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Title
Effects of water sports on heart disease risk factors: a systematic review
Type Article
Keywords
Water sport · Exercise · Physical activity · Heart disease · Heart disease risk factors
Abstract
ackground Cardiovascular diseases (CVDs) are among the leading causes of death globally, signifcantly impacting economic and social structures by diminishing quality of life. Lifestyle changes, particularly increasing physical activity, are efective strategies for CVD prevention and risk factor improvement. Water sports like swimming, rowing, and water walking have shown promise in reducing various CVD risk factors. Despite research on these activities, there is a lack of comprehensive reviews summarizing their efects. This study aims to systematically review the impact of water sports, including swimming, rowing, water polo, kayaking, canoeing, and boating, on cardiovascular risk factors. Methods The keywords including Cardiovascular Risk Factor, Heart Disease Risk Factors, Water Sports, and Swimming were searched in PubMed (MEDLINE), Scopus, Embase, and Web of Science until April 5, 2024. After evaluating the data quality, 11 articles examining the relationship between Heart Disease Risk Factors and Water Sports were entered into the study and reviewed. Results Aquatic exercises have diferent efects on cardiovascular risk factors. A 14-day aquatic exercise program improved heart rate variability in coronary artery disease (CAD) patients. Swimming improved body composition, cardiorespiratory ftness, leptin, and adiponectin levels, and reduced blood pressure, while water walking did not signifcantly change fowmediated dilation. Cold-water swimming was linked to improved lipid profles, especially in women. Conclusion Although each study has limitations, aquatic exercise, such as swimming, diving, and water walking, has shown potential benefts for cardiovascular health, body composition, and physical ftness. However, further research is necessary to understand the extent and mechanisms of these efects comprehensively.
Researchers mohammadmehdi khaleghi (First researcher) , Abdosaleh Zar (Second researcher) , Peter Krustrup (Third researcher) , Mahfoodha Al Kitani (Fourth researcher)