Evidências da eficácia de programas de exercícios aquáticos no tratamento, prevenção e combate a doenças crônicas

Paulo Franco Rosa; Lúcio Franco Rosa

Autores

Paulo Franco Rosa RMTB 17982
Lúcio Franco Rosa CREF SP040037

Palavras-chave:

exercício aquático, aquaterapia, hidroterapia, hidroginástica, doença crônica, terapia do exercício, asma brônquica

Resumo

É sabido que muito atleta de destaque iniciou a carreira por acaso, simplesmente porque a família buscava no esporte um tratamento alternativo à medicina tradicional (Figura). Diversas pesquisas tem sido realizadas abordando a importância da prática de atividades físicas ou terapia de exercícios no tratamento, prevenção, e combate a diversas doenças crônicas. Dentre estes estudos as atividades físicas abordadas variam, desde simples movimentos corporais com ou sem aparelhos até a prática de modalidades esportivas de baixa, média ou alta complexidade. Nossa revisão avaliou alguns dos principais trabalhos encampados nos últimos anos, publicados em revistas científicas do mundo todo, com o objetivo de verificar o nível de aplicação, envolvimento e eficácia especificamente dos programas de exercícios aquáticos. Fica evidenciada uma alta disseminação no uso das terapias, modalidades e atividades aquáticas para pacientes portadores dos mais diversos problemas, como síndrome metabólica; distúrbios pulmonares e coronários; problemas articulares, ósseos e musculares; câncer, depressão e asma, entre outros. Estudos específicos oferecem indicação de rotinas completas abordando frequência, duração e intensidade dos exercícios para males como resistência insulínica, diabetes, hipertensão e obesidade, entre outros. Finalmente, fica patente que é importante alertar para a finalidade profilática e não apenas terapêutica da atividade física no combate a maioria das doenças.

Biografia do Autor

Paulo Franco Rosa, RMTB 17982

Paulo Rosa é jornalista, editor da revista NADAR! - veículo premiado pioneiro na América do Sul - tendo publicado centenas de artigos nos últimos 30 anos.

Lúcio Franco Rosa, CREF SP040037

O professor Lúcio Rosa é licenciado em Educação Física com especializações em Shiatsu e Watsu, pioneiro no ensino da natação através de escolas especializadas no Brasil, atuando na área há mais de 30 anos.

Referências

(1) Secretaria da Saúde. Prevenção e Combate a Doenças [Internet]. Porto Alegre; 2021 [cited 2021 Dec 23]. Available from: https://saude.rs.gov.br/prevencao-e-combate-a-doencas

(2) Stephanie B, Howard S W. Use Your Words Carefully: What Is a Chronic Disease?. Front Public Health [Internet]. 2016 [cited 2021 Dec 23];4 DOI 10.3389/fpubh.2016.00159. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4969287/.

(3) Pedersen B K, Saltin B. Evidence for prescribing exercise as therapy in chronic disease. Scandinavian Journal of Medicine & Science in Sports. 2006 Feb;16(S 1):3-63.

(4) Becker B E. Aquatic Therapy: Scientific Foundations and Clinical Rehabilitation Applications. ScienceDirect [Internet]. 2009 Sep [cited 2021 Dec 26];1(9):859-872. DOI https://doi.org/10.1016/j.pmrj.2009.05.017. Available from: https://onlinelibrary.wiley.com/doi/full/10.1016/j.pmrj.2009.05.017

(5) Etesami A S, J Zamani, V Zolaktaf, G Ghasemi. Effectiveness of Aquatic Exercise Therapy on the Quality of Life in Women With Knee Osteoarthritis. Journal of Ageing [Internet]. 2015 [cited 2021 Dec 26];10(3):859-872. Available from: http://salmandj.uswr.ac.ir/article-1-734-en.html

(6) Kargarfard M, Dehghadani M, Ghias R. The Effect of Aquatic Exercise Therapy on Muscle Strength and Joint‘s Range of Motion in Hemophilia Patients. Int J Prev Med [Internet]. 2013 Jan [cited 2021 Dec 26];4(1):50-56. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3570911/.

