PMID- 28691156
OWN - NLM
STAT- MEDLINE
DCOM- 20180606
LR  - 20221207
IS  - 1432-5233 (Electronic)
IS  - 0940-5429 (Linking)
VI  - 54
IP  - 10
DP  - 2017 Oct
TI  - Aquatic exercise for adults with type 2 diabetes: a meta-analysis.
PG  - 895-904
LID - 10.1007/s00592-017-1023-9 [doi]
AB  - AIMS: The purpose of this systematic review and meta-analysis was to examine the 
      effects of aquatic exercise (AquaEx) on indicators of glycemic control (i.e., 
      glycated hemoglobin [A1c] and fasting plasma glucose) in adults with type 2 
      diabetes mellitus (T2DM). It was hypothesized that AquaEx would improve glycemic 
      control to a similar extent as land-based exercise (LandEx), but to a greater 
      extent than non-exercise control (Ctrl). METHODS: A literature search was 
      completed in February 2017 for studies examining AquaEx training in adults with 
      T2DM. Assessment of glycemic control was necessary for inclusion, while secondary 
      outcomes such as quality of life and cardiometabolic risk factors (i.e., blood 
      pressure, triglycerides and total cholesterol) were considered, but not required 
      for inclusion. Outcomes were measured before and after at least 8 weeks of 
      AquaEx, and data were analyzed using weighted mean differences (WMDs) and fixed 
      effect models, when appropriate. RESULTS: Nine trials including 222 participants 
      were identified. Three trials compared AquaEx to LandEx, two compared AquaEx to 
      Crtl, and four had a pre-/post-design without a comparison group. Results 
      indicate no difference in A1c between LandEx and AquaEx (WMD = -0.02%, 95% 
      confidence interval = [-0.71, 0.66]). Post-intervention A1c was lower in AquaEx 
      when compared to Crtl (WMD = -0.96%, [-1.87, -0.05]). Post-AquaEx A1c was lower 
      compared to baseline (WMD = -0.48%, [-0.66, -0.30]). CONCLUSIONS: A1c can be 
      reduced after eight-twelve weeks of AquaEx. However, at this time few studies 
      have examined whether changes in A1c are different from LandEx or Crtl.
FAU - Rees, Jordan L
AU  - Rees JL
AD  - Faculty of Physical Education and Recreation, 1-052 Li Ka Shing Centre for Health 
      Research Innovation, University of Alberta, Edmonton, AB, T6G 2E1, Canada.
AD  - Alberta Diabetes Institute, 1-052 Li Ka Shing Centre for Health Research 
      Innovation, University of Alberta, Edmonton, AB, T6G 2E1, Canada.
FAU - Johnson, Steven T
AU  - Johnson ST
AD  - Alberta Diabetes Institute, 1-052 Li Ka Shing Centre for Health Research 
      Innovation, University of Alberta, Edmonton, AB, T6G 2E1, Canada.
AD  - Faculty of Health Disciplines, Athabasca University, 1 University Drive, 
      Athabasca, AB, T9S 3A3, Canada.
FAU - Boule, Normand G
AU  - Boule NG
AD  - Faculty of Physical Education and Recreation, 1-052 Li Ka Shing Centre for Health 
      Research Innovation, University of Alberta, Edmonton, AB, T6G 2E1, Canada. 
      nboule@ualberta.ca.
AD  - Alberta Diabetes Institute, 1-052 Li Ka Shing Centre for Health Research 
      Innovation, University of Alberta, Edmonton, AB, T6G 2E1, Canada. 
      nboule@ualberta.ca.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
PT  - Systematic Review
DEP - 20170710
PL  - Germany
TA  - Acta Diabetol
JT  - Acta diabetologica
JID - 9200299
RN  - 0 (Blood Glucose)
RN  - 0 (Glycated Hemoglobin A)
SB  - IM
MH  - Adult
MH  - Blood Glucose/metabolism
MH  - Diabetes Mellitus, Type 2/metabolism/*therapy
MH  - *Exercise Therapy
MH  - Glycated Hemoglobin/metabolism
MH  - Humans
OTO - NOTNLM
OT  - Aquatic exercise
OT  - Glycated hemoglobin
OT  - Swimming
OT  - Type 2 diabetes mellitus
EDAT- 2017/07/12 06:00
MHDA- 2018/06/07 06:00
CRDT- 2017/07/11 06:00
PHST- 2017/05/11 00:00 [received]
PHST- 2017/06/19 00:00 [accepted]
PHST- 2017/07/12 06:00 [pubmed]
PHST- 2018/06/07 06:00 [medline]
PHST- 2017/07/11 06:00 [entrez]
AID - 10.1007/s00592-017-1023-9 [pii]
AID - 10.1007/s00592-017-1023-9 [doi]
PST - ppublish
SO  - Acta Diabetol. 2017 Oct;54(10):895-904. doi: 10.1007/s00592-017-1023-9. Epub 2017 
      Jul 10.