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Effects of Recreational Swimming on Blood Pressure and Lower Extremity Muscle Strength of Older Adults With Elevated Blood Pressure: A Sample of Altınova Beachgoers

Year 2024, Volume: 15 Issue: 3, 512 - 530, 30.12.2024
https://doi.org/10.54141/psbd.1464865

Abstract

This study aimed to investigate the effects of recreational swimming (RS) on blood pressure (BP) and lower extremity muscle strength (LEMS) in older adults with elevated blood pressure (EBP). A total of 44 elderly people, 21 men (x̄age=70.6 years, sd= 1.07; body mass index (BMI)=27.4 kg/m2, sd=0.67) and 23 women (x̄age=70.2 years, sd=1.15; BMI=28.6 kg/m2, sd=0.92) participated in the study. Participants were reached by snowball sampling method. Data were collected using a semi-automated BP monitor and Chair Stand Test. Analyses were performed using mixed-design ANOVA with a significance level of p<.05. There was a significant difference between groups [F (2,84)=16.59, p<.001, η²p=.028] and times [F (2,84)=3.55, p<.033, η²p=.080] in systolic blood pressure (SBP). There was significant difference between groups [F (1,42)=24.48, p<.001, η²p=.368] in diastolic blood pressure (DBP). There was a statistically significant difference between groups [F (1,42)=28.68, p<.001, η²p=.041] in mean blood pressure (MBP). There was a statistically significant difference between groups and times [F (1,42)=4.2, p<.046, η²p=.96; F (1,84)=87.1, p<.001, η²p=.96, respectively] in LEMS. There was a significant difference between times [F (2,84)=26.6, p<.001, η²p=.1] in BMI. There was a statistically significant difference between groups, time and group*time interaction [F (1,42)=18.53, p<.001, η²p=.03; F (2,84) =29.35, p<.001, η²p=.04; F (2,84)=4.59, p<.013, η²p=.099, respectively] in rating of perceived exertion. RS in a blue ecological environment is thought to provide positive improvements in BP and LEMS values of older adults with EBP and to have a cumulative effect on metabolic safety and the quality of the aging process

Ethical Statement

The research was ethically approved by the ethics committee of Eskisehir Technical University, Science and Engineering Sciences Scientific Research and Publication Ethics Committee (2023/E-87.914.409-050.03.04-2.300.029.618/) and was conducted in accordance with the recommendations of the Declaration of Helsinki.

Supporting Institution

There is no support from any institute for this research.

Thanks

I would like to thank Ozan Açık and Burçak Aylin Altunay, swimming specialization students of Eskişehir Technical University, Department of Coaching Education, who helped with the organization (application-first aid) during the application phase of the research. Zehra YILGIN, my nurse student, who took a close interest in the health conditions of the participants, Özkan ERDOĞAN for his help in the editorial phase and my colleague Cihan Aygün for his critical contributions.

