RESUMO
ABSTRACT: Prado, AKG, Reichert, T, Conceição, MO, Delevatti, RS, Kanitz, AC, and Kruel, LFM. Effects of aquatic exercise on muscle strength in young and elderly adults: a systematic review and meta-analysis of randomized trials. J Strength Cond Res 36(5): 1468-1483, 2022-The effects of training in an aquatic environment on muscular strength are still contradictory in the literature. The aim was to conduct a systematic review and meta-analysis of randomized studies about muscle strength responses after a program of aquatic exercise. A systematic review followed the Cochrane and PRISMA recommendations. The search was performed between December 2015 and January 2016. There were no language restrictions, and PubMed, SCOPUS, Scielo, Cochrane, and PEDro databases were consulted. An analysis of eligibility of the studies was performed by 2 independent authors. The data extraction followed standard criteria, and an evaluation of methodological quality was performed. The statistical analysis was conducted in the Review Manager 5.1 software. The statistical heterogeneity was assessed by means of Cochran's Q test and by the inconsistency test (I2). The search found 2,563 articles, 27 were included, totaling a total n of 1,006 subjects. The analysis of the risk of bias demonstrated a lack of clarity of the randomization process, allocation concealment, blinding assessment, intention to treat analysis, and calculation of the sample in 70% or more of the studies analyzed. Meta-analysis demonstrated a significant increase in handgrip strength, in isometric peak torque (PT) of knee unilateral extension and flexion, and isokinetic PT (60°·s-1) of knee unilateral extension. Sensitivity analyses demonstrated that the positive effects of training in an aquatic environment may be dependent on factors such as age, velocity of movement, and use of device. Land-based and aquatic exercises seem to lead to similar muscle strength gains. Aquatic exercise should be recommended as a strategy to improve muscle strength, but new studies with better methodological quality should be conducted.
Assuntos
Força da Mão , Força Muscular , Adulto , Idoso , Exercício Físico/fisiologia , Terapia por Exercício , Humanos , Força Muscular/fisiologia , Ensaios Clínicos Controlados Aleatórios como AssuntoRESUMO
This study aimed to compare the V[Combining Dot Above]O2max and first and second ventilatory threshold (1stVT and 2ndVT) V[Combining Dot Above]O2 values and rating of perceived exertion (RPE) responses of treadmill running (TR) with those of 3 water aerobic exercises: stationary running (SR), jumping jack (JJ), and forward kick (FK). Nine women (22.89 ± 1.81 years, 1.66 ± 0.07 m, 58.46 ± 4.19 kg) performed 1 maximal test session for each of the 4 exercise protocols in a randomized order to determine the V[Combining Dot Above]O2max and V[Combining Dot Above]O2 values and RPE responses corresponding with the 1stVT and 2ndVT. V[Combining Dot Above]O2 values were also expressed as a percentage of V[Combining Dot Above]O2max (%V[Combining Dot Above]O2max). A repeated measures analysis of variance and Bonferroni's post hoc test were used, with α = 0.05 denoting statistical significance. The analyses showed that the V[Combining Dot Above]O2 responses were significantly higher for TR than for the other exercises at all effort intensities (V[Combining Dot Above]O2max: p < 0.001; 1stVT and 2ndVT V[Combining Dot Above]O2: p < 0.001), followed by intermediate responses for SR and FK and lower responses for JJ. However, no significant differences between exercises for values of %V[Combining Dot Above]O2max (1stVT: p = 0.099; 2ndVT: p = 0.131) and RPE (1stVT: p = 0.275; 2ndVT: p = 0.477) were found at submaximal intensities, indicating that it is possible to achieve and maintain the same training intensity with these exercises during a typical water fitness lesson. Moreover, the RPE values obtained for the 1stVT and 2ndVT can make the prescription of intensity for these water exercises for young women more simple and practical.