Acta Gymnica e2025.005 | DOI: 10.5507/ag.2025.005
Effects of a 10-week combined Aerobics and Aquafitness training program on anthropometric parameters, aerobic fitness, muscle endurance, and dynamic balance in middle-aged women
- Department of Outdoor Sports and Swimming, Faculty of Physical Education and Sports, Comenius University Bratislava, Bratislava, Slovakia
Background: Physical inactivity represents a growing global concern, particularly affecting middle-aged women by increasing risks of adverse health outcomes and functional limitations. Existing research has demonstrated significant health and fitness benefits from individual land-based (e.g., Aerobics) and water-based (e.g., Aquafitness) exercise programs. However, limited evidence exists regarding the effects of combining these training modalities.
Objective: This study aimed to examine the effects of a 10-week combined Aerobics and Aquafitness training program on anthropometric parameters, aerobic fitness, muscle endurance, and dynamic balance in middle-aged women.
Methods: Thirty middle-aged women (mean age ± SD = 55.5 ± 4.1 years) were allocated into an experimental group (EG) or a control group (CG). The EG completed a 10-week training program consisting of two Aerobics sessions and two Aquafitness sessions per week. The CG maintained their usual activity levels without structured exercise. Outcome measures included body weight, waist circumference, hip circumference, body mass index, waist-to-hip ratio, resting heart rate, 2 km walk test, push-up test, chair squat test, crunch test, and tandem walking backwards.
Results: Baseline comparisons revealed no significant difference between EG and CG except waist-to-hip ratio (p < .001) and chair squat test (p < .001). Within-group analysis showed significant reductions in body weight (p < .001), waist circumference (p < .001), hip circumference (p = .002), body mass index (p < .001), and 2 km walk test (p < .001) in the EG. Additionally, significant improvements were observed in the EG for chair squat test (p = .003), crunch test (p < .001), and tandem walking backwards (p < .001). The CG showed no significant within-group changes for these variables.
Conclusions: A 10-week combined Aerobics and Aquafitness program significantly improved anthropometric parameters, aerobic fitness, muscle endurance, and dynamic balance in middle-aged women. These findings support the efficacy of combined training approaches, particularly for women with sedentary occupations.
Keywords: physical inactivity, middle-aged women, combined training program, aerobics, aquafitness, physical fitness
Received: March 11, 2024; Revised: March 6, 2025; Accepted: April 21, 2025; Published online: May 20, 2025 Show citation
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References
- Abadi, F. H., Sankaravel, M., Zainuddin, F. F., Elumalai, G., & Razli, A. I. (2019). The effect of aquatic exercise program on low-back pain disability in obese women.
- Journal of Exercise Rehabilitation, 15(6), 855-860. https://doi.org/10.12965/jer.1938688.344
Go to original source...
Go to PubMed... - American College of Sports Medicine. (2021). ACSM's fitness assessment manual (6th ed.). Wolters Kluwer.
- Avelar, N. C., Bastone, A. C., Alcântara, M. A., & Gomes, W. F. (2010). Effectiveness of aquatic and non-aquatic lower limb muscle endurance training in the static and dynamic balance of elderly people. Brazilian Journal of Physical Therapy, 14(3), 229-236. https://doi.org/10.1590/S1413-35552010000300007
Go to original source... - Baumgartner, T. A., Oh, S., Chung, H., & Hales, D. (2002). Objectivity, reliability, and validity for a revised push-up test protocol. Measurement in Physical Education and Exercise Science, 6(4), 225-242. https://doi.org/10.1207/S15327841MPEE0604_2
Go to original source... - Booth, F. W., Roberts, C. K., & Laye, M. J. (2012). Lack of exercise is a major cause of chronic diseases. Comprehensive Physiology, 2(2), 1143-1211. https://doi.org/10.1002/cphy.c110025
Go to original source...
Go to PubMed... - Brach, J. S., Simonsick, E. M., Kritchevsky, S., Yaffe, K., & Newman, A. B. (2004). The association between physical function and lifestyle activity and exercise in the health, aging and body composition study. Journal of the American Geriatrics Society, 52(4), 502-509. https://doi.org/10.1111/j.1532-5415.2004.52154.x
Go to original source...
Go to PubMed... - Broman, G., Quintana, M., Lindberg, T., Jansson, E., & Kaijser, L. (2006). High intensity deep water training can improve aerobic power in elderly women. European Journal of Applied Physiology, 98, 117-123. https://doi.org/10.1007/s00421-006-0237-2
Go to original source...
