Core Viewpoint - The article emphasizes the effectiveness of water aerobics as a dual-benefit exercise for weight loss and joint protection, particularly for overweight and obese individuals, as supported by recent research published in the journal "BMJ Open" [7][8]. Summary by Sections Research Findings - A systematic review and meta-analysis of 10 randomized controlled trials involving 286 participants across five continents demonstrated that a 12-week water aerobics program resulted in an average weight loss of 2.69 kg and a waist circumference reduction of 2.75 cm [10][11]. - The study highlighted that water aerobics is particularly beneficial for women and older adults due to the unique biomechanical properties of water, which reduce joint stress while providing comprehensive muscle engagement [7][8][12]. Mechanisms of Action - Water's density, which is 800 times that of air, provides consistent resistance, enhancing caloric expenditure efficiency. Additionally, exercising in water at around 37°C promotes blood circulation and accelerates metabolism [8]. - The pressure on joints during water exercise is only one-tenth of that experienced on land, addressing the common issue of knee pain associated with traditional exercise methods [8][12]. Subgroup Analysis - Long-term engagement (over 12 weeks) in water aerobics led to an average weight loss of 3.31 kg, while shorter interventions (≤10 weeks) showed minimal effects [12]. - Female participants experienced an average weight reduction of 2.90 kg, while male participants did not show significant changes, likely due to a lower representation of males in the study [12][13]. - Older adults (aged 45 and above) demonstrated a more pronounced weight loss effect, averaging 2.85 kg, compared to younger participants [12]. Implications for Specific Populations - The findings suggest that water aerobics is particularly advantageous for women and older adults, with significant improvements in waist circumference observed in these groups [13][14]. - The article advocates for tailored water exercise programs to optimize weight loss outcomes for different demographics, emphasizing the importance of sustained engagement in the exercise for effective results [14].