(7) Dundar U, Solak O, Yigit I, Evcik D, Kavuncu V. Clinical Effectiveness of Aquatic Exercise to Treat Chronic Low Back Pain: A Randomized Controlled Trial. Spine [Internet]. 2015 Jun [cited 2021 Dec 26];34(14):1436-1440. DOI 10.1097/BRS.0b013e3181a79618. Available from: https://journals.lww.com/spinejournal/Abstract/2009/06150/Clinical_Effectiveness_of_Aquatic_Exercise_to.3.aspx

(8) Verhagen A P, Cardoso J R, Bierma-Zeinstra S M A. Aquatic exercise & balneotherapy in musculoskeletal conditions. Best Practice & Research Clinical Rheumatology [Internet]. 2012 Jun [cited 2021 Dec 26];26(3):335-343. DOI doi.org/10.1016/j.berh.2012.05.008. Available from: https://www.sciencedirect.com/science/article/abs/pii/S1521694212000599

(9) Olson D A, Kolber M J, Patel C, Patel C, Hanney W J. Aquatic Exercise for Treatment of Low-Back Pain: A Systematic Review of Randomized Controlled Trials. American Journal of Lifestyle Medicine [Internet]. 2012 Sep [cited 2021 Dec 26]; DOI doi.org/10.1177/1559827612457323. Available from: https://journals.sagepub.com/doi/abs/10.1177/1559827612457323

(10) Bartels E M, Juhl C B, Christensen R, K B Hagen, B Danneskiold‐Samsøe, H Dagfinrud, et al. Cochrane Database of Systematic Reviews: Aquatic exercise for the treatment of knee and hip osteoarthritis [Internet]. [place unknown]; 2016 Mar [cited 2021 Dec 26]. Available from: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD005523.pub3/full

(11) Pedersen B K, Saltin B. Evidence for prescribing exercise as therapy in chronic disease. Scand J Med Sci Sports. 2006;16(Suppl. 1):3-63.

(12) Pedersen B K, Saltin B. Exercise as medicine: evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sports [Internet]. 2015 Nov [cited 2021 Dec 27];25(Suppl. 3):1-72. DOI 10.1111/sms.12581. Available from: https://onlinelibrary.wiley.com/doi/full/10.1111/sms.12581

(13) Sherlock L A, Hornsby Jr W G, Rye J. Physiological E Physiological Effects of Aquatic Ex ects of Aquatic Exercise on Cognitiv cise on Cognitive Function in unction in the Aging Population. International Journal of Aquatic Research and Education [Internet]. 2013 Jan 08 [cited 2021 Dec 27];7 DOI https://doi.org/10.25035/ijare.07.03.09. Available from: https://scholarworks.bgsu.edu/ijare/vol7/iss3/9

(14) Batman M W. THE EFFECTS OF THERAPEUTIC AQUATIC EXERCISE ON PATIENTS WITH ALZHEIMER’S DISEASE [Dissertation on the Internet]. Cincinnati: The Graduate School of the Union Institute Cincinnati Ohio; 1999 [cited 2021 Dec 28]. Available from: https://www.proquest.com/openview/cb4398884a628fddb0c584b1de7c5651/1 Ph.D. in Clinical Psychology.

(15) Myers K W, Capek D, Shil H, Sabbagh M. Aquatic Therapy and Alzheimer’s Disease. Annals of Long-Term Care: Clinical Care and Aging [Internet]. 2013 [cited 2021 Dec 28];21(5):36-41. Available from: http://s3.amazonaws.com/HMP/hmp_ln/imported/2019-06/Myers%20PDF%20for%20Final%20AU%20Approval.pdf

(16) Cugusi L, Manca A, Bergamin M, Di Blasio A, Monticone M, Deriu F, et al. Aquatic exercise improves motor impairments in people with Parkinson‘s disease, with similar or greater benefits than land-based exercise: a systematic review. Journal of Physiotherapy [Internet]. 2019 Apr [cited 2021 Dec 28];65(2):65-74. DOI doi.org/10.1016/j.jphys.2019.02.003. Available from: https://www.sciencedirect.com/science/article/pii/S1836955319300141

(17) See J, Denomme L, Sims K, Tilden H, Wykle M O. AQUATIC EXERCISE: An Exercise Program for People with Parkinson’s Disease. Staten Island: American Parkinson Disease Association; 2008 Aug.