References

  • American College of Cardiology & American Heart Association. (2018). A guideline for the prevention, detection, evaluation, and management of high blood pressure in adults a report of the American College of Cardiology/American Heart Association Task Force on Clinical practice guidelines. Hypertension, 71(6), E13-E115.
  • Assis, M. R., Silva, L. E., Alves, A. M. B., Pessanha, A. P., Valim, V., Feldman, D., NETO T. L. D. B., & Natour, J. (2006). A randomized controlled trial of deep-water running: clinical effectiveness of aquatic exercise to treat fibromyalgia. Arthritis Care & Research: Official Journal of the American College of Rheumatology, 55(1), 57-65.
  • Bahar, A. N. (2024). The Role of Exercise in the Treatment of Hypertension: Traditional Review. Turkiye Klinikleri J Sports Sci. 2024;16(1):129-38, doi: 10.5336/sportsci.2023-98722
  • Barbosa, T. M., Marinho, D. A., Reis, V. M., Silva, A. J., & Bragada, J. A. (2009). Physiological assessment of head-out aquatic exercises in healthy subjects: a qualitative review. Journal of sports science & medicine, 8(2), 179.
  • Borg, G. (1998). Borg’s perceived exertion and pain scales. New York: Human Kinetics, (1st ed.).
  • Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences. New York: Routledge. https://doi.org/10.4324/9780203771587
  • Cunha, R. M., Arsa, G., Oliveira-Silva, I., Rocha, I. F., & Lehnen, A. M. (2021). Acute blood pressure Effects in older adults with Hypertension after different modalities of Exercise: an experimental study. Journal of Aging and Physical Activity, 29(6), 952-958.
  • Delevatti, R., Marson, E., & Fernando Kruel, L. (2015). Effect of aquatic exercise training on lipids profile and glycaemia: a systematic review. Revista Andaluza de Medicina del Deporte, 8(4), 163-170.
  • Ettehad, D., Emdin, C. A., Kiran, A., Anderson, S. G., Callender, T., Emberson, J., Chalmers, J., Rodgers, A., & Rahimi, K. (2016). Blood pressure lowering for prevention of cardiovascular disease and death: a systematic review and meta-analysis. The Lancet, 387(10022), 957-967.
  • Foster, C., Florhaug, J. A., Franklin, J., Gottschall, L., Hrovatin, L. A., Parker, S., Doleshal, P., & Dodge, C. (2001). A new approach to monitoring exercise training. The Journal of Strength & Conditioning Research, 15(1), 109-115.
  • Gascon, M., Zijlema, W., Vert, C., White, M. P., & Nieuwenhuijsen, M. J. (2017). Outdoor blue spaces, human health and well-being: A systematic review of quantitative studies. International journal of hygiene and environmental health, 220(8), 1207-1221.
  • Gusi, N., Tomas‐Carus, P., Häkkinen, A., Häkkinen, K., & Ortega‐Alonso, A. (2006). Exercise in waist‐high warm water decreases pain and improves health‐related quality of life and strength in the lower extremities in women with fibromyalgia. Arthritis Care & Research: Official Journal of the American College of Rheumatology, 55(1), 66-73.
  • He, L. I., Wei, W. R., & Can, Z. (2018). Effects of 12-week brisk walking training on exercise blood pressure in elderly patients with essential hypertension: a pilot study. Clinical and Experimental Hypertension, 40(7), 673-679.
  • Huang, G., Shi, X., Gibson, C. A., Huang, S. C., Coudret, N. A., & Ehlman, M. C. (2013). Controlled aerobic exercise training reduces resting blood pressure in sedentary older adults. Blood pressure, 22(6), 386-394.
  • Igarashi, Y., & Nogami, Y. (2018). The effect of regular aquatic exercise on blood pressure: a meta-analysis of randomized controlled trials. European journal of preventive cardiology, 25(2), 190-199.
  • James, P. A., Oparil, S., Carter, B. L., Cushman, W. C., Dennison-Himmelfarb, C., Handler, J., & Ortiz, E. (2014). 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). Jama, 311(5), 507-520.
  • Kendall, K. L., & Fairman, C. M. (2014). Women and exercise in aging. Journal of sport and health science, 3(3), 170-178.
  • Kim, I. M., Kim, S. J., Park, H. R., Lim, J. H., & Kim, S. W. (2015). The long-term effect of aquarobics exercise program on physical function and mental health in elderly women. Indian J Sci Technol, 8(26), 1-12.
  • Lord, S. R., Matters, B., St George, R., Thomas, M., Bindon, J., Chan, D. K., Collings, A., & Haren, L. (2006). The effects of water exercise on physical functioning in older people. Australasian Journal on Ageing, 25(1), 36-41.
