Effects of Training Based on the Pilates Method on the Blood Pressure of Hypertensive Women
Blood Pressure, Autonomic Heart Rate Modulation, Cardiorespiratory Parameters, Functionality and Quality of Life in Hypertensive Women After 16 Weeks of Training Based on the Pilates Method
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Distrito Federal
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Brasília, Distrito Federal, Brazil, 72220-900
- University of Brasilia
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Hypertensive women
- Age 30 to 59
- Sedentary or who do not practice any form of physical exercise regularly for at least 6 months
- Make use of antihypertensive medication
- Who have medical clearance for physical exercise
Exclusion Criteria:
- Complaint of pain that influences or makes the performance of the tests / exercises proposed impossible
- Congenital or acquired anomalies of upper limbs and lower limbs
- Presence of musculoskeletal disease or injury that interfere the performance of exercises
- Changes in pharmacological treatment during the experimental period
- Release for physical activity suspended during intervention
- Absence in more than 25% of the exercise sessions
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Traditional Pilates group
This group will perform only exercises based on the traditional Pilates method
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The participants will perform only exercises based on the traditional Pilates method, 2 times a week, for 50 minutes, for 16 weeks.
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Experimental: Modified Pilates group
This group will perform exercises based on the Pilates method alternated with active rest periods on treadmill ergometer
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The participants will perform exercises based on the Pilates method alternated with active rest periods on treadmill ergometer, 2 times a week, for 50 minutes, for 16 weeks.
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No Intervention: Control group
This group will not perform any physical exercise during the trial period.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Ambulatory blood pressure
Time Frame: Change from Baseline systolic and diastolic Blood Pressure at 16 weeks
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Systolic and diastolic blood pressure will be measured by 24-hour Ambulatorial Monitoring Blood Pressure, before and after trial period.
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Change from Baseline systolic and diastolic Blood Pressure at 16 weeks
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Clinical blood pressure
Time Frame: Change from Baseline systolic and diastolic Blood Pressure at 16 weeks
|
Clinical assessment of systolic and diastolic blood pressure will be measured by an automatic arm blood pressure monitor after 10 minutes of rest, before and after trial period.
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Change from Baseline systolic and diastolic Blood Pressure at 16 weeks
|
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Clinical heart rate
Time Frame: Change from Baseline clinical heart rate at 16 weeks
|
Clinical assessment of heart rate will be measured by a heart rate monitor after 10 minutes of rest, before and after trial period.
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Change from Baseline clinical heart rate at 16 weeks
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Autonomic heart rate modulation
Time Frame: Change from Baseline autonomic heart rate modulation at 16 weeks
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Autonomic heart rate modulation will be assessed by the heart rate variability method using a heart rate monitor, before and after trial period.
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Change from Baseline autonomic heart rate modulation at 16 weeks
|
|
Ventilatory threshold measured by the cardiopulmonary exercise test
Time Frame: Change from baseline and at 16 weeks
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The ventilatory threshold will be measured by the cardiopulmonary exercise test.
An ergospirometric exercise test will be performed, consisting of increasing loads, with no pauses between the stages until exhaustion of the volunteer.
The examination will be performed in a treadmill with ergospirometric and electrocardiographic analysis.
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Change from baseline and at 16 weeks
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Analysis of the quality of life
Time Frame: Change from Baseline quality of life at 16 weeks
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Quality of life will be analyzed by means of the questionnaire World Health Organization Quality Of Life/Bref (WHOQOL/bref).
The questionnaire has twenty-six questions that involve different aspects of daily life and deal with four domains of quality of life: physical, psychological, environmental and social relations.
The response is represented by scores ranging from one to five, with the worst score being one and the best score being five.
The results of the domains have values between zero and one hundred, with the worst being the closest to zero and the best the closest to one hundred, thus, a value equal to 50 for a given domain can be considered median for that domain.
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Change from Baseline quality of life at 16 weeks
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Flexibility
Time Frame: Change from Baseline flexibility at 16 weeks
|
Flexibility will be analyzed by bank of wells test, before and after trial period.
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Change from Baseline flexibility at 16 weeks
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Strength
Time Frame: Change from Baseline strength at 16 weeks
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Strength will be analyzed by hydraulic handgrip dynamometer, before and after trial period.
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Change from Baseline strength at 16 weeks
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Speed to lift from a sitting position
Time Frame: Change from Baseline speed at16 weeks
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Speed to lift from a sitting position will be evaluated by a stopwatch, before and after trial period.
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Change from Baseline speed at16 weeks
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Speed to lift from a layered position
Time Frame: Change from Baseline speed at 16 weeks
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Speed to lift from a layered position will be evaluated by a stopwatch, before and after trial period
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Change from Baseline speed at 16 weeks
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Speed to put on and tie his shoes
Time Frame: Change from Baseline speed at 16 weeks
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Speed to put on and tie his shoes will be evaluated by a stopwatch, before and after trial period.
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Change from Baseline speed at 16 weeks
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Body weight
Time Frame: Change from Baseline body weight at 16 weeks
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Body weight will be measured using a digital scale, before and after trial period.
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Change from Baseline body weight at 16 weeks
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Height
Time Frame: Change from Baseline at 16 weeks
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Height will be measured using a stadiometer.
