ayán Pérez, C. (2008). Effects of high-intensity combined training on women over 65. Gerontology, 53(6), 340–346. https://doi.org/10.1159/000104098
Cross, M., Smith, E., Hoy, D., Nolte, S., Ackerman, I., Fransen, M., … March, L. (2014). The global burden of hip and knee osteoarthritis: Estimates from the Global Burden of Disease 2010 study. Annals of the Rheumatic Diseases, 73(7), 1323–1330. https://doi.org/10.1136/annrheumdis-2013-204763
Dechamps, A., Diolez, P., Thiaudière, E., Tulon, A., Onifade, C., Vuong, T., … Bourdel-Marchasson, I. (2010). Effects of exercise programs to prevent decline in health-related quality of life in highly deconditioned institutionalized elderly persons: a randomized controlled trial. Archives of Internal Medicine, 170(2), 162–9. https://doi.org/10.1001/archinternmed.2009.489
Dehi, M., Aghajari, P., Shahshahani, M., Takfallah, L., & Jahangiri, L. (2014). The effect of stationary walking on the quality of life of the elderly women: a randomized controlled trial. Journal of Caring Sciences, 3(2), 103–111. https://doi.org/10.5681/jcs.2014.011
Devereux, K., Robertson, D., & Briffa, N. K. (2005). Effects of a water-based program on women 65 years and over: A randomised controlled trial. Australian Journal of Physiotherapy, 51(2), 102–108. https://doi.org/10.1016/S0004-9514(05)70038-6
Dias, R. C., Dias, J. M. D., & Ramos, L. R. (2003). Impact of an exercise and walking protocol on quality of life for elderly people with OA of the knee. Physiotherapy Research International : The Journal for Researchers and Clinicians in Physical Therapy, 8(3), 121–30. https://doi.org/10.1002/pri.280
Fleck, M. P., Chachamovich, E., & Trentini, C. (2006). Development and validation of the Portuguese version of the WHOQOL-OLD module. Revista de Saude Publica, 40(5), 785–91. https://doi.org/10.1590/S0034-89102006000600007
Fraga, M. J., Cader, S. A., Ferreira, M. A., Giani, T. S., & Dantas, E. H. M. (2011). Aerobic resistance, functional autonomy and quality of life (QoL) of elderly women impacted by a recreation and walking program. Archives of Gerontology and Geriatrics, 52(1), e40-3. https://doi.org/10.1016/j.archger.2010.04.021
Frontera, W. R., Hughes, V. A., Fielding, R. A., Fiatarone, M. A., Evans, W. J., & Roubenoff, R. (2000). Aging of skeletal muscle: a 12-yr longitudinal study. Journal of Applied Physiology (Bethesda, Md. : 1985), 88(4), 1321–6.
Geirsdottir, O. G., Arnarson, A., Briem, K., Ramel, A., Tomasson, K., Jonsson, P. V, & Thorsdottir, I. (2012). Physical function predicts improvement in quality of life in elderly Icelanders after 12 weeks of resistance exercise. The Journal of Nutrition, Health & Aging, 16(1), 62–6. https://doi.org/10.1007/s12603-011-0076-7
Grundstrom, A. C., Guse, C. E., & Layde, P. M. (2012). Risk factors for falls and fall-related injuries in adults 85 years of age and older. Archives of Gerontology and Geriatrics, 54(3), 421–428. https://doi.org/10.1016/j.archger.2011.06.008
Haraldstad, K., Rohde, G., Stea, T. H., Lohne-Seiler, H., Hetlelid, K., Paulsen, G., & Berntsen, S. (2017). Changes in health-related quality of life in elderly men after 12 weeks of strength training. European Review of Aging and Physical Activity, 14(1), 10–15. https://doi.org/10.1186/s11556-017-0177-3
King, A. C., Pruitt, L. A., Phillips, W., Oka, R., Rodenburg, A., & Haskell, W. L. (2000). Comparative effects of two physical activity programs on measured and perceived physical functioning and other health-related quality of life outcomes in older adults. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 55(2), M74-83. https://doi.org/10.1093/gerona/55.2.M74