  • Marques, D. L., Neiva, H. P., Fail, L. B., Gil, M. H., & Marques, M. C. (2019). Acute effects of low and high-volume resistance training on hemodynamic, metabolic and neuromuscular parameters in older adults. Experimental gerontology, 125, 110685.
  • Muntner, P., Carey, R. M., Jamerson, K., Wright Jr., J. T., & Whelton, P. K. (2019). Rationale for ambulatory and home blood pressure monitoring thresholds in the 2017 American College of Cardiology/American Heart Association Guideline. Hypertension, 73(1), 33-38.
  • Nualnim, N., Parkhurst, K., Dhindsa, M., Tarumi, T., Vavrek, J., & Tanaka, H. (2012). Effects of swimming training on blood pressure and vascular function in adults> 50 years of age. The American journal of cardiology, 109(7), 1005-1010.
  • Picon, R. V., Fuchs, F. D., Moreira, L. B., & Fuchs, S. C. (2013). Prevalence of hypertension among elderly persons in urban Brazil: a systematic review with meta-analysis. American journal of hypertension, 26(4), 541-548.
  • Prado, A. K., Reichert, T., Conceição, M. O., Delevatti, R. S., Kanitz, A. C., & Kruel, L. F. (2022). Effects of aquatic exercise on muscle strength in young and elderly adults: a systematic review and meta-analysis of randomized trials. The Journal of Strength & Conditioning Research, 36(5), 1468-1483.
  • Ramírez-Vélez, R., Castro-Astudillo, K., Correa-Bautista, J. E., González-Ruíz, K.,Izquierdo, M., García-Hermoso, A., & Correa-Rodríguez, M. (2020). The effect of 12 weeks of different exercise training modalities or nutritional guidance on cardiometabolic risk factors, vascular parameters, and physical fitness in overweight adults: cardiometabolic high-intensity interval training-resistance training randomized controlled study. The Journal of Strength & Conditioning Research, 34(8), 2178-2188.
  • Rikli, R. E., & Jones, C. J. (2013). Development and validation of criterion-referenced clinically relevant fitness standards for maintaining physical independence in later years. The gerontologist, 53(2), 255-267.
  • Sarmento, H., Manuel Clemente, F., Marques, A., Milanovic, Z., David Harper, L., & Figueiredo, A. (2020). Recreational football is medicine against non‐communicable diseases: A systematic review. Scandinavian journal of medicine & science in sports, 30(4), 618-637.
  • Schober, P., Boer, C., & Schwarte, L. A. (2018). Correlation Coefficients. Anesthesia &Analgesia,126(5),1763–1768. https://doi.org/10,1213/ANE.0.000.000.000.002.864
  • Sohn, A. J., Hasnain, M., & Sinacore, J. M. (2007). Impact of exercise (walking) on blood pressure levels in African American adults with newly diagnosed hypertension. Ethnicity disease, 17(3), 503-507.
  • Tanaka, H., Bassett, Jr., D. R., Howley, E. T., Thompson, D. L., Ashraf, M., & Rawson, F. L. (1997). Swimming training lowers the resting blood pressure in individuals with hypertension. Journal of hypertension, 15(6), 651-657.
  • Türkiye Endokrinoloji ve Metabolizma Derneği (2022). Hipertansiyon Tanı Ve Tedavi Kılavuzu. Özel Durumlarda Hipertansiyon ve Tedavisi (Bölüm 7:107-108). Isbn: 978-605-66410-4-6. Bayt Bilimsel Araştırmalar Basın Yayın ve Tanıtım Ltd. Şti. Ankara.
  • Türkiye İstatistik Kurumu (2023). Türkiye Yaşlı Profili Araştırması. Retrieved from: https://data.tuik.gov.tr
  • White, M. P., Elliott, L. R., Gascon, M., Roberts, B., & Fleming, L. E. (2020). Blue space, health and well-being: A narrative overview and synthesis of potential benefits. Environmental research, 191, 110169.
  • World Health Organization. (2010). Global Recommendations on Physical Activity for Health. http://whqlibdoc.who.int/publications/2010/9789241599979_eng.pdf. (Access: 20.09.2013).
  • Wong, A., Kwak, Y. S., Scott, S. D., Pekas, E. J., Son, W. M., Kim, J. S., & Park, S. Y. (2019). The effects of swimming training on arterial function, muscular strength, and cardiorespiratory capacity in postmenopausal women with stage 2 hypertension. Menopause, 26(6), 653-658
  • WHO. (2014). Global status report on noncommunicable diseases. Retrieved from: www.who.int/nmh/publications/ncd-status-report 2014/en/199.
Year 2024, Volume: 15 Issue: 3, 512 - 530, 30.12.2024
https://doi.org/10.54141/psbd.1464865

