October 2018: Aquatics & Diabetes
SPOTLIGHT ON AQUATICS & DIABETES
THE POOL IS CUSTOM-MADE FOR TREATING DIABETIC CONDITIONS
Content courtesy of the National Swimming Pool Foundation
RECENT PUBLICATIONS WHICH SHOW HOW WATER WORKS FOR DIABETES
The roll of structured exercise in the life of the patient with diabetes cannot be overstated. Time and again, research has shown the ability for an ongoing exercise program to improve cardiopulmonary factors, quality of life and diabetic markers for patients with chronic conditions like diabetes. But this begs the question: Is it more effective to workout in the pool or on land? The answer is, it depends. Patients with significant mobility limitations due to obesity or severe deconditioning will find the pool a welcoming environment. It is easier to perform activities like running and jumping when supported by the buoyancy inherent in water.
But the water can also make things too easy. Patients who spend a lot of time hanging in the deep water, making use of buoyant devices such as noodles or belts, may not be elevating the heart rate, oxygen consumption or other signals of “effort” to nearly high enough rates to burn calories. Patients who are immersed in the water to chest deep have a powerful force aiding their heart in pushing blood – hydrostatic pressure. So, while immersion will increase the work of breathing by up to 60%, it will make it harder to reach target heart rates for training. A helpful tool for patients who want to get a good workout in water is to do a simple “talk test” where they try to carry on a conversation. If the patient needs to breath every word or two, he or she is working too hard, creating an oxygen debt which will not allow aerobic activity to occur. If it is possible for the patient to belt out a phrase of music or complete a sentence without needing a breath, it is definitely time to up the amp on the workout parameters!
RECENT ANNOTATED REFERENCES
Conners, R. et al. (2018). Maintenance of Changes in Glycemic Control and Blood Lipids following 12 Weeks of Underwater Treadmill Training in Adults with Type 2 Diabetes. Diabetes, 67(Supplement 1), 741–P. http://doi.org/10.2337/db18-741-P
Conners, R. T., Caputo, J. L., Coons, J. M., Fuller, D. K., & Morgan, D. W. (2018). Impact of Underwater Treadmill Training on Glycemic Control, Blood Lipids, and Health-Related Fitness in Adults With Type 2 Diabetes. Clinical Diabetes, Epub ahead of print. http://doi.org/10.2337/cd17-0066
Conners, R. T., Coons, J. M., Fuller, D. K., Kim, Y., & Morgan, D. W. (2018). Maintenance of Health-Related Fitness Gains Following Underwater Treadmill Training in Adults with Type 2 Diabetes. Medicine & Science in Sports & Exercise, 50, 231. http://doi.org/10.1249/01.mss.0000535846.43285.7c
Conners, R. T., Morgan, D. D. W., Fuller, D. K. D., & Caputo, J. L. J. (2014). Underwater Treadmill Training, Glycemic Control, and Health-Related Fitness in Adults With Type 2 Diabetes. IJARE, 8(4), 382–396. Retrieved from http://journals.humankinetics.com/ijare-current-issue/ijare-volume-8-issue-4-november/underwater-treadmill-training-glycemic-control-and-health-related-fitness-in-adults-with-type-2-diabetes
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Delevatti, R. S., Kanitz, A. C., Alberton, C. L., Marson, E. C., Lisboa, S. C., Pinho, C. D. F., … Kruel, L. F. M. (2015). Glucose control can be similarly improved after aquatic or dry-land aerobic training in patients with type 2 diabetes: A randomized clinical trial. Journal of Science and Medicine in Sport / Sports Medicine Australia, 19(8), 688–93. http://doi.org/10.1016/j.jsams.2015.10.008
Delevatti, R. S., Alberton, C. L., Kanitz, A. C., Marson, E. C., & Kruel, L. F. M. (2015). Vertical ground reaction force during land-and water-based exercise performed by patients with type 2 diabetes. Medicina Sportiva: Journal of Romanian Sports Medicine Society, XI(1), 2501–2508. Retrieved from http://www.medicinasportiva.ro/SRoMS/RMS/41/vertical-ground-reaction-force-water-based-exercise-diabetes.pdf
Delevatti, R. S., Pinho, C. D. F., Kanitz, A. C., Alberton, C. L., Marson, E. C., Bregagnol, L. P., … Kruel, L. F. M. (2016). Glycemic reductions following water- and land-based exercise in patients with type 2 diabetes mellitus. Complementary Therapies in Clinical Practice, 24, 73–77. http://doi.org/10.1016/j.ctcp.2016.05.008
Delevatti, R., Schuch, F., & Kanitz, A. C., Alberton, C. L., Marson, E. C., Lisboa, S. C., & Kruel, L. F. M. (2018). Quality of life and sleep quality are similarly improved after aquatic or dry-land aerobic training in patients with type 2 diabetes: A randomized clinical trial. Journal of Science and Medicine in Sport, 21(5), 483–488. Retrieved from http://www.jsams.org/article/S1440-2440(17)31029-0/abstract
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Suntraluck, S., Tanaka, H., & Suksom, D. (2017). The Relative Efficacy of Land-Based and Water-Based Exercise Training on Macro-and Micro-Vascular Functions in Older Patients With Type 2 Diabetes. Journal of Aging and Physical Activity, Epub ahead of print. http://doi.org/10.1123/japa.2016-0193
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