Krist, L., Dimeo, F., & Keil, T. (2013). Can progressive resistance training twice a week improve mobility, muscle strength, and quality of life in very elderly nursing-home residents with impaired mobility? A pilot study. Clinical Interventions in Aging, 8, 443–448. https://doi.org/10.2147/CIA.S42136
Madureira, M. M., Bonfá, E., Takayama, L., & Pereira, R. M. R. (2010). A 12-month randomized controlled trial of balance training in elderly women with osteoporosis: Improvement of quality of life. Maturitas, 66(2), 206–211. https://doi.org/10.1016/j.maturitas.2010.03.009
Mura, G., Sancassiani, F., Migliaccio, G. M., Collu, G., & Carta, M. G. (2014). The association between different kinds of exercise and quality of life in the long term. Results of a randomized controlled trial on the elderly. Clinical Practice and Epidemiology in Mental Health : CP & EMH, 10, 36–41. https://doi.org/10.2174/1745017901410010036
Oh, S., Lim, J.-M., Kim, Y., Kim, M., Song, W., & Yoon, B. (2015). Comparison of the effects of water- and land-based exercises on the physical function and quality of life in community-dwelling elderly people with history of falling: a single-blind, randomized controlled trial. Archives of Gerontology and Geriatrics, 60(2), 288–93. https://doi.org/10.1016/j.archger.2014.11.001
Paiva, M. H. P. de, Pegorari, M. S., Nascimento, J. S., & Santos, Á. da S. (2016). Fatores associados à qualidade de vida de idosos comunitários da macrorregião do Triângulo do Sul, Minas Gerais, Brasil. Ciência & Saúde Coletiva, 21(11), 3347–3356. https://doi.org/10.1590/1413-812320152111.14822015
Sato, D., Kaneda, K., Wakabayashi, H., & Nomura, T. (2009). Comparison two-year effects of once-weekly and twice-weekly water exercise on health-related quality of life of community-dwelling frail elderly people at a day-service facility. Disability and Rehabilitation, 31(2), 84–93. https://doi.org/10.1080/09638280701817552
Sun, Y.-Q., Jiang, A.-L., Chen, S.-M., Li, H., Xing, H.-Y., & Wang, F. (2017). Quality of life and self-care in elderly patients with cardiovascular diseases: The effect of a Traditional Chinese Medicine health educational intervention. Applied Nursing Research : ANR, 38(800), 134–140. https://doi.org/10.1016/j.apnr.2017.10.003
Tamari, K. (2011). Self-reported Home Exercise and Younger Age Predict Improved Health-related Quality of Life among Community-Dwelling Elderly Participants in a Three-month Group Exercise Class. Journal of PHYSIOLOGICAL ANTHROPOLOGY, 30(2), 77–85. https://doi.org/10.2114/jpa2.30.77
Tardif, D. (2014). Editorial: Global elderly care in crisis. The Lancet, 383(9921), 927. https://doi.org/10.1016/S0140-6736(14)60463-3
Teixeira, C. S., Pereira, É. F., & Rossi, A. G. (2007). A hidroginástica como meio para manutenção da qualidade de vida e saúde do idoso. Acta Fisiatr, 14(4), 226–232. Retrieved from http://www.scielo.br/pdf/rbti/v21n3/a12v21n3
Torres-Ronda, L., & Schelling I Del Alcázar, X. (2014). The properties of water and their applications for training. Journal of Human Kinetics, 44(1), 237–248. https://doi.org/10.2478/hukin-2014-0129
Tourani, S., Behzadifar, M., Martini, M., Aryankhesal, A., Taheri Mirghaed, M., Salemi, M., … Bragazzi, N. L. (2018). Health-related quality of life among healthy elderly Iranians: a systematic review and meta-analysis of the literature. Health and Quality of Life Outcomes, 16(1), 18. https://doi.org/10.1186/s12955-018-0845-7
United Nations. (2013). World Population Ageing 2013. World Population Ageing 2013, 114. https://doi.org/ST/ESA/SER.A/348
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