Effect of aquatic interval training with Mediterranean diet counseling in @entity28 XXXX : Results of a preliminary study.

@entity1 @entity28 @entity1674 @entity2101 @entity209 @entity413
BACKGROUND: No previous studies have investigated a @entity2101 ( @entity2101 ) with an immersed ergocycle and Mediterranean diet counseling (Med) in @entity28 @entity1 . We aimed to compare the effects of an intensive lifestyle intervention, Med and @entity2101 with a water-immersed versus dryland ergocycle, on cardiometabolic and exercise parameters in @entity28 @entity1 . METHODS: We retrospectively identified 95 @entity28 @entity1 at their entry into a 9-month Med and @entity2101 program: 21 were trained on a water-immersed ergocycle and 74 on a standard dryland ergocycle. Body composition, cardiometabolic and exercise parameters were measured before and after the program. RESULTS: For @entity28 @entity1 performing water- and dryland-exercise (mean age 58  9 years versus 55  7 years), BMI was higher for the water- than dryland-exercise group (39.4  8.3kg/m(2) versus 34.7  5.1kg/m(2), P<0.05), and total fat mass, fasting glycemia and @entity1674 level were higher (P<0.05). Both groups showed similarly improved body composition variables (body mass, waist circumference, fat mass, P<0.001), fasting glycemia and @entity1674 level (P<0.05). Initial maximal aerobic capacity ( @entity209 [ @entity209 ]) and maximal heart rate (HRmax) were lower for the water- than dryland-exercise group (P<0.05). For both groups, @entity209 , resting HR, resting blood pressure, abdominal and leg muscle endurance were similarly improved (P<0.05). CONCLUSIONS: A long-term Mediterranean diet and @entity2101 program with water-cycling is as effective as a dryland program in improving body composition, fasting @entity413 , @entity1674 level, blood pressure and fitness in @entity28 @entity1 . A Mediterranean diet combined with water-cycling @entity2101 may be efficient for severely @entity28 @entity1 at high risk of musculoskeletal conditions.