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Change from Baseline at 16 weeks
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Body Mass Index
Time Frame: Change from Baseline body mass index at 16 weeks
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Will be analyzed as weight divided by height squared.
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Change from Baseline body mass index at 16 weeks
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Circumference measurements
Time Frame: Change from Baseline circumference measurements at 16 weeks
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Will be analyzed the circumference of hip, waist, neck, abdomen, before and after trial period.
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Change from Baseline circumference measurements at 16 weeks
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: João LQ Durigan, PhD, University of Brasilia
Publications and helpful links
General Publications
- Fleck MP, Louzada S, Xavier M, Chachamovich E, Vieira G, Santos L, Pinzon V. [Application of the Portuguese version of the abbreviated instrument of quality life WHOQOL-bref]. Rev Saude Publica. 2000 Apr;34(2):178-83. doi: 10.1590/s0034-89102000000200012. Portuguese.
- Weber MA, Schiffrin EL, White WB, Mann S, Lindholm LH, Kenerson JG, Flack JM, Carter BL, Materson BJ, Ram CV, Cohen DL, Cadet JC, Jean-Charles RR, Taler S, Kountz D, Townsend RR, Chalmers J, Ramirez AJ, Bakris GL, Wang J, Schutte AE, Bisognano JD, Touyz RM, Sica D, Harrap SB. Clinical practice guidelines for the management of hypertension in the community: a statement by the American Society of Hypertension and the International Society of Hypertension. J Clin Hypertens (Greenwich). 2014 Jan;16(1):14-26. doi: 10.1111/jch.12237. Epub 2013 Dec 17. No abstract available.
- Niskanen JP, Tarvainen MP, Ranta-Aho PO, Karjalainen PA. Software for advanced HRV analysis. Comput Methods Programs Biomed. 2004 Oct;76(1):73-81. doi: 10.1016/j.cmpb.2004.03.004.
- Martins-Meneses DT, Antunes HK, de Oliveira NR, Medeiros A. Mat Pilates training reduced clinical and ambulatory blood pressure in hypertensive women using antihypertensive medications. Int J Cardiol. 2015 Jan 20;179:262-8. doi: 10.1016/j.ijcard.2014.11.064. Epub 2014 Nov 6.
- Carpio-Rivera E, Moncada-Jimenez J, Salazar-Rojas W, Solera-Herrera A. Acute Effects of Exercise on Blood Pressure: A Meta-Analytic Investigation. Arq Bras Cardiol. 2016 May;106(5):422-33. doi: 10.5935/abc.20160064. Epub 2016 May 6.
- Gonzales AI, Nery T, Fragnani SG, Pereira F, Lemos RR, Bezerra PP, Haas P. Pilates Exercise for Hypertensive Patients: A Review of the Literature. Altern Ther Health Med. 2016 Sep;22(5):38-43.
- Malachias MV. 7th Brazilian Guideline of Arterial Hypertension: Presentation. Arq Bras Cardiol. 2016 Sep;107(3 Suppl 3):0. doi: 10.5935/abc.20160140. No abstract available.
- Pescatello LS, MacDonald HV, Lamberti L, Johnson BT. Exercise for Hypertension: A Prescription Update Integrating Existing Recommendations with Emerging Research. Curr Hypertens Rep. 2015 Nov;17(11):87. doi: 10.1007/s11906-015-0600-y.
- Prinsloo GE, Rauch HG, Derman WE. A brief review and clinical application of heart rate variability biofeedback in sports, exercise, and rehabilitation medicine. Phys Sportsmed. 2014 May;42(2):88-99. doi: 10.3810/psm.2014.05.2061.
- Rtveladze K, Marsh T, Webber L, Kilpi F, Levy D, Conde W, McPherson K, Brown M. Health and economic burden of obesity in Brazil. PLoS One. 2013 Jul 11;8(7):e68785. doi: 10.1371/journal.pone.0068785. Print 2013.
- Thompson PD, Buchner D, Pina IL, Balady GJ, Williams MA, Marcus BH, Berra K, Blair SN, Costa F, Franklin B, Fletcher GF, Gordon NF, Pate RR, Rodriguez BL, Yancey AK, Wenger NK; American Heart Association Council on Clinical Cardiology Subcommittee on Exercise, Rehabilitation, and Prevention; American Heart Association Council on Nutrition, Physical Activity, and Metabolism Subcommittee on Physical Activity. Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease: a statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity). Circulation. 2003 Jun 24;107(24):3109-16. doi: 10.1161/01.CIR.0000075572.40158.77. No abstract available.
- Xhyheri B, Manfrini O, Mazzolini M, Pizzi C, Bugiardini R. Heart rate variability today. Prog Cardiovasc Dis. 2012 Nov-Dec;55(3):321-31. doi: 10.1016/j.pcad.2012.09.001.
- da Silva Almeida I, de Souza Andrade L, de Sousa AMM, Junior GC, Turri-Silva N, Cunha Nascimento DD, Mota YL, Durigan JLQ. The Effect of Mat Pilates Training Combined With Aerobic Exercise Versus Mat Pilates Training Alone on Blood Pressure in Women With Hypertension: A Randomized Controlled Trial. Phys Ther. 2022 Feb 1;102(2):pzab258. doi: 10.1093/ptj/pzab258.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CAEE: 99221818.9.0000.0029
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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