Comparative Efficacy of Different Aquatic Exercise Modalities on Cognitive Function in The Elderly: A Systematic Review and Network Meta-Analysis.
Cognitive decline poses a major challenge in aging populations, and aquatic exercise may offer cognitive benefits while re-duceding injury risk. This systematic review and network metaanalysis (NMA) evaluated the comparative effectiveness of different aquatic exercise modalities on cognitive functio...
| Publicado en: | Journal of Sports Science & Medicine Vol. 25; no. 2; pp. 381 - 395 |
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| Autores principales: | , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Hakan Gur, Journal of Sports Science & Medicine
Jun2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195156788&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195156788 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13032968 FYN jtl: Journal of Sports Science & Medicine issn: 13032968 maglogo: N pubinfo: dt: Jun2026 vid: 25 iid: 2 pid: 26030 pub: Hakan Gur, Journal of Sports Science & Medicine artinfo: ui: 195156788 195156788 195156788 10.52082/jssm.2026.381 195156788 ppf: 381 ppct: 14 formats: fmt: @attributes: type: P tig: atl: Comparative Efficacy of Different Aquatic Exercise Modalities on Cognitive Function in The Elderly: A Systematic Review and Network Meta-Analysis. aug: au: Song, Jinglei Ma, Zhili Luo, Bingting Liao, Ting Wang, Yong "Tai" Zhao, Ziren Zheng, Xin affil: Aquatic Therapy and Fitness Research Centre, Wuhan Sports University, Wuhan, China sug: subj: Cognition Disorders Rehabilitation Cognition Disorders Rehabilitation Aquatic Exercises Methods Cognition Evaluation Treatment Outcomes Human Female Male Middle Age Aged Aged, 80 and Over Systematic Review Meta Analysis Descriptive Statistics Therapeutic Exercise High-Intensity Interval Training Aerobic Exercises Probability Muscle Strengthening Checklists Confidence Intervals PubMed Embase Cochrane Library Data Analysis Software Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Female Male ab: Cognitive decline poses a major challenge in aging populations, and aquatic exercise may offer cognitive benefits while re-duceding injury risk. This systematic review and network metaanalysis (NMA) evaluated the comparative effectiveness of different aquatic exercise modalities on cognitive function in older adults. Major electronic databases were searched from inception to January 2026 for randomized controlled trials (RCTs) examining aquatic exercise and cognitive outcomes in adults aged >60 years; studies were independently assessed by two reviewers. Interventions were categorized as aquatic cognitive-motor exercise, aquatic aerobic exercise, aquatic high-intensity interval training (HIIT), and aquatic strength training. A frequentist NMA was used to synthesize direct and indirect evidence, with effect sizes expressed as standardized mean differences (SMDs). Nine RCTs (involving 324 participants) met the inclusion criteria. Aquatic cognitive-motor exercise showed the highest probability of being the most effective intervention (SUCRA [surface under the cumulative ranking curve] = 85.36%), followed by aquatic aerobic exercise (61.44%) and aquatic strength training (51.80%). Aquatic HIIT (49.12%) and land-based exercise (48.34%) demonstrated moderate effects. Among all modalities only aquatic cognitive-motor exercise showed statistically significant improvements compared with non-exercising controls. Based on the currently available limited evidence, aquatic cognitive-motor exercise may be the most effective aquatic modality for improving cognitive function in older adults. All aquatic exercise modalities provided cognitive benefits at least comparable to those of land-based exercise. The findings suggest that cognitive engagement, rather than exercise intensity alone, may be crucial for maximizing the efficacy of the intervention. However, as only nine RCTs were included, these findings should be interpreted with caution given the limited size and density of the evidence network. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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