Go to PubMed... - Brunovský, S. (2023). Inovatívne metódy vo vzdelávaní učiteľov telesnej a športovej výchovy [Innovative methods in the education of physical education and sports teachers]. In M. Kožuchová, J. Gunčaga, & M. Droščák M. (Eds.), Conference Proceedings - What is and what could be the preparation of future teachers (pp. 40-44). Comenius University Bratislava.
- Caspersen, C. J., Powell, K. E., & Christenson, G. M. (1985). Physical activity, exercise, and physical fitness: Definitions and distinctions for health-related research. Public Health Reports, 100(2), 126-131.
- Cohen, J. (1994). The earth is round (p < .05). American Psychologist, 49(12), 997-1003. https://doi.org/10.1037/0003-066X.49.12.997
Go to original source... - Colado, J. C., Garcia-Masso, X., Rogers, M. E., Tella, V., Benavent, J., & Dantas, E. H. (2012). Effects of aquatic and dry land resistance training devices on body composition and physical capacity in postmenopausal women. Journal of Human Kinetics, 32, 185-195. https://doi.org/10.2478/v10078-012-0035-3
Go to original source...
Go to PubMed... - Dumith, S. C., Hallal, P. C., Reis, R. S., & Kohl, H. W., III (2011). Worldwide prevalence of physical inactivity and its association with human development index in 76 countries. Preventive Medicine, 53(1-2), 24-28. https://doi.org/10.1016/j.ypmed.2011.02.017
Go to original source...
Go to PubMed... - Garber, C. E., Mckinney, J. S., & Carleton, R. A. (1992). Is aerobic dance an effective alternative to walk-jog exercise training? Journal of Sports Medicine and Physical Fitness, 32(2), 136-141.
- Gaspard, G., Schmal, L., Porcari, J. P., Butts, N. K., Simpson, A., & Brice, G. (1995). Effects of a seven-week aqua step training program on the aerobic capacity and body composition of college-aged women. Medicine & Science in Sports & Exercise, 27(5), S179.
Go to original source... - Godin, G., Bélanger-Gravel, A., & Nolin, B. (2008). Mechanism by which BMI influences leisure-time physical activity behavior. Obesity, 16(6), 1314-1317. https://doi.org/10.1038/oby.2008.219
Go to original source...
Go to PubMed... - Hallage, T., Krause, M. P., Haile, L., Miculis, C. P., Nagle, E. F., Reis, R. S., & Da Silva, S. G. (2010). The effects of 12 weeks of step aerobics training on functional fitness of elderly women. Journal of Strength and Conditioning Research, 24(8), 2261-2266. https://doi.org/10.1519/JSC.0b013e3181ddacc6
Go to original source...
Go to PubMed... - Kantyka, J., Herman, D., Roczniok, R., & Kuba, L. (2015). Effects of aqua aerobics on body composition, body mass, lipid profile, and blood count in middle-aged sedentary women. Human Movement, 16(1), 9-14. https://doi.org/10.1515/humo-2015-0020
Go to original source... - Kim, S. B., & O'Sullivan, D. M. (2013). Effects of aqua aerobic therapy exercise for older adults on muscular strength, agility and balance to prevent falling during gait. Journal of Physical Therapy Science, 25(8), 923-927. https://doi.org/10.1589/jpts.25.923
Go to original source...
Go to PubMed... - Litt, D. M., Iannotti, R. J., & Wang, J. (2011). Motivations for adolescent physical activity. Journal of Physical Activity and Health, 8(2), 220-226. https://doi.org/10.1123/jpah.8.2.220
Go to original source...
Go to PubMed... - Maher, J. M., Markey, J. C., & Ebert-May, D. (2013). The other half of the story: Effect size analysis in quantitative research. CBE - Life Sciences Education, 12(3), 345-351. https://doi.org/10.1187/cbe.13-04-0082
Go to original source...
Go to PubMed... - Moreira, L. D. F. (2004). Efeitos de um programa de hidroginástica intervalada sobre a composição corporal, força e expansibilidade torácica de mulheres entre 18 e 39 anos [Effects of an interval water aerobics program on body composition, strength and thoracic expansion of women aged 18 to 39 years]. Revista Estudos, 31(1), 57-66.
- Nelson, M. E., Fiatarone, M. A., Morganti, C. M., Trice, I., Greenberg, R. A., & Evans, W. J. (1994). Effects of high-intensity strength training on multiple risk factors for osteoporotic fractures: A randomized controlled trial. JAMA, 272(24), 1909-1914. https://doi.org/10.1001/jama.1994.03520240037038
Go to original source...