Abstract

References

  • American College of Cardiology & American Heart Association. (2018). A guideline for the prevention, detection, evaluation, and management of high blood pressure in adults a report of the American College of Cardiology/American Heart Association Task Force on Clinical practice guidelines. Hypertension, 71(6), E13-E115.
  • Assis, M. R., Silva, L. E., Alves, A. M. B., Pessanha, A. P., Valim, V., Feldman, D., NETO T. L. D. B., & Natour, J. (2006). A randomized controlled trial of deep-water running: clinical effectiveness of aquatic exercise to treat fibromyalgia. Arthritis Care & Research: Official Journal of the American College of Rheumatology, 55(1), 57-65.
  • Bahar, A. N. (2024). The Role of Exercise in the Treatment of Hypertension: Traditional Review. Turkiye Klinikleri J Sports Sci. 2024;16(1):129-38, doi: 10.5336/sportsci.2023-98722
  • Barbosa, T. M., Marinho, D. A., Reis, V. M., Silva, A. J., & Bragada, J. A. (2009). Physiological assessment of head-out aquatic exercises in healthy subjects: a qualitative review. Journal of sports science & medicine, 8(2), 179.
  • Borg, G. (1998). Borg’s perceived exertion and pain scales. New York: Human Kinetics, (1st ed.).
  • Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences. New York: Routledge. https://doi.org/10.4324/9780203771587
  • Cunha, R. M., Arsa, G., Oliveira-Silva, I., Rocha, I. F., & Lehnen, A. M. (2021). Acute blood pressure Effects in older adults with Hypertension after different modalities of Exercise: an experimental study. Journal of Aging and Physical Activity, 29(6), 952-958.
  • Delevatti, R., Marson, E., & Fernando Kruel, L. (2015). Effect of aquatic exercise training on lipids profile and glycaemia: a systematic review. Revista Andaluza de Medicina del Deporte, 8(4), 163-170.
  • Ettehad, D., Emdin, C. A., Kiran, A., Anderson, S. G., Callender, T., Emberson, J., Chalmers, J., Rodgers, A., & Rahimi, K. (2016). Blood pressure lowering for prevention of cardiovascular disease and death: a systematic review and meta-analysis. The Lancet, 387(10022), 957-967.
  • Foster, C., Florhaug, J. A., Franklin, J., Gottschall, L., Hrovatin, L. A., Parker, S., Doleshal, P., & Dodge, C. (2001). A new approach to monitoring exercise training. The Journal of Strength & Conditioning Research, 15(1), 109-115.
  • Gascon, M., Zijlema, W., Vert, C., White, M. P., & Nieuwenhuijsen, M. J. (2017). Outdoor blue spaces, human health and well-being: A systematic review of quantitative studies. International journal of hygiene and environmental health, 220(8), 1207-1221.
  • Gusi, N., Tomas‐Carus, P., Häkkinen, A., Häkkinen, K., & Ortega‐Alonso, A. (2006). Exercise in waist‐high warm water decreases pain and improves health‐related quality of life and strength in the lower extremities in women with fibromyalgia. Arthritis Care & Research: Official Journal of the American College of Rheumatology, 55(1), 66-73.
  • He, L. I., Wei, W. R., & Can, Z. (2018). Effects of 12-week brisk walking training on exercise blood pressure in elderly patients with essential hypertension: a pilot study. Clinical and Experimental Hypertension, 40(7), 673-679.
  • Huang, G., Shi, X., Gibson, C. A., Huang, S. C., Coudret, N. A., & Ehlman, M. C. (2013). Controlled aerobic exercise training reduces resting blood pressure in sedentary older adults. Blood pressure, 22(6), 386-394.
  • Igarashi, Y., & Nogami, Y. (2018). The effect of regular aquatic exercise on blood pressure: a meta-analysis of randomized controlled trials. European journal of preventive cardiology, 25(2), 190-199.
  • James, P. A., Oparil, S., Carter, B. L., Cushman, W. C., Dennison-Himmelfarb, C., Handler, J., & Ortiz, E. (2014). 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). Jama, 311(5), 507-520.
  • Kendall, K. L., & Fairman, C. M. (2014). Women and exercise in aging. Journal of sport and health science, 3(3), 170-178.
  • Kim, I. M., Kim, S. J., Park, H. R., Lim, J. H., & Kim, S. W. (2015). The long-term effect of aquarobics exercise program on physical function and mental health in elderly women. Indian J Sci Technol, 8(26), 1-12.
  • Lord, S. R., Matters, B., St George, R., Thomas, M., Bindon, J., Chan, D. K., Collings, A., & Haren, L. (2006). The effects of water exercise on physical functioning in older people. Australasian Journal on Ageing, 25(1), 36-41.
  • Marques, D. L., Neiva, H. P., Fail, L. B., Gil, M. H., & Marques, M. C. (2019). Acute effects of low and high-volume resistance training on hemodynamic, metabolic and neuromuscular parameters in older adults. Experimental gerontology, 125, 110685.
