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      Impact of Aquatic-Based Physical Exercise Programs on Risk Markers of Cardiometabolic Diseases in Older People: A Study Protocol for Randomized-Controlled Trials

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          Abstract

          Cardiometabolic diseases are one of the primary causes of mortality and morbidity worldwide and sedentary lifestyles are contributing factors to these pathologies. Physical exercise has been recognized as an important tool in the prevention and treatment of these diseases. However, there are still some doubts about the efficacy of certain type of physical exercise programs for older participants. The main goal of this study is to assess the impact of different aquatic-based physical exercise programs on risk markers of cardiometabolic diseases in older people. The study group will consist of non-institutionalized individuals, within the age group of 65 or older. The sample will be randomly divided into four groups, three experimental groups (EG) and one control group (CG). Participants from the EGs will be exposed to three physical aquatic-based exercise programs for a period of 28 weeks (continuous aerobic, interval aerobic and combined). The evaluated parameters include anthropometry, physical functions, mental health, cognitive function, carotid arteries intima-media thickness, heart rate variability and biochemical markers. The results will allow an interpretation of the impact of different aquatic-based physical exercise programs on cardiometabolic diseases markers and can also be used as a tool for professionals to prescribe adequate and more efficient physical exercise programs.

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          Most cited references36

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          G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences

          G*Power (Erdfelder, Faul, & Buchner, 1996) was designed as a general stand-alone power analysis program for statistical tests commonly used in social and behavioral research. G*Power 3 is a major extension of, and improvement over, the previous versions. It runs on widely used computer platforms (i.e., Windows XP, Windows Vista, and Mac OS X 10.4) and covers many different statistical tests of the t, F, and chi2 test families. In addition, it includes power analyses for z tests and some exact tests. G*Power 3 provides improved effect size calculators and graphic options, supports both distribution-based and design-based input modes, and offers all types of power analyses in which users might be interested. Like its predecessors, G*Power 3 is free.
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            Prevalence of frailty in community-dwelling older persons: a systematic review.

            To systematically compare and pool the prevalence of frailty, including prefrailty, reported in community-dwelling older people overall and according to sex, age, and definition of frailty used. Systematic review of the literature using the key words elderly, aged, frailty, prevalence, and epidemiology. Cross-sectional data from community-based cohorts. Community-dwelling adults aged 65 and older. In the studies that were found, frailty and prefrailty were measured according to physical phenotype and broad phenotype, the first defining frailty as a purely physical condition and the second also including psychosocial aspects. Reported prevalence in the community varies enormously (range 4.0-59.1%). The overall weighted prevalence of frailty was 10.7% (95% confidence interval (CI) = 10.5-10.9; 21 studies; 61,500 participants). The weighted prevalence was 9.9% for physical frailty (95% CI = 9.6-10.2; 15 studies; 44,894 participants) and 13.6% for the broad phenotype of frailty (95% CI = 13.2-14.0; 8 studies; 24,072 participants) (chi-square (χ(2) ) = 217.7, degrees of freedom (df)=1, P < .001). Prevalence increased with age (χ(2) = 6067, df = 1, P < .001) and was higher in women (9.6%, 95% CI = 9.2-10.0%) than in men (5.2%, 95% CI = 4.9-5.5%; χ(2) = 298.9 df = 1, P < .001). Frailty is common in later life, but different operationalization of frailty status results in widely differing prevalence between studies. Improving the comparability of epidemiological and clinical studies constitutes an important step forward. © 2012, Copyright the Authors Journal compilation © 2012, The American Geriatrics Society.
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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                23 November 2020
                November 2020
                : 17
                : 22
                : 8678
                Affiliations
                [1 ]FCDEF-UC, CIDAF, University of Coimbra, 3040-248 Coimbra, Portugal; ateixeira@ 123456fcdef.uc.pt (A.T.); cmnfarinha@ 123456gmail.com (C.F.); geral.fernandasilva@ 123456gmail.com (F.M.S.); marciocascante@ 123456gmail.com (M.C.-R.)
                [2 ]Sport, Health & Exercise Research Unit (SHERU), Polytechnic Institute of Castelo Branco, 6000-266 Castelo Branco, Portugal; j.serrano@ 123456ipcb.pt
                [3 ]Coimbra College of Health Technology—IPC, 3046-854 Coimbra, Portugal; heldersantos98@ 123456gmail.com
                [4 ]School of Physical Education and Sports, University of Costa Rica (UCR), San José 11501-2060, Costa Rica
                [5 ]Municipality of Sertã, 6100-738 Sertã, Portugal; pauloluis@ 123456cm-serta.pt
                Author notes
                [* ]Correspondence: jpferreira@ 123456fcdef.uc.pt ; Tel.: +351-926-294-135
                Author information
                https://orcid.org/0000-0002-4427-3276
                https://orcid.org/0000-0003-1498-949X
                https://orcid.org/0000-0001-5112-4984
                https://orcid.org/0000-0001-5794-4916
                https://orcid.org/0000-0001-8019-0729
                https://orcid.org/0000-0001-8573-9047
                Article
                ijerph-17-08678
                10.3390/ijerph17228678
                7700225
                85f6afec-f064-478c-84ba-206044bc4bb1
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 22 October 2020
                : 18 November 2020
                Categories
                Study Protocol

                Public health
                exercise,aquatic-based,hydro gymnastics,elderly,cardiometabolic diseases
                Public health
                exercise, aquatic-based, hydro gymnastics, elderly, cardiometabolic diseases

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