Is the Combination of Aerobic Exercise with Mat Pilates Better than Mat Pilates Training Alone on Autonomic Modulation Related to Functional Outcomes in Hypertensive Women? Secondary Analysis of a Randomized Controlled Trial

Isabella da Silva Almeida (), Letícia de Souza Andrade, Alessandra Martins Melo de Sousa, Gerson Cipriano Junior, Aparecida Maria Catai, Yomara Lima Mota and João Luiz Quagliotti Durigan
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Isabella da Silva Almeida: Laboratory of Muscle and Tendon Plasticity, Graduate Program in Rehabilitation Science, Faculdade de Ceilândia, Universidade de Brasília, Distrito Federal, Brasília 72220-275, Brazil
Letícia de Souza Andrade: Physiotherapy School Clinic, Physiotherapy Department, Universidade Católica de Brasília, Distrito Federal, Brasília 71966-700, Brazil
Alessandra Martins Melo de Sousa: Laboratory of Muscle and Tendon Plasticity, Graduate Program in Rehabilitation Science, Faculdade de Ceilândia, Universidade de Brasília, Distrito Federal, Brasília 72220-275, Brazil
Gerson Cipriano Junior: Laboratory of Exercise Physiology, Graduate Program in Rehabilitation Science, Faculdade de Ceilândia, Universidade de Brasília, Distrito Federal, Brasília 72220-275, Brazil
Aparecida Maria Catai: Physiotherapy Department, Universidade Federal de São Carlos, São Paulo 13565-905, Brazil
Yomara Lima Mota: Health Education and Consultancy Department, PROCER Health Education and Consultancy, São Paulo 12916-398, Brazil
João Luiz Quagliotti Durigan: Laboratory of Muscle and Tendon Plasticity, Graduate Program in Rehabilitation Science, Faculdade de Ceilândia, Universidade de Brasília, Distrito Federal, Brasília 72220-275, Brazil

IJERPH, 2022, vol. 19, issue 17, 1-17

Abstract: 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.

Keywords: cardiovascular disease; aerobic exercise; heart rate variability; Pilates method (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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