Effect of Pilates exercises in risk factors for cardiometabolic diseases: a systematic review

Authors

  • Silvana Junges Pontifícia Universidade Católica Rio Grande do Sul, Porto Alegre, RS
  • Camila Bittencourt Jacondino Pontifícia Universidade Católica do Rio Grande do Sul
  • Maria Gabriela Gottlieb Pontifícia Universidade Católica do Rio Grande do Sul

DOI:

https://doi.org/10.15448/1980-6108.2015.1.19839

Keywords:

Pilates, Exercise, Physical therapy modalities, Cardiovascular Diseases, Diabetes mellitus, Obesity.

Abstract

Aims: To perform a systematic review of the literature on the effect of Pilates on risk factors for cardiometabolic diseases.

Methods: The search was conducted in the LILACS, SciELO, PubMed, and Scopus databases both in English and in Portuguese. The search term used was Pilates exercise combined with the following key words and their equivalents in Portuguese: sedentary lifestyle, obesity, body mass index, body composition, blood pressure, diabetes mellitus, and dyslipidemia. The inclusion criteria consisted of intervention studies on Pilates, original articles in English and Portuguese available in their full-length versions, and target population with at least one cardiometabolic risk factor and with a sedentary lifestyle. Studies that failed to meet these criteria were excluded. The articles were collected from 2004 to 2014, and this review was written between July 2014 and January 2015.

Results: Ninety-three articles were selected, but only seven met the selection criteria. Of these, three studies (42.86%) investigated the effect of Pilates on classic cardiometabolic risk factors: triglycerides, glucose, and high-density lipoprotein cholesterol, but no beneficial results were obtained for these parameters in the intervention group. On the other hand, six (85.71%) out of the seven studies, revealed statistically significant reductions in some of the following factors: systolic and diastolic blood pressure, body mass index, body fat percentage, fat mass, and waist-to-hip ratio between the intervention and control groups (P<0.05).

Conclusions: Pilates has proven effective in reducing body fat percentage, fat mass, waist-to-hip ratio, and systemic blood pressure in different-aged individuals. These benefits, mainly the reduction of waist-to-hip ratio and of systemic blood pressure, have a clinically relevant impact on morbidity and mortality from cardiovascular and cerebrovascular diseases. However, more randomized controlled trials need to be conducted in this area.

Downloads

Download data is not yet available.

Author Biographies

Silvana Junges, Pontifícia Universidade Católica Rio Grande do Sul, Porto Alegre, RS

Possui graduação em Educação Fisica pela Faculdade de Ciências da Saúde do Instituto Porto Alegre da Igreja Metodist (1987) e mestrado em Medicina e Ciências da Saúde. pela Pontifícia Universidade Católica do Rio Grande do Sul (2010). Atualmente está cursando Doutorado em Gerontologia Biomédica, pela Pontifícia Universidade Católica do Rio Grande do Sul e atuando como professora do método Pilates - Studio Pilates Silvana Junges.

Camila Bittencourt Jacondino, Pontifícia Universidade Católica do Rio Grande do Sul

Possui graduação em Enfermagem pela Universidade Federal de Pelotas (Bacharelado e Licenciatura 2003) , Mestrado em Gerontologia Biomédica pela Pontifícia Universidade Católica do Rio Grande do Sul (2013), . Atualmente é doutoranda e bolsista CAPES do programa de pós graduação em Gerontologia Biomédica da Pontifícia Universidade Católica do Rio Grande do Sul.

Maria Gabriela Gottlieb, Pontifícia Universidade Católica do Rio Grande do Sul

Possui graduação em Ciências Biológicas pela Pontifícia Universidade Católica do Rio Grande do Sul (1999) e mestrado em Medicina e Ciências da Saúde pela Pontifícia Universidade Católica do Rio Grande do Sul (2004). Possui Doutorado pelo Programa de Pós Graduação em Medicina e Ciências da Saúde pela Pontifícia Universidade Católica do Rio Grande de Sul. Atualmente está fazendo Pós Doutorado no Programa de Pós -Graduação em Gerontologia Biomédica no Instituto de Geriatria e Gerontologia da PUCRS pelo Programa Nacional de Pós Doutorado (PNPD) e é pesquisadora e professora permanente do mesmo.

