Trial reportClinical interventions in aging2013
Water- versus land-based exercise in elderly subjects: effects on physical performance and body composition.
Trial report in Clinical interventions in aging, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 7 syntheses or guidelines pooled it, 113 citations in OpenAlex.
- Effectiveness of aquatic Tai Chi on balance indicators: a systematic review.Frontiers in public health · 2026Pooled it
- Effects of water aerobics on body composition in obesity and overweight people: a systematic review and meta-analysis.BMJ open · 2025Pooled it
- Effects of aquatic exercise on improving body composition and muscle strength in the older adults: a systematic review and meta-analysis of randomized controlled trials.Frontiers in public health · 2025Pooled it
- Optimal dose of aquatic exercise for improving muscle strength in older adults: a Bayesian model-based meta-analysis.Frontiers in public health · 2025Pooled it
- Exercise effects on muscle quality in older adults: a systematic review and meta-analysis.Scientific reports · 2021Pooled it
- A systematic review and meta-analysis comparing the effect of aquatic and land exercise on dynamic balance in older adults.BMC geriatrics · 2020Pooled it
- Does aquatic exercise improve commonly reported predisposing risk factors to falls within the elderly? A systematic review.BMC geriatrics · 2019Pooled it
- Effects of aquatic and land high-intensity interval trainings on selected bio- and physiological variables among obese adolescents.Frontiers in endocrinology · 2024Trial
- The effect of 12 weeks of water-aerobics on health status and physical fitness: An ecological approach.PloS one · 2018Trial
- The dose-effect relationship of aquatic exercise in improving physical function in older adults.BMC sports science, medicine & rehabilitation · 2026Article
- Global consensus on optimal exercise recommendations for enhancing healthy longevity in older adults (ICFSR).The journal of nutrition, health & aging · 2025Review
- Comparative Analysis of Physical Fitness in Aquatic and Terrestrial Environments Among Elderly Women.International journal of environmental research and public health · 2024Article
- Article
- The Effectiveness of Water- versus Land-Based Exercise on Specific Measures of Physical Fitness in Healthy Older Adults: An Integrative Review.Healthcare (Basel, Switzerland) · 2024Review
- Effects of Exercise Training on Muscle Quality in Older Individuals: A Systematic Scoping Review with Meta-Analyses.Sports medicine - open · 2023Article
- Sarcopenia prevalence and association with nutritional status in cohort of elderly patients affected by musculoskeletal concerns: a real-life analysis.Frontiers in endocrinology · 2023Observational
- An Intervention of 12 Weeks of Nordic Walking and Recreational Walking to Improve Cardiorespiratory Capacity and Fitness in Older Adult Women.Journal of clinical medicine · 2022Article
- Article
- The Inter-Rater and Intra-Rater Reliability of the Actual Aquatic Skills Test (AAST) for Assessing Young Children's Motor Competence in the Water.International journal of environmental research and public health · 2021Article
- Muscle Activation and Distribution during Four Test/Functional Tasks: A Comparison between Dry-Land and Aquatic Environments for Healthy Older and Young Adults.International journal of environmental research and public health · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of this study was to assess the effectiveness of a 24-week exercise protocol carried out in geothermal spring water to improve overall physical function and muscle mass in a group of healthy elderly subjects. A further aim was to compare this water-based protocol with a land-based protocol and a control group. For this purpose, 59 subjects were recruited and randomly allocated to three groups: aquatic group (AG), land group (LG), and control group (CG). AG and LG followed a 6-month, twice-weekly, multimodality exercise intervention. AG underwent the protocol in hot-spring water (36°C) while LG did it in a land-based environment. After the intervention, knee-extension strength was maintained in AG and LG. The 8-foot up-and-go test showed a reduction in both exercise groups (AG -19.3%, P < 0.05; LG -12.6%, P < 0.05), with a significantly greater decrease in AG. The back-scratch test revealed an improvement only in AG (25.8%; P < 0.05), while the sit-and-reach test improved in all groups. Finally, AG reduced fat mass by 4% (P < 0.05), and dominant forearm fat decreased by 9.2% (P < 0.05). In addition, calf muscle density increased by 1.8% (P < 0.05). In summary, both water- and land-based activities were beneficial in maintaining strength and in improving lower-body flexibility. Aquatic exercise appeared a better activity to improve dynamic balance. Thermal swimming pools and the use of rating of perceived exertion as a method of exercise monitoring should be considered potentially useful tools to enhance physical performance and body composition in healthy elderly.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.