Swimming and Aquatic Exercise for Lipid Profile Management: A Narrative Review of Physiological Responses and Implications for Biology Education

Udaykumar Madar(1), Murugu Valavan(2),


(1) Tamil Nadu Physical Education and Sports University
(2) Tamil Nadu Physical Education and Sports University
Corresponding Author

Abstract


Swimming and aquatic exercise have been studied for their effects on lipid profiles, but findings remain inconsistent. This narrative review synthesises two intervention studies and one published meta-analysis, focusing on total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), and triglycerides (TG). A 12-month swimming program showed lower total cholesterol and LDL-C than walking, whereas a 28-week aquatic exercise program found no significant lipid changes. Published swimming-subgroup confidence intervals crossed zero for all four outcomes. These contrasting findings provide a practical context for biology education, particularly teaching lipid metabolism, physiological adaptation, and critical interpretation of research evidence using exercise-based examples of biological variability and uncertainty. Future studies should compare freestyle and breaststroke under standardised conditions. Educational applications are proposed conceptually and have not been evaluated empirically.

Keywords


Aquatic exercise; Biology education; Lipid metabolism; Lipid profile; Swimming

References


Cox, K. L., Burke, V., Beilin, L. J., and Puddey, I. B. (2010). A comparison of the effects of swimming and walking on body weight, fat distribution, lipids, glucose, and insulin in older women—the sedentary women exercise adherence trial 2. Metabolism, 59(11), 1562-1573.

Farinha, C., Santos, H., Serrano, J., Oliveiros, B., Silva, F. M., Cascante-Rusenhack, M., Teixeira, A. M., and Ferreira, J. P. (2022). The impact of aquatic exercise programs on the intima-media thickness of the carotid arteries, hemodynamic parameters, lipid profile and chemokines of community-dwelling older persons: A randomized controlled trial. International Journal of Environmental Research and Public Health, 19(6), 3377.

Igarashi, Y., and Nogami, Y. (2019). Response of lipids and lipoproteins to regular aquatic endurance exercise: a meta-analysis of randomized controlled trials. Journal of atherosclerosis and thrombosis, 26(1), 14-30.

Smart, N. A., Downes, D., van der Touw, T., Wolden, M., King, N., Dieberg, G., and Goodman, S. (2025). Effect of Exercise Training on Blood Lipids: A Systematic Review and Sub-Analysis. Journal of Clinical Exercise Physiology, 14(4), 126-134.

Khalafi, M., Sakhaei, M. H., Kazeminasab, F., Rosenkranz, S. K., and Symonds, M. E. (2023). Exercise training, dietary intervention, or combined interventions and their effects on lipid profiles in adults with overweight and obesity: A systematic review and meta-analysis of randomized clinical trials. Nutrition, Metabolism and Cardiovascular Diseases, 33(9), 1662-1683.

Costa, R. R., Buttelli, A. C. K., Coconcelli, L., Pereira, L. F., Vieira, A. F., Fagundes, A. O., Farinha, J. B., Reichert, T., Stein, R., and Kruel, L. F. M. (2019). Water-based aerobic and resistance training as a treatment to improve the lipid profile of women with dyslipidemia: a randomized controlled trial. Journal of Physical Activity and Health, 16(5), 348-354.

Gardner, S. M., Angra, A., and Harsh, J. A. (2024). Supporting student competencies in graph reading, interpretation, construction, and evaluation. CBE—Life Sciences Education, 23(1), fe1.

Haridza, R., and Ding, L. (2026). Teacher Professional Development and Student Reasoning: The Role of Data Presentation and Interpretation Activities in Science Classrooms. Journal of Science Teacher Education, 37(5), 728-749.

Macaumbao, S. A. B., and Abdulmalik, H. P. (2026). Place-based inquiry teaching approach: Effects on grade 8 students’ conceptual understanding and interest in biology. ASEAN Journal for Science Education, 5(2), 121-130.

Villavecencio, R. D., Layno, P. J. S., Tumangday, B. T., Estrella, A. D., Jr., Mailla, F. A., Jr., Abusama, H. P., Mecida, S. V., and Valdez, D. M. (2025). Utilization of dynamic visualization tools: Enhancing students’ motivation and engagement in biology education. ASEAN Journal for Science Education, 4(2), 65-84.

Zarco, M. E. H. C., Calixtro Jr, V. L., Deligero, J. D., Raymundo, A. M. O., and Tubac, J. L. V. (2026). Developing technology-based instructional videos to enhance cognitive and physical performance in physical education. ASEAN Journal of Educational Research and Technology, 5(1), 47-56.

Satria, R. D., and Nandiyanto, A. B. D. (2023). Education of dietary habit and drinking water quality to increase body immunity for elementary school. ASEAN Journal of Agriculture and Food Engineering, 2(1), 25-32.

Ahsan, M. (2023). Nutrition and dietetics concerning diabetes mellitus: Type 2 diabetes mellitus. Asean Journal of Agriculture and Food Engineering, 2(1), 39-44.


Full Text: PDF

Article Metrics

Abstract View : 43 times
PDF Download : 17 times

Refbacks

  • There are currently no refbacks.


Copyright (c) 2026 Yayasan Bumi Publikasi Nusantara

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.