PMID- 35329066 OWN - NLM STAT- MEDLINE DCOM- 20220419 LR - 20220419 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 19 IP - 6 DP - 2022 Mar 13 TI - The Impact of Aquatic Exercise Programs on the Intima-Media thickness of the Carotid Arteries, Hemodynamic Parameters, Lipid Profile and Chemokines of Community-Dwelling Older Persons: A Randomized Controlled Trial. LID - 10.3390/ijerph19063377 [doi] LID - 3377 AB - Scientific evidence has shown that physical exercise is an effective way of improving several cardiovascular disease markers. However, few studies have tested its effectiveness when performed in aquatic environments. The purpose of this study was to test the impact of different aquatic exercise programs on the intima-media thickness of carotid arteries (IMT) and hemodynamic and biochemical markers of cardiovascular diseases in community-dwelling older persons. A total of 102 participants were randomly allocated into four groups: an aerobic exercise group (AerG) (n = 25, 71.44 +/- 4.84 years); an aerobic interval group (IntG) (n = 28, 72.64 +/- 5.22 years); a combined group (ComG) (n = 29, 71.90 +/- 5.67 years); and a control group (CG) (n = 20, 73.60 +/- 5.25 years). The AerG, IntG, and ComG participants took part in three different aquatic exercise programs for 28 weeks. The CG participants maintained their usual routines. All participants were evaluated for IMT, blood pressure, lipid profile, and MCP-1 and MIP-1alpha chemokines, pre- and post-intervention. Significant differences were found in the AerG for diastolic diameter (DD), in the IntG for peak systolic velocity (PSV), and in the ComG for DD and end-diastolic velocity (EDV). Regarding blood pressure, significant differences were found in AerG for systolic blood pressure (SBP) and diastolic blood pressure (DBP); in IntG for DBP; and in ComG for SBP, DBP, and heart rate (HR). Significant differences were found in the AerG and IntG for glucose (GLU). Lower plasma levels of monocyte chemoattractant protein-1 (MCP-1) and macrophage inflammatory protein (MIP-1alpha) were found in the AerG and in the ComG for MCP-1 after the intervention. Aquatic physical exercise appears to improve cardiovascular health, regardless of the type of the program adopted. Aerobic programs (combined and continuous aerobic exercises) seemed to have a more beneficial effect in reducing important cardiovascular risk markers. FAU - Farinha, Carlos AU - Farinha C AUID- ORCID: 0000-0001-5794-4916 AD - Research Unit for Sport and Physical Activity, CIDAF, UID/PTD/04213/2019, University of Coimbra, 3040-248 Coimbra, Portugal. AD - Municipality of Serta, 6100-738 Serta, Portugal. FAU - Santos, Helder AU - Santos H AUID- ORCID: 0000-0002-2581-5770 AD - Coimbra School of Health Technology-IPC, 3046-854 Coimbra, Portugal. FAU - Serrano, Joao AU - Serrano J AUID- ORCID: 0000-0001-5112-4984 AD - Sport, Health & Exercise Research Unit (SHERU), Polytechnic Institute of Castelo Branco, 6000-266 Castelo Branco, Portugal. FAU - Oliveiros, Barbara AU - Oliveiros B AUID- ORCID: 0000-0001-7836-8161 AD - Faculty of Medicine, University of Coimbra, 3000-370 Coimbra, Portugal. FAU - Silva, Fernanda M AU - Silva FM AUID- ORCID: 0000-0001-8019-0729 AD - Research Unit for Sport and Physical Activity, CIDAF, UID/PTD/04213/2019, University of Coimbra, 3040-248 Coimbra, Portugal. FAU - Cascante-Rusenhack, Marcio AU - Cascante-Rusenhack M AUID- ORCID: 0000-0001-8573-9047 AD - Research Unit for Sport and Physical Activity, CIDAF, UID/PTD/04213/2019, University of Coimbra, 3040-248 Coimbra, Portugal. AD - School of Physical Education and Sports, University of Costa Rica (UCR), San Jose 11501-2060, Costa Rica. FAU - Teixeira, Ana Maria AU - Teixeira AM AUID- ORCID: 0000-0003-1498-949X AD - Research Unit for Sport and Physical Activity, CIDAF, UID/PTD/04213/2019, University of Coimbra, 3040-248 Coimbra, Portugal. FAU - Ferreira, Jose Pedro AU - Ferreira JP AUID- ORCID: 0000-0002-4427-3276 AD - Research Unit for Sport and Physical Activity, CIDAF, UID/PTD/04213/2019, University of Coimbra, 3040-248 Coimbra, Portugal. LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20220313 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 RN - 0 (Chemokine CCL3) RN - 0 (Lipids) SB - IM MH - Aged MH - Aged, 80 and over MH - Blood Pressure MH - Carotid Arteries/diagnostic imaging MH - *Carotid Intima-Media Thickness MH - Chemokine CCL3 MH - Exercise MH - Exercise Therapy MH - Humans MH - *Independent Living MH - Lipids PMC - PMC8950273 OTO - NOTNLM OT - MCP-1 OT - MDP-1alpha OT - ageing OT - aquatic environment OT - blood pressure OT - hemodynamic parameters OT - hydrogymnastics OT - intima-media thickness of the carotid arteries OT - lipid profile OT - physical exercise COIS- The authors declare no conflict of interest. EDAT- 2022/03/26 06:00 MHDA- 2022/04/20 06:00 PMCR- 2022/03/13 CRDT- 2022/03/25 01:08 PHST- 2022/01/29 00:00 [received] PHST- 2022/03/07 00:00 [revised] PHST- 2022/03/11 00:00 [accepted] PHST- 2022/03/25 01:08 [entrez] PHST- 2022/03/26 06:00 [pubmed] PHST- 2022/04/20 06:00 [medline] PHST- 2022/03/13 00:00 [pmc-release] AID - ijerph19063377 [pii] AID - ijerph-19-03377 [pii] AID - 10.3390/ijerph19063377 [doi] PST - epublish SO - Int J Environ Res Public Health. 2022 Mar 13;19(6):3377. doi: 10.3390/ijerph19063377.