(18) Hejazi S M, Soltani M, Javan S A A, Aminian F, Hashemi S M. The Impact of Selected Aerobic Aquatic Exercises on the Depression and Happiness Levels of Patients with Multiple Sclerosis (M.S). Life Science Journal. 2012;9(4):234-240.

(19) Kargarfard M, Etemadifar M, Baker P, Mehrabi M, Hayatbakhsh R. Effect of Aquatic Exercise Training on Fatigue and Health-Related Quality of Life in Patients With Multiple Sclerosis. Archives of Physical Medicine and Rehabilitation [Internet]. 2012 Oct [cited 2021 Dec 28];93(10):1701-1708. DOI 10.1016/j.apmr.2012.05.006. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0003999312003280

(20) Rafeeyan Z, Azarbarzin M, Moosa F M, Hasanzadeh A. Effect of aquatic exercise on the multiple sclerosis patients’ quality of life. Iran J Nurs Midwifery Res [Internet]. 2010 Winter [cited 2021 Dec 28];15(1):43-47. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3093029/.

(21) Omar J S, Jaradat N, Qadoumi M, Qadoumi A N. Regular swimming exercise improves metabolic syndrome risk factors: a quasi-experimental study. BMC Sports Science, Medicine and Rehabilitation [Internet]. 2021 [cited 2021 Dec 28];13 DOI 10.1186/s13102-021-00254-8. Available from: https://bmcsportsscimedrehabil.biomedcentral.com/articles/10.1186/s13102-021-00254-8

(22) Yeon-Hee H, Dong-Hee K. The Effects of Aquarobic Exercise Program on Body Composition and Blood Lipid Concentrations in Obese Elderly Females. Journal of the Korea Academia-Industrial cooperation Society [Internet]. 2016 [cited 2021 Dec 28];17(6):226-232. DOI 10.5762/KAIS.2016.17.6.226. Available from: https://www.koreascience.or.kr/article/JAKO201623562837760.page

(23) Yang D, Yang Y, Li Y, Han R. Physical Exercise as Therapy for Type 2 Diabetes Mellitus: From Mechanism to Orientation. Ann Nutr Metab [Internet]. 2019 [cited 2021 Dec 28];74:313-321. DOI 10.1159/000500110. Available from: https://www.karger.com/Article/PDF/500110

(24) Gordon N F, Gulanick C M, Costa C F, Fletcher G, Franklin B A, Roth E J, et al. Physical Activity and Exercise Recommendations for Stroke Survivors: An American Heart Association Scientific Statement From the Council on Clinical Cardiology, Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention; the Council on Cardiovascular Nursing; the Council on Nutrition, Physical Activity, and Metabolism; and the Stroke Council. Circulation [Internet]. 2004 Apr 27 [cited 2021 Dec 28];109:2031-2041. DOI 10.1161/01.CIR.0000126280.65777.A4. Available from: https://www.ahajournals.org/doi/full/10.1161/01.CIR.0000126280.65777.A4

(25) Graham S M, Baird M, Connaboy C, Fletcher G, Thow M. Comparison of Heart Rate Responses Between Coronary Heart Disease and Age-Matched Normal Subjects in Water- and Land-Based Exercise: A Pilot Study. Journal of Aquatic Physical Therapy [Internet]. 2017 Winter [cited 2021 Dec 28];25(2):29-34. Available from: https://journals.lww.com/japt/Abstract/2017/25020/Comparison_of_Heart_Rate_Responses_Between.6.aspx

(26) Adsett J A, Mudge A M, Morris N, Kuys S, Paratz J D. Aquatic exercise training and stable heart failure: A systematic review and meta-analysis. International Journal of Cardiology [Internet]. 2015 May [cited 2021 Dec 28];186(1):22-28. DOI 10.1016/j.ijcard.2015.03.095. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0167527315003344#!

