Effect of Aquatic Exercise on the Cardiometabolic Fitness and Cognition of Adults with Intellectual Disabilities

Manny, M. Y. Kwok, BIlly, C. L. So, Shamay, S. M. Ng, Viola, M. H. Ip
Purpose:

This study aims to investigate the effects of a structured aquatic exercise program on cardiometabolic fitness and cognitive function in adults with intellectual disabilities.



Methods:

A randomized controlled trial was conducted with 60 adults diagnosed with ID. Participants were assigned to either an aquatic exercise group or a control group engaging in standard physical activities over a 12-week period. Cardiometabolic fitness was assessed through measurements of body mass index (BMI), waist circumference, aerobic capacity (VOmax) and blood metabolic markers analysis (lipid profile and cholesterol levels). Cognitive function was evaluated using Prudhoe Test of Cognitive Function. Regression model was used to estimate correlation within cardiometabolic markers.  



Results:

Preliminary findings indicate that participants in the aquatic exercise group demonstrated significant improvements in cardiometabolic markers, including reductions in BMI, waist circumference, alongside enhanced aerobic capacity and reduced lipid and cholesterol levels. Cardiometabolic fitness VO2 max revealed a negative correlation with metabolic markers (lipid and cholesterol levels). Cognitive assessments revealed improvement in cognitive scores compared to the control group.

Conclusion(s):

Aquatic exercise appears to be an effective intervention for improving both cardiometabolic fitness and cognitive function in adults with ID. These findings underscore the importance of inclusive, adaptive exercise programs that leverage the unique benefits of aquatic environments. 



Implications:

These findings advocate for the integration of aquatic exercise into rehabilitation programs for individuals with ID, highlighting its potential to improve overall cardiometabolic health and cognitive outcomes. This approach not only fosters physical well-being but also promotes greater independence and social participation. Future research should explore long-term effects and the potential for wider implementation in community health settings.



Funding acknowledgements:
N/A
Keywords:
Aquatic exercise
intellectual disabilities
physiotherapy
Primary topic:
Disability and rehabilitation
Did this work require ethics approval?:
Yes
Name the institution and ethics committee that approved your work:
The Hong Kong Polytechnic University Ethical Approval Committee
Provide the ethics approval number:
HSEARS20220204005
Has any of this material been/due to be published or presented at another national or international conference prior to the World Physiotherapy Congress 2025?:
No

Back to the listing