Go to PubMed... - Neumann, G., Pfützner, A., & Hottenrott, K. (2005). Trénink pod kontrolou: Metody, kontrola a vyhodnocení vytrvalostního tréninku [Training under control: Methods, control and evaluation of endurance training]. Grada Publishing.
- Nieman, D. C. (1990). Fitness and sports medicine: An introduction. Bull Publishing Company.
- Nieman, D. C. (2007). Exercise testing and prescription: A health-related approach (6th ed.). McGraw-Hill.
- Othman, M. S., Mat Ludin, A. F., Chen, L. L., Hossain, H., Abdul Halim, I. I., Sameeha, M. J., & Tahir, A. R. M. (2022). Motivations, barriers and exercise preferences among female undergraduates: A need assessment analysis. PLOS One, 17(2), Article e0264158. https://doi.org/10.1371/journal.pone.0264158
Go to original source...
Go to PubMed... - Piercy, K. L., & Troiano, R. P. (2018). Physical activity guidelines for Americans from the US Department of Health and Human Services: Cardiovascular benefits and recommendations. Circulation: Cardiovascular Quality and Outcomes, 11(11), Article e005263. https://doi.org/10.1161/CIRCOUTCOMES.118.005263
Go to original source...
Go to PubMed... - Pinto, S. S., Cadore, E. L., Alberton, C. L., Zaffari, P., Bagatini, N. C., Baroni, B. M., Radaelli, R., Lanferdini, F. J., Colado, J. C., Pinto, R. S., Vaz, M. A., Bottaro, M., & Kruel, L. F. M. (2014). Effects of intra-session exercise sequence during water-based concurrent training. International Journal of Sports Medicine, 35(1), 41-48. https://doi.org/10.1055/s-0033-1345129
Go to original source...
Go to PubMed... - Porcari, J. P., Chapek, C. L., Huntley, E. L., Brice, G. A., & Price, S. (1995). Effects of a 10-week step aerobic training program on the aerobic power and body composition of college-age women. Sports Medicine, Training and Rehabilitation, 5(4), 321-329. https://doi.org/10.1080/15438629509512028
Go to original source... - Power, T. G., Ullrich-French, S. C., Steele, M. M., Daratha, K. B., & Bindler, R. C. (2011). Obesity, cardiovascular fitness, and physically active adolescents' motivations for activity: A self-determination theory approach. Psychology of Sport and Exercise, 12(6), 593-598. https://doi.org/10.1016/j.psychsport.2011.07.002
Go to original source... - Rýzková, E., Labudová, J., Grznár, L. U., & Šmída, M. (2018). Effects of aquafitness with high intensity interval training on physical fitness. Journal of Physical Education and Sport, 18(Suppl. 1), 373-381. https://doi.org/10.7752/jpes.2018.s151
Go to original source... - Šmída, M., Macejková, Y., & Rýzková, E. (2018). Aerobic workout on a rowing ergometer and blood sugar level. Journal of Physical Education and Sport, 18(Suppl. 1), 392-396. https://doi.org/10.7752/jpes.2018.s154
Go to original source... - Torlaković, A., Radjo, I., Dautbašić, S., & Gec, M. (2010). Effects of combined programmes swimming, aqua aerobic and aerobic for elderly people. Acta Universitatis Palackianae Olomucensis. Gymnica, 40(3), 111.
- Urbanova, M., & Labudova, J. (2010). The main motivational factors for doing aqua fitness of Slovak women. Sport Science Review, 19(3-4), 209-216. https://doi.org/10.2478/v10237-011-0026-7
Go to original source... - Young, J., Bonnet, J. P., & Sokolof, J. (2022). Lifestyle medicine: Physical activity. Journal of Family Practice, 71(Suppl. 1 Lifestyle), S17-S23. https://doi.org/10.12788/jfp.0253
Go to original source...
Go to PubMed... - Zakariás, G., Petrekanits, M., & Laukkanen, R. (2003). Validity of a 2-km Walk Test in predicting the maximal oxygen uptake in moderately active Hungarian men. European Journal of Sport Science, 3(1), 1-8. https://doi.org/10.1080/17461390300073104
Go to original source... - Zuzda, J. G., Pasek, M., Latosiewicz, R., & Bierkus, M. (2019). Is there any effect of step aerobics training on physical fitness of female students? AIP Conference Proceedings, 2186 (1), Article 080012. https://doi.org/10.1063/1.5137996
Go to original source...
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