Benefits of Water Aerobic Exercise on Mental Health Outcomes in Severe Mental Illness: The Effects of Sex

Physical activity is recognized for its physical and mental health benefits, including reducing sedentary behavior and improving mood, anxiety, and self-esteem. Individuals with severe mental illness tend to be more sedentary, contributing to poorer health outcomes. Water aerobic exercise has shown...

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Main Authors: Marina Verdaguer-Rodríguez, Josep Oriol Comas, Francesc Garreta, Berta Garcia, Josep Maria Haro, Belen Ribas, Rosana Romero, Laura Nicolau, Bienvenido Mateo, Sandra Marcos, Laura Bassolas, Sonia Vilamala, Thalassa Research Group, Susana Ochoa
Format: Article
Language:English
Published: MDPI AG 2025-02-01
Series:Women
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Online Access:https://www.mdpi.com/2673-4184/5/1/8
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author Marina Verdaguer-Rodríguez
Josep Oriol Comas
Francesc Garreta
Berta Garcia
Josep Maria Haro
Belen Ribas
Rosana Romero
Laura Nicolau
Bienvenido Mateo
Sandra Marcos
Laura Bassolas
Sonia Vilamala
Thalassa Research Group
Susana Ochoa
author_facet Marina Verdaguer-Rodríguez
Josep Oriol Comas
Francesc Garreta
Berta Garcia
Josep Maria Haro
Belen Ribas
Rosana Romero
Laura Nicolau
Bienvenido Mateo
Sandra Marcos
Laura Bassolas
Sonia Vilamala
Thalassa Research Group
Susana Ochoa
author_sort Marina Verdaguer-Rodríguez
collection DOAJ
description Physical activity is recognized for its physical and mental health benefits, including reducing sedentary behavior and improving mood, anxiety, and self-esteem. Individuals with severe mental illness tend to be more sedentary, contributing to poorer health outcomes. Water aerobic exercise has shown promise in improving physical and mental health, but sex differences in response to such interventions remain underexplored. This study investigates the effects of a water aerobic exercise intervention on 74 individuals with severe mental illness, focusing on sex differences. Participants engaged in a 45–60 session, once a week for 6 months. Assessments were conducted before and after the intervention and included measures of clinical, functioning, quality of life, and sedentary behavior outcomes. Both men and women significantly reduced sedentary behavior. Men showed significant improvements in self-stigma, functioning, and general quality of life. In contrast, women demonstrated significant improvements in self-esteem. These findings suggest that water aerobic exercise may be effective in reducing sedentary behavior and improving mental health outcomes in individuals with severe mental illness. However, the benefits appear to differ by sex. These results underscore the importance of sex-tailored physical activity interventions in mental health care.
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spelling doaj-art-4d19fbf669f1433d940c542cf67f491f2025-08-20T02:10:25ZengMDPI AGWomen2673-41842025-02-0151810.3390/women5010008Benefits of Water Aerobic Exercise on Mental Health Outcomes in Severe Mental Illness: The Effects of SexMarina Verdaguer-Rodríguez0Josep Oriol Comas1Francesc Garreta2Berta Garcia3Josep Maria Haro4Belen Ribas5Rosana Romero6Laura Nicolau7Bienvenido Mateo8Sandra Marcos9Laura Bassolas10Sonia Vilamala11Thalassa Research Group12Susana Ochoa13Etiopathogenesis and Treatment of Severe Mental Disorders Research Group (MERITT), Institut de Recerca Sant Joan de Déu, 08950 Esplugues de Llobregat, SpainEtiopathogenesis and Treatment of Severe Mental Disorders Research Group (MERITT), Institut de Recerca Sant Joan de Déu, 08950 Esplugues de Llobregat, SpainParc Sanitari Sant Joan de Déu, 08830 Sant Boi de Llobregat, SpainParc Sanitari Sant Joan de Déu, 08830 Sant Boi de Llobregat, SpainParc Sanitari Sant Joan de Déu, 08830 Sant Boi de Llobregat, SpainParc Sanitari Sant Joan de Déu, 08830 Sant Boi de Llobregat, SpainParc Sanitari Sant Joan de Déu, 08830 Sant Boi de Llobregat, SpainParc Sanitari Sant Joan de Déu, 08830 Sant Boi de Llobregat, SpainParc Sanitari Sant Joan de Déu, 08830 Sant Boi de Llobregat, SpainParc Sanitari Sant Joan de Déu, 08830 Sant Boi de Llobregat, SpainParc Sanitari Sant Joan de Déu, 08830 Sant Boi de Llobregat, SpainEtiopathogenesis and Treatment of Severe Mental Disorders Research Group (MERITT), Institut de Recerca Sant Joan de Déu, 08950 Esplugues de Llobregat, SpainEtiopathogenesis and Treatment of Severe Mental Disorders Research Group (MERITT), Institut de Recerca Sant Joan de Déu, 08950 Esplugues de Llobregat, SpainEtiopathogenesis and Treatment of Severe Mental Disorders Research Group (MERITT), Institut de Recerca Sant Joan de Déu, 08950 Esplugues de Llobregat, SpainPhysical activity is recognized for its physical and mental health benefits, including reducing sedentary behavior and improving mood, anxiety, and self-esteem. Individuals with severe mental illness tend to be more sedentary, contributing to poorer health outcomes. Water aerobic exercise has shown promise in improving physical and mental health, but sex differences in response to such interventions remain underexplored. This study investigates the effects of a water aerobic exercise intervention on 74 individuals with severe mental illness, focusing on sex differences. Participants engaged in a 45–60 session, once a week for 6 months. Assessments were conducted before and after the intervention and included measures of clinical, functioning, quality of life, and sedentary behavior outcomes. Both men and women significantly reduced sedentary behavior. Men showed significant improvements in self-stigma, functioning, and general quality of life. In contrast, women demonstrated significant improvements in self-esteem. These findings suggest that water aerobic exercise may be effective in reducing sedentary behavior and improving mental health outcomes in individuals with severe mental illness. However, the benefits appear to differ by sex. These results underscore the importance of sex-tailored physical activity interventions in mental health care.https://www.mdpi.com/2673-4184/5/1/8physical activityaquatic exercisemental illnessgender
spellingShingle Marina Verdaguer-Rodríguez
Josep Oriol Comas
Francesc Garreta
Berta Garcia
Josep Maria Haro
Belen Ribas
Rosana Romero
Laura Nicolau
Bienvenido Mateo
Sandra Marcos
Laura Bassolas
Sonia Vilamala
Thalassa Research Group
Susana Ochoa
Benefits of Water Aerobic Exercise on Mental Health Outcomes in Severe Mental Illness: The Effects of Sex
Women
physical activity
aquatic exercise
mental illness
gender
title Benefits of Water Aerobic Exercise on Mental Health Outcomes in Severe Mental Illness: The Effects of Sex
title_full Benefits of Water Aerobic Exercise on Mental Health Outcomes in Severe Mental Illness: The Effects of Sex
title_fullStr Benefits of Water Aerobic Exercise on Mental Health Outcomes in Severe Mental Illness: The Effects of Sex
title_full_unstemmed Benefits of Water Aerobic Exercise on Mental Health Outcomes in Severe Mental Illness: The Effects of Sex
title_short Benefits of Water Aerobic Exercise on Mental Health Outcomes in Severe Mental Illness: The Effects of Sex
title_sort benefits of water aerobic exercise on mental health outcomes in severe mental illness the effects of sex
topic physical activity
aquatic exercise
mental illness
gender
url https://www.mdpi.com/2673-4184/5/1/8
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