(27) Da Silva L A, Menguer L, Motta J, Dieke B, Mariano S, Tasca G, et al. Effect of aquatic exercise on mental health, functional autonomy, and oxidative dysfunction in hypertensive adults. Clinical and Experimental Hypertension [Internet]. 2017 Nov 27 [cited 2021 Dec 28];40(6):547-553. DOI 10.1080/10641963.2017.1407331. Available from: https://www.tandfonline.com/doi/abs/10.1080/10641963.2017.1407331

(28) Filho H G S Filho, Bandeira V A, de Sousa C N A, Vasconcelos D A, Muniz C M C Muniz, Lacerda A R, editors. AVALIAÇÃO DA PRESSÃO ARTERIAL EM IDOSOS SUBMETIDOS A UM PROGRAMA DE FISIOTERAPIA AQUÁTICA. XV Encontro Latino Americano de Iniciação Científica e XI Encontro Latino Americano de Pós-Graduação [Internet]. São José dos Campos: UNIVAP; 2011 [cited 2021 Dec 28]. Available from: http://www.inicepg.univap.br/cd/INIC_2011/anais/arquivos/RE_0683_1058_01.pdf

(29) Arca E A, Licre D, Landis A B, Gimenes C, Barrile S R, Almeida J A, et al. Efeitos de um programa de exercícios aquáticos resistidos em mulheres hipertensas. Revista Kairós Gerontologia. 2013 Mar;16(2):51-62.

(30) de Araújo S, Gila C, Oded B. Asthma, Exercise-Induced Asthma, and Aquatic Physical Activities. Journal of Back and Musculoskeletal Rehabilitation [Internet]. 1994 Oct 01 [cited 2021 Dec 29];4(4):309-314. DOI 10.3233/BMR-1994-4410. Available from: https://content.iospress.com/articles/journal-of-back-and-musculoskeletal-rehabilitation/bmr4-4-10

(31) Beggs S, Foong Y C, Le H C T, Noor D, Wood-Baker R, Walters J A E. Swimming training for asthma in children and adolescents aged 18 years and under. Evidence-Based Child Health: A Cochrane Review Journal [Internet]. 2013 Sep 18 [cited 2021 Dec 29];8(5):1514-1581. DOI 10.1002/ebch.1935. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1002/ebch.1935

(32) McNamara R J, McKeough Z J, McKenzie D K, Alison J A. Water‐based exercise training for chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews [Internet]. 2013 Dec 18 [cited 2021 Dec 29]; DOI 10.1002/14651858.CD008290.pub2. Available from: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD008290.pub2/full

(33) Oliveira R. Natação para portadores de mucoviscidose. Nadar Rev Bras Esp Aquat. 1988;(13):8-9.

(34) Barker A L, Talevski J, Morello R T, Brand C A, Rahmann A E, Urquhart D M. Effectiveness of Aquatic Exercise for Musculoskeletal Conditions: A Meta-Analysis. Archives of Physical Medicine and Rehabilitation [Internet]. 2014 Sep [cited 2021 Dec 29];95(9):1776-1786. DOI 10.1016/j.apmr.2014.04.005. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0003999314002883

(35) Capodaglio P, editor. Rehabilitation interventions in the patient with obesity [E-book]. Cham: Springer Nature; 2020. ISBN: 9783030322731. E-book (255 p.).

(36) Mur-Gimeno E, Postigo-Martin P, Cantarero-Villanueva I, Sebio-Garcia R. Systematic review of the effect of aquatic therapeutic exercise in breast cancer survivors. European Journal of Cancer Care [Internet]. 2021 Nov 03 [cited 2021 Dec 29]; DOI 10.1111/ecc.13535. Available from: https://onlinelibrary.wiley.com/doi/full/10.1111/ecc.13535