摘要：Background and Study Aim: The treatment of hypertension in the elderly is reported to decrease the occurrence and mortality of cardiovascular
disease and as frailty is reported to be higher in elderly people and in women than in men systematic
management of the elderly women is necessary. Therefore, this study aim is the effects of aquarobics on
health-related fitness, cardiovascular factor and frailty index to pre-frailty elderly women with hypertension.
Material and Methods: Thirty-six subjects with pre-frailty elderly women with hypertension in this study and were randomly divided
into one of two groups: aquarobics group (n = 18) and control group (n = 18). The aquarobics program was
conducted in program for 60 minutes, three times a week for 12 weeks. Outcomes, including health-related
physical fitness, cardiovascular factor and frailty index, were measured before and after the training.
Results: Weight (p = .000), lean body mass (p = .000), fat mass (p = .000), % body fat (p = .000), left grip strength (p = .001),
time up and go (p = .001), 2-minute walking (p = .023) showed a valid difference in the interaction between
the group and time. In addition, systolic blood pressure (p = .016), diastolic blood pressure (p = .034), total
cholesterol (p = .002), triglyceride (p = .043), low density lipoprotein-cholesterol (p = .007), insulin (p = .000),
HOMA-IR (p = .000), tumor necrosis factor –a (p = .000), high-sensitivity C-reactive protein (p = .000), frailty
scale (p = .021) showed a valid difference in the interaction between the group and time.
Conclusions: Aquarobics enhances the body composition and fitness of pre-frail elderly women with hypertension, alleviates
cardiovascular factor and improves frailty index. Therefore, it is considered to be an effective method to
prevent health-related fitness and frailty of pre-frail elderly women with hypertension.