References

Brasil. Ministério da Saúde. Cadernos de Atenção Básica, no. 38, 2014. [cited 2015 March] Available at: http://bvsms.saude.gov.br/bvs/publicacoes/estrategias_cuidado_doenca_cronica_obesidade_cab38.pdf

National Cholesterol Education Program – NCEP. Executive Summary of the Third Report of the National Cholesterol Education Program. Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults - ATPIII. JAMA. 2001;285:2486–2497. http://dx.doi.org/10.1001/jama.285.19.2486

Diretrizes da Sociedade Brasileira de Cardiologia. Pocket Book.5ª edição 2011-2013. p.4-446.

González-Gross M, Meléndez A. Sedentarism, active lifestyle and sport: Impact on health and obesity prevention. Nutr Hosp. 2013;28(Suppl 5):89-98. http://dx.doi.org/10.3305/nh.2013.28.sup5.6923

Nauman J, Nilsen TI, Wisloff U, Vatten LJ. Combined effect of resting heart rate and physical activity on ischaemic heart disease: mortality follow-up in a population study (the HUNT study, Norway). J Epidemiol Community Health. 2010;64:175-81. http://dx.doi.org/10.1136/jech.2009.093088

Myers J, Prakash M, Froelicher V, Do D, Partington S, Atwood JE. Exercise capacity and mortality among men referred for exercise testing. N Engl J Med. 2002;346:793-801. http://dx.doi.org/10.1056/NEJMoa011858

Aravindalochanan V1, Kumpatla S, Rengarajan M, Rajan R, Viswanathan V. Risk of diabetes in subjects with sedentary profession and the synergistic effect of positive family history of diabetes. Diabetes Technol Ther. 2014;16(1):26-32. http://dx.doi.org/10.1089/dia.2013.0140

Brasil. Ministério da Saúde, Secretaria de Atenção à Saúde. Departamento de Atenção Básica. [Internet] Brasília: 2010 [cited 2015 Jan 18]. Available at: http://bvsms.saude.gov.br/bvs/publicacoes/caderno_atencao_primaria_29_rastreamento.pdf

Junges S, Gottlieb MG, Babtista RR, Quadros CB, Resende TL,Gomes I. Eficácia do método Pilates para a postura e flexibilidade em mulheres com hipercifose. Rev Bras Ciênc Mov. 2012;20(1):21-23.

Gonzalvo-Aladro AR, Diaz MM, Jimenez JM, Elizondo JH, Vargas GA. The effect of Pilates exercises on body composition: A systematic review. J Body Mov Ther. 2012;16(1):109-14. http://dx.doi.org/10.1016/j.jbmt.2011.06.001

Shaw BS, Shaw I, Brown GA. Resistance training and its effect on total, central and abdominal adiposity. SAJRSPER. 2009;31:97-108.

Leung FP, Yung LM, Laher I, Yao X, Chen ZY, Huang Y. Exercise, vascular wall and cardiovascular diseases: an update (Part 1). Sports Med. 2008;38(12):1009-24. http://dx.doi.org/10.2165/00007256-200838120-00005

Ceriello A, Motz E. Is oxidative stress the pathogenic mechanism underlying insulin resistance, diabetes, and cardiovascular disease? The common soil hypothesis revisited. Arterioscler Thromb Vasc Biol. 2004;24(5):816-23. http://dx.doi.org/10.1161/01.ATV.0000122852.22604.78

Seidell JC, Visscher TLS, Hoogeveen, RT. Overweight and obesity in the mortality rate data: current evidence and research issues. Med Sci Sports Exerc. 1999;31(11):597-601. http://dx.doi.org/10.1097/00005768-199911001-00018

Pilates JH, Miller WJ. Pilates Return to life through Contrology. New York: JJ Augustin; 1945. Apud: Friedman P, Eisen G. The Pilates Method Physical and Mental Conditioning. London: Viking Studio; 2005.

