Abstract
ObjectiveTo investigate the effect of aquatic high-intensity interval training (AHIIT) on exercise capacity in people with chronic conditions.DesignSystematic review and meta-analysis.ParticipantsAdults (age ≥18 years) with any chronic conditions (long duration, continuing health problems).Data sourcesThe databases Medline, EMBASE, CINAHL, SPORTSDiscus, PEDro and The Cochrane Library were searched from inception to 11 August 2023.Eligibility criteriaRandomised or non-randomised controlled trials of adults reporting one or more chronic conditions were included, comparing the effect of AHIIT with a non-exercising control group, land-based high-intensity interval training (LBHIIT) or aquatic moderate-intensity continuous training (AMICT).ResultsEighteen trials with 868 participants with chronic musculoskeletal, respiratory, cardiovascular, metabolic or neurological conditions were included. Adherence to AHIIT was high, ranging from 84% to 100%. There was moderate certainty in evidence according to the Grading of Recommendations Assessment, Development and Evaluation system for a moderate beneficial effect on exercise capacity standardised mean differences (SMD) 0.78 (95% CI 0.48 to 1.08), p<0.00001) of AHIIT compared with a non-exercising control group. There was moderate certainty in evidence for no difference of effects on exercise capacity (SMD 0.28 (95% CI −0.04 to 0.60), p=0.08) of AHIIT compared with LBHIIT. There was moderate certainty in evidence for small effect on exercise capacity (SMD 0.45 (95% CI 0.10 to 0.80), p=0.01) of AHIIT compared with AMICT.ConclusionThere are beneficial effects of AHIIT on exercise capacity in people with a range of chronic conditions. AHIIT has similar effects on exercise capacity as LBHIIT and may represent an alternative for people unable to perform LBHIIT.PROSPERO registration numberCRD42022289001.
Funder
EkstraStiftelsen Helse og Rehabilitering
Subject
Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine
Reference87 articles.
1. WHO . World health statistics 2023: monitoring health for the SDGs, sustainable development goals. World Health Organization; 2023. 119.
2. Use your words carefully: what is a chronic disease.;Bernell;Front Public Health,2016
3. WHO . Preventing chronic diseases: a vital investment: WHO global report. World Health Organization; 2005. 182.
4. Effects of chronic diseases on health-related quality of life and self-rated health among three adult age groups;Ge;Nurs Health Sci,2019
5. The global burden of multiple chronic conditions: a narrative review;Hajat;Prev Med Rep,2018
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