Andrade (2017) Oxygen uptake and body composition after aquatic physical training in women with fibromyalgia; A randomized controlled trial


Fibromyalgia Syndrome (FMS) is a complex condition characterized by chronic pain, fatigue, and a variety of other symptoms. Its multifactorial etiology and diverse clinical manifestations pose challenges for effective management. Recent studies have explored the potential of Aquatic Physical Training (APT) in improving symptoms and overall quality of life for FMS patients. This article delves into a randomized controlled trial that investigated the effects of APT on body composition and aerobic functional capacity in women with FMS.

APT and FMS: The Study

The study focused on 54 women with FMS, divided into a trained group (TG) and a control group (CG). The TG underwent a 16-week APT program, designed to enhance aerobic functional capacity and assess changes in body composition. The program’s intensity was adapted to maintain specific heart rate and perceived exertion levels. The main outcome measures were oxygen uptake (VO2) related to lean body mass (LBM) and changes in body composition.

Findings and Implications

The study found no significant changes in body composition between the TG and CG. However, the TG exhibited increased VO2 at peak cardiopulmonary exercise tests, indicating an improvement in aerobic functional capacity. Notably, VO2 related to LBM provided a more accurate reflection of these changes, emphasizing the importance of considering LBM in evaluating aerobic fitness in FMS patients.


APT, with standardized intensities based on ventilatory anaerobic threshold levels, may not alter body composition but can significantly enhance aerobic functional capacity in women with FMS. These findings highlight the potential of APT as a therapeutic intervention for FMS, offering insights into optimizing exercise protocols for this population.

Keywords: Fibromyalgia – Cardiorespiratory fitness – Body composition – Exercise therapy.

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