Latey P. Updating. The principles of the Pilates method – part 2. J Bodyw Mov Ther. 2002;6:94-101. http://dx.doi.org/10.1054/jbmt.2002.0289

Natour J, Cazotti L de A, Ribeiro LH, Baptista AS, Jones A. Pilates improves pain, function and quality of life in patients with chronic low back pain: a randomized controlled trial. Clin Rehabil. 2015;29(1):59-68. http://dx.doi.org/10.1177/0269215514538981

Wells C, Kolt GS, Marshall P, Hill B, Bialocerkowski A. The effectiveness of Pilates exercise in people with chronic low back pain: a systematic review. PLoS One. 2014;9(7):e100402. http://dx.doi.org/10.1371/journal.pone.0100402

American College of Sports Medicine - ACSM. Mind/body exercise what is it? [Internet] 2008 [cited 2015 Jan 18] Available at: http://www.acsm.org/2008-fall-fspn_mind-body-exercise

Egaña M, Smith S, Green S. Revisiting the effect of posture on high-intensity constant-load cycling performance in men and women. Eur J Appl Physiol. 2007;99(5):495-501. http://dx.doi.org/10.1007/s00421-006-0365-8

Liberatti A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, Ioannidis JP. The Prisma statement for reporting systematic reviews and meta-analyses of studies that evaluated health care interventions: explanation and elaboration. PloS Med. 2009;62(10):1-34. http://dx.doi.org/10.1371/journal.pmed.1000100

Vasconcellos MHO, Silva RDS, Santos SMB, Merlo JRC, Conceição TMA. The Pilates® Method in the treatment of lower back pain. Fisioter Mov. 2014;27(3):459-67. http://dx.doi.org/10.1590/0103-5150.027.003.AR01

Guimarães ACA, Azevedo SF, Simas JPN, Machado Z, Jonck VTF. The effect of Pilates method on elderly flexibility. Fisioter Mov. 2014;27(2):181-8. http://dx.doi.org/10.1590/0103-5150.027.002.AO03

Araújo MEA, Silva EB, Vieira PC, Cader AS, Mello DB, Dantas EHM. Redução da dor crônica associada à escoliose não estrutural, em universitárias submetidas ao método Pilates. Motriz. 2010;16(4):958-66. http://dx.doi.org/10.5016/1980-6574.2010v16n4p958

Costa LMR, Roth A, Noronha M. O método Pilates no Brasil: uma revisão de literatura. Arq Catarin Med. 2012;41(3):87-92.

Fourie M, Gildenhuys GM, Shaw I, Shaw BS, Toriola AL, Goon DT. Effects of a Mat Pilates programme on body composition in elderly women. West Indian Med J. 2013;62(6):524-8. http://dx.doi.org/10.7727/wimj.2012.107

Tunar M, Ozen S, Gaksen D, Asar G, Bedizds S, Darcan S. The effects of Pilates on metabolic control and physical performance in adolescentes with type 1 diabetes mellitus. J Diabetes Complications. 2012;26(4):348-51. http://dx.doi.org/10.1016/j.jdiacomp.2012.04.006

Fourie M, Gildenhuys M, Shaw I, Shaw B, Toriola A, Goon DT. Effects of a Mat Pilates program on cardiometabolic parameters in elderly women. Pak J Med Sci. 2013; 29(2):500-4. http://dx.doi.org/10.12669/pjms.292.3099

Ramezankhany A, Ali NP, Hedayati M. Comparing effects of aerobics Pilates exercise and low calorie diet on leptina levels and lipid profiles in sedentary women. Iran J Basic Med Sci. 2011;14(3)257-61.

