Effects of swimming on cognitive and health outcomes in older adults and insights into participation facilitators and barriers: a systematic review - Report - MDSpire

Effects of swimming on cognitive and health outcomes in older adults and insights into participation facilitators and barriers: a systematic review

  • By

  • Mirou Jaana

  • Danielle Cruise

  • Chloe Georges

  • July 13, 2026

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Impact of Swimming on Cognitive Function and Health in Older Adults

Overview

This systematic review evaluates the effects of swimming on cognitive functioning and health outcomes in older adults, highlighting participation barriers. Six studies reported cognitive improvements associated with swimming.

Background

Cognitive impairment (CI) is increasingly prevalent among older adults, with significant implications for healthcare systems. Non-pharmacological interventions, particularly physical activity, are essential for alleviating symptoms associated with CI.

Data Highlights

Seventeen studies were included in the review, with two randomized control trials and six studies reporting cognitive improvements linked to swimming.

Key Findings

  • Six studies indicated improvements in cognitive functioning associated with swimming.
  • Behavioral and psychological benefits included enhanced attention and reduced depression and anxiety.
  • Physiological improvements were consistently noted, such as increased cardiorespiratory fitness and strength.
  • Drivers for swimming participation included cognitive well-being, enjoyment, and clinician recommendations.
  • Barriers to participation were influenced by psychological symptoms and intrapersonal factors.

Clinical Implications

Healthcare providers should consider recommending swimming as a non-pharmacological intervention for older adults to support cognitive health. Understanding the barriers and facilitators to participation can help tailor interventions to enhance adherence.

Conclusion

Swimming presents promising benefits for cognitive functioning and overall health in older adults, warranting further research to establish more robust evidence on its efficacy.

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  3. JAMA Network Open, 2026 -- Cognitive Trajectories and Subsequent Accelerometer-Measured Movement Behavior in Older Adults
  4. npj Digital Medicine, 2026 -- Collaborative Design with Frail Residents of Nursing Homes to Enhance a VR-Based Physio-Cognitive Intervention through Gamification
  5. Dementia: Almost half of cases could be prevented by tackling 14 risk factors, says commission | The BMJ, 2024
  6. Barriers and facilitators to exercise adherence in community-dwelling older adults: A mixed-methods systematic review using the COM-B model and Theoretical Domains Framework - ScienceDirect
  7. Dementia: Almost half of cases could be prevented by tackling 14 risk factors, says commission | The BMJ
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  9. Barriers and facilitators to exercise adherence in community-dwelling older adults: A mixed-methods systematic review using the COM-B model and Theoretical Domains Framework - ScienceDirect

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