Effectiveness of Aquatic Exercises for Improving Mental and Physical Health in Adults. (AEforMH)

Universidade Federal do vale do São Francisco

Status

Enrolling

Conditions

Depressive Symptoms

Depression

Anxiety

Treatments

Other: Aquatic Exercises

Other: Watsu

Study type

Interventional

Funder types

Other

Identifiers

NCT04100850

AE-Mental

Details and patient eligibility

About

Objective: To compare the effectiveness between aquatic exercises (water aerobics versus Watsu) versus control groups, for improving the outcomes of depression, anxiety, stress, sleep quality, functionality, cognition and quality of life in patients with depression.

Full description

Introduction: Considered as the "21st century disease", depression is a silent disease that stands out for its high prevalence and high morbidity, leading to serious consequences. With treatments made in aquatic environment, among them the Water aerobics and Watsu. Objective: To compare the effectiveness between aquatic exercises versus Watsu and versus control group, for improving the outcomes of depression, anxiety, stress, sleep quality, functionality, cognition and quality of life in patients with depression. Methods: This study will be a randomized clinical trial, which will last for two months with a follow-up of one month. All participants will be assessed using specific questionnaires for each outcome and an Improvement Perception Scale (MS). Seventy eight (78) patients with a medical diagnosis of depression, aged 18 to 60 years, who will be allocated to three groups (26 patients for each group) will be treated. GROUP 1: Aquatic exercises (aerobic and resistance), collective session, twice a week lasting 50 min; GROUP 2: Watsu (water shiatsu), individual session, twice a week lasting 50 min; Group 3: control, people with depression. Statistical analysis: Normality distribution will be by Shapiro-Wilk test. For comparisons of the means between and within the outcome groups will be used through Generalized Estimation Equations, with its own syntax, linear distribution and, when necessary, multiple comparisons will be performed using the Bonferroni test to identify differences. Will be calculated for comparisons between the final and initial moments and initial follow-up in each group, statistics such as: mean difference (95% CI), standard deviation of the difference, effect size (Cohen's d). The statistical significance adopted was 5% and the analyzes were performed using the statistical programs SPSS 22.0 and R 3.2.4. The intention-to-treat analysis will be performed.

Enrollment

78 estimated patients

Sex

All

Ages

18 to 60 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Age between 18 and 60 years old;
Sedentary and who have not had physical therapy and physical activity in the last three months;
Clinical and cognitive conditions for performing pool activities and moderate aerobic exercise;
Who have not undergone high complexity surgical procedures in the last six months; no neuro-musculosqueletal diseases;
No contraindications to exercise; such as: urinary and / or fecal incontinence and dermatological diseases;
Individuals with a medical diagnosis of depression.

Exclusion criteria

If they have up to three absences during the intervention period;
If they have any adverse effects, such as: allergy or dermatitis;
Unable to continue study due to change of address or hospitalization.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

78 participants in 3 patient groups

Aquatic Exercises

Experimental group

Description:

Aquatic Exercises (AE) are water aerobics exercises and resistance exercises, classes will be supervised by a Physical Educator, in collective sessions of up to 30 people per class, twice a week, lasting 50 minutes, for two months.

Treatment:

Other: Aquatic Exercises

Watsu

Active Comparator group

Description:

The Watsu (water shiatsu) will be applied by a physical therapist, in individual sessions, twice a week, lasting 50 minutes, for two months in a warn pool (± 34°C). Watsu in particular prescribes transition of movements, once they are instituted, the therapist can create and adapt according to the limitations and restrictions that are encountered.

Treatment:

Other: Watsu

Control

No Intervention group

Description:

The control group will not receive any of these treatments (aquatic exercises and Watsu).