Cakmakçi O. The Effect of 8 Week Plates Exercise on Body Composition in Obese Women. Coll Antropol. 2011;35(40):1045-50.

Cakmakçi O. The effect of 10 week Pilates Mat exercise program on weight loss and body composition for overweight Turkish women. World Appl Sci J. 2012;19(3):431-8. http://dx.doi.org/105829/idosi.wasj.2012.19.03.631

Martins Meneses DT, Antunes HK, Oliveira NR, Medeiros A. Mat Pilates training reduced clinical and ambulatory blood pressure in hypertensive women using antihypertensive medications. Int J Cardiol. 2014;179:262-8. http://dx.doi.org/10.1016/j.ijcard.2014.11.064

Kloubec JA. Pilates for improvement of muscle endurance, flexibility, balance, and posture. J Strength Cond Res. 2010;24(3):661-7. http://dx.doi.org/10.1519/JSC.0b013e3181c277a6

Chien KL. Chen MF, Hsu HC, Ta-Chen Su, Lee YT. Sports activity and risk of type 2 diabetes in Chinese. Diabetes Res Clin Pract. 2009;84(2):311-8. http://dx.doi.org/10.1016/j.diabres.2009.03.006

Zanuso S, Jimenez A, Pugliese G, Corigliano G, Balducci S. Exercise for the management of type 2 diabetes: a review of the evidence. Acta Diabetol. 2010;47:15-22. http://dx.doi.org/10.1007/s00592-009-0126-3

Kelley GA, Kelley KS. Aerobic exercise and lipids and lipoproteins in children and adolescents: a meta-analysis of randomized controlled trials. Atherosclerosis. 2007;191(2):447-53. http://dx.doi.org/10.1016/j.atherosclerosis.2006.04.019

Shaw K, Gennat H, O'Rourke P, Del Mar C. Exercise for overweight or obesity. Cochrane Database Syst Rev. 2006;(4):CD003817. http://dx.doi.org/10.1002/14651858.CD003817.pub3

Pescatello LS. Low intensity physical activity benefits blood lipids and lipoproteins in older adults living at home. Age Ageing. 2000;29(5):433-9. http://dx.doi.org/10.1093/ageing/29.5.433

Viecili PR, Bündchen DC, Richter CM, Dipp T, Lamberti DB, Pereira AM, Barbosa Lde C, Rubin AC, Barbosa EG, Panigas TF. Curva dose-resposta do exercício em hipertensos: análise do número de sessões para efeito hipotensor. Arq Bras Cardiol. 2009;92(5):361-7. http://dx.doi.org/10.1590/S0066-782X2009000500010

Bundchen DC. Schenkel IC. Exercício físico controla a pressão arterial e melhora a qualidade de vida. Rev Bras Med Esporte. 2013;19(2):91-5. http://dx.doi.org/10.1590/S1517-86922013000200003

Silva AS, Zanesco A. Exercício físico, receptores beta adrenérgicos e resposta vascular. J Vasc Bras. 2010;9(2):48-56. http://dx.doi.org/10.1590/S1677-54492010000200007

World Health Organization (WHO). World Health Organization 2008-2013 Action Plan for the Global Strategy for the Prevention and Control of Noncommunicable Diseases. Noncommunicable diseases country profiles 2011. [Internet ] Washington (DC): 2011 [cited 2015 Jan 18] Available at http://www.who.int/nmh/publications/ncd_action_plan_en.pdf

Published

2015-03-22

How to Cite

Junges, S., Jacondino, C. B., & Gottlieb, M. G. (2015). Effect of Pilates exercises in risk factors for cardiometabolic diseases: a systematic review. Scientia Medica, 25(1), ID19839. https://doi.org/10.15448/1980-6108.2015.1.19839

Issue

Section

Review Articles