  • Muntner, P., Carey, R. M., Jamerson, K., Wright Jr., J. T., & Whelton, P. K. (2019). Rationale for ambulatory and home blood pressure monitoring thresholds in the 2017 American College of Cardiology/American Heart Association Guideline. Hypertension, 73(1), 33-38.
  • Nualnim, N., Parkhurst, K., Dhindsa, M., Tarumi, T., Vavrek, J., & Tanaka, H. (2012). Effects of swimming training on blood pressure and vascular function in adults> 50 years of age. The American journal of cardiology, 109(7), 1005-1010.
  • Picon, R. V., Fuchs, F. D., Moreira, L. B., & Fuchs, S. C. (2013). Prevalence of hypertension among elderly persons in urban Brazil: a systematic review with meta-analysis. American journal of hypertension, 26(4), 541-548.
  • Prado, A. K., Reichert, T., Conceição, M. O., Delevatti, R. S., Kanitz, A. C., & Kruel, L. F. (2022). Effects of aquatic exercise on muscle strength in young and elderly adults: a systematic review and meta-analysis of randomized trials. The Journal of Strength & Conditioning Research, 36(5), 1468-1483.
  • Ramírez-Vélez, R., Castro-Astudillo, K., Correa-Bautista, J. E., González-Ruíz, K.,Izquierdo, M., García-Hermoso, A., & Correa-Rodríguez, M. (2020). The effect of 12 weeks of different exercise training modalities or nutritional guidance on cardiometabolic risk factors, vascular parameters, and physical fitness in overweight adults: cardiometabolic high-intensity interval training-resistance training randomized controlled study. The Journal of Strength & Conditioning Research, 34(8), 2178-2188.
  • Rikli, R. E., & Jones, C. J. (2013). Development and validation of criterion-referenced clinically relevant fitness standards for maintaining physical independence in later years. The gerontologist, 53(2), 255-267.
  • Sarmento, H., Manuel Clemente, F., Marques, A., Milanovic, Z., David Harper, L., & Figueiredo, A. (2020). Recreational football is medicine against non‐communicable diseases: A systematic review. Scandinavian journal of medicine & science in sports, 30(4), 618-637.
  • Schober, P., Boer, C., & Schwarte, L. A. (2018). Correlation Coefficients. Anesthesia &Analgesia,126(5),1763–1768. https://doi.org/10,1213/ANE.0.000.000.000.002.864
  • Sohn, A. J., Hasnain, M., & Sinacore, J. M. (2007). Impact of exercise (walking) on blood pressure levels in African American adults with newly diagnosed hypertension. Ethnicity disease, 17(3), 503-507.
  • Tanaka, H., Bassett, Jr., D. R., Howley, E. T., Thompson, D. L., Ashraf, M., & Rawson, F. L. (1997). Swimming training lowers the resting blood pressure in individuals with hypertension. Journal of hypertension, 15(6), 651-657.
  • Türkiye Endokrinoloji ve Metabolizma Derneği (2022). Hipertansiyon Tanı Ve Tedavi Kılavuzu. Özel Durumlarda Hipertansiyon ve Tedavisi (Bölüm 7:107-108). Isbn: 978-605-66410-4-6. Bayt Bilimsel Araştırmalar Basın Yayın ve Tanıtım Ltd. Şti. Ankara.
  • Türkiye İstatistik Kurumu (2023). Türkiye Yaşlı Profili Araştırması. Retrieved from: https://data.tuik.gov.tr
  • White, M. P., Elliott, L. R., Gascon, M., Roberts, B., & Fleming, L. E. (2020). Blue space, health and well-being: A narrative overview and synthesis of potential benefits. Environmental research, 191, 110169.
  • World Health Organization. (2010). Global Recommendations on Physical Activity for Health. http://whqlibdoc.who.int/publications/2010/9789241599979_eng.pdf. (Access: 20.09.2013).
  • Wong, A., Kwak, Y. S., Scott, S. D., Pekas, E. J., Son, W. M., Kim, J. S., & Park, S. Y. (2019). The effects of swimming training on arterial function, muscular strength, and cardiorespiratory capacity in postmenopausal women with stage 2 hypertension. Menopause, 26(6), 653-658
  • WHO. (2014). Global status report on noncommunicable diseases. Retrieved from: www.who.int/nmh/publications/ncd-status-report 2014/en/199.
There are 36 citations in total.

Details

Primary Language English
Subjects Physical Activity and Health, Sports and Recreation
Journal Section Physical Activity, Health & Exercise
Authors

Cemal Polat 0000-0002-5946-5297

Publication Date December 30, 2024
Submission Date April 4, 2024
Acceptance Date September 19, 2024
Published in Issue Year 2024 Volume: 15 Issue: 3

Cite

APA Polat, C. (2024). Effects of Recreational Swimming on Blood Pressure and Lower Extremity Muscle Strength of Older Adults With Elevated Blood Pressure: A Sample of Altınova Beachgoers. Pamukkale Journal of Sport Sciences, 15(3), 512-530. https://doi.org/10.54141/psbd.1464865