How effective is water-based exercise training (WBET) in people with chronic obstructive pulmonary disease (COPD)?
The quality of evidence was generally low to moderate, mainly as a result of poor study design and insufficient data. There was insufficient evidence for conclusions to be drawn regarding the long-term effects of WBET in COPD.
LBET (such as walking or cycling) improves exercise capacity and quality of life in people with COPD. WBET (not swimming) is an alternative that may appeal to the older population, those unable to complete LBET programmes, and people with other physical and medical conditions.