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Exercise in warm water improves physical function in elderly patients with both heart failure and older with heart failure and type 2 diabetes. Water has previously been assessed as inappropriate training for people with heart failure.

The background to the assumption is that the water itself is a pressure on the body and then transferred to the blood from the legs to the torso.

It is considered likely to create further pressure on the heart. Physiotherapy Asa Cider thesis has shown that bathing in the warm pool on the contrary, gives a reduced cardiac load, resulting in an improved pump function and a lower heart rate. While training in the warm pool also improve muscle function and working capacity.

- Exercise in the pool can be used to advantage in the rehabilitation of patients with congestive heart failure, both with and without type 2 diabetes. To offer patients with severe disabilities of different training models can lead to more remain physically active well into old age, “says Åsa Cider.

Congestive heart failure is a common problem in the Western world. The disease affects the life situation negatively with significant physical disability and reduced quality of life. Type 2 diabetes is not uncommon in chronic heart failure and the combination of these diseases often leads to an even more severe physical disabilities. Asa Cider has examined the effect of eight weeks of combined muscle and stamina in hot water resulted in people with heart failure and those with both heart failure and type 2 diabetes.

- In both studies, training pool was a significant improvement of exercise capacity, patients could walk longer distances and increased muscle function. While decreased blood sugar levels in patients with type 2 diabetes. In some respects, also improved the health-related quality of life, “says Asa Cider. Heart pump function and increased heart rate decreased significantly at hot bath. Lung function was not affected.

- The conclusion I draw from the results is that training in the warm pool may improve muscle function and exercise capacity in people with congestive heart failure. Furthermore, by bathing in warm water to an improved cardiac function in patients with congestive heart failure. Swimming Training should therefore be considered as a possible training model for older people with congestive heart failure, both with and without type 2 diabetes, “says Åsa Cider.

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