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Effects of a mat Pilates program on cardiometabolic parameters in elderly women
Marinda F, Magda G, Ina S, Brandon S, Abel T, ter Goon D
Pakistan Journal of Medical Sciences 2013 Apr;29(2):500-504
clinical trial
5/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: This study aimed to determine the effects of mat Pilates on resting heart rate, resting blood pressure and fasting blood glucose, cholesterol and triglycerides in elderly women. METHODOLOGY: Fifty sedentary, apparently healthy females aged 60 and older were randomly assigned into a control (CG, n = 25) or an intervention (IG, n = 25) group. The IG took part in an eight-week progressive mat Pilates exercise program, three times weekly while the CG did not take part in any structured exercises throughout the eight-week period. All subjects underwent pre- and post-tests in which cardiometabolic parameters were assessed. RESULTS: In the eight-week mat Pilates program, the IG only demonstrated a significant (p <= 0.05) decrease in systolic BP (p = 0.040) from 135.84 +/- 14.66mmHg to 128.80 +/- 16.36mmHg and a significant increase in blood glucose (p = 0.000) from 5.07 +/- 0.46mmol/L to 5.83 +/- 0.57mmol/L, whereas resting HR (p = 0.148) (from 68.80 +/- 12.58beats/min to 73.20 +/- 11.46beats/min), resting diastolic BP (p = 0.342) (from 75.64 +/- 10.10mmHg to 77.44 +/- 9.32mmHg), blood TC (p = 0.073) (from 5.37 +/- 0.99mmol/L to 5.67 +/- 1.04mmol/L) and blood TG (p = 0.384) (from 1.77 +/- 0.88mmol/L to 1.92 +/- 0.87mmol/L) did not produce any significant changes. CONCLUSION: Due to the contradictory nature of the cardiometabolic variables (except systolic BP) with the findings of previous studies, it is diffcult to establish a case for using Pilates as a substitute for more conventional forms of exercising when exclusively attempting to favourably alter cardiometabolic parameters at least among the elderly women in our sample.

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