Key result
Mat Pilates alone increased heart rate variability indices (rMSSD, SDNN, SD1; p<0.05), whereas Mat Pilates with aerobic exercise improved cardiorespiratory fitness, flexibility, and QOL (p<0.05).
Why the study?
Although mat Pilates has become popular, its effects in hypertensive women are not entirely clear.
Does Mat Pilates with or without aerobic exercise improve autonomic modulation and functional outcomes in hypertensive women?
RCT (n=60)
Does Mat Pilates with or without aerobic exercise improve autonomic modulation and functional outcomes in hypertensive women?
Mat Pilates alone improves cardiac autonomic modulation, while adding aerobic exercise enhances cardiorespiratory fitness, flexibility, and quality of life in hypertensive women.
Supports mat Pilates (with or without aerobic exercise) in hypertension care; extends RCT evidence for autonomic and functional gains in women.
Background: Although mat Pilates (MP) has become popular, the effects of MP in hypertensive women (HW) are not entirely clear. Here, we investigated the effects of 16 weeks of MP training contrasted with MP supplemented with aerobic exercise (MP+AE) and compared with a non-intervention group on autonomic modulation, cardiorespiratory fitness, strength, flexibility, performance of functional tasks, QOL, anthropometric variables, clinical BP, and heart rate. Methods: This is a three-arm, secondary analysis of an RCT. Sixty HW, aged 30 to 59 years, were allocated into: MP only (MP), MP+AE on a treadmill (MP+AE), and Control Group, without exercises. Assessments were performed before and after 16 weeks of training. Results: The ANOVA shows differences in between-group comparisons in the SDNN, rMSSD, and SD1 in the heart rate variability analysis, with increases in rMSSD, SDNN, and SD1 only in the MP, and this result was not found in the MP+AE group (p < 0.05). Differences were observed in the between-group comparisons in time in the cardiorespiratory exercise test (CPX), flexibility, and the waist-to-hip ratio, with changes in the MP+AE, differences in QOL, and increments in the MP and MP+AE (p < 0.05). Conclusions: MP increased the indices that reflect vagal and global cardiac autonomic modulation. MP+AE improved the CPX performance, flexibility, QOL, and anthropometric variables. These results suggest that MP supplemented or not with AE has promising effects in HW.
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Almeida et al. (2022) conducted an RCT in Hypertension (n=60). Mat Pilates (MP) and Mat Pilates supplemented with aerobic exercise (MP+AE) vs. Control Group (without exercises) was evaluated on Heart rate variability (SDNN, rMSSD, and SD1) (p=<0.05). Mat Pilates alone increased heart rate variability indices (rMSSD, SDNN, SD1; p<0.05), whereas Mat Pilates with aerobic exercise improved cardiorespiratory fitness, flexibility, and QOL (p<0.05).
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