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Energy Cost and Metabolic Intensity of Pilates Exercises in Older Adults

27 mai 2026 mis à jour par: Raphael Goncalves de Oliveira, Universidade Estadual do Norte do Parana

Energetic Cost and Metabolic Intensity of Pilates Exercises in Older Adults: A Randomized Crossover Study

Pilates is one of the most popular forms of exercise among older adults worldwide. However, no study has measured how many calories a Pilates session burns or how hard the body works during it in people aged 60 and over. This information is important for exercise professionals who prescribe Pilates for health promotion goals such as weight management and cardiovascular fitness.

This study will measure the energy cost and metabolic intensity of two types of Pilates - mat Pilates and equipment-based Pilates - in older adults using a portable indirect calorimetry system (Cosmed K5). Results will be compared to treadmill walking at 4.8 km/h, a well-established moderate-intensity activity.

Twenty men and women aged 60 years or older with at least 6 months of continuous Pilates experience will complete three exercise sessions in a randomized order: (1) mat Pilates, (2) equipment-based Pilates, and (3) treadmill walking. Each Pilates session will consist of 9 exercises, with stretching exercises used as warm-up and cool-down and 7 strengthening exercises performed in the main portion of the session (~50 min). Oxygen consumption, energy expenditure, heart rate, and perceived exertion will be measured throughout each session.

Aperçu de l'étude

Description détaillée

This is a randomized crossover acute intervention trial conducted at the Human Movement Biodynamics Laboratory, Center for Health Sciences, Universidade Estadual do Norte do Paraná (UENP), Jacarezinho, Paraná, Brazil.

Twenty older adults (men and women; aged ≥ 60 years) with at least 6 months of uninterrupted Pilates practice will be recruited. Participants will complete three experimental sessions in a randomized order (randomization.com): (1) mat Pilates, (2) equipment-based Pilates, and (3) treadmill walking at 4.8 km/h. A minimum washout of 48 hours will be observed between sessions.

Before experimental sessions, participants will undergo anthropometric assessment, body composition by dual-energy X-ray absorptiometry (DXA; Lunar Prodigy Advance), and a maximal graded treadmill test (modified Balke protocol) to determine peak VO2. Familiarization sessions will be held one week prior to data collection.

Each Pilates session will include 9 exercises: 1 stretching exercise as warm-up, 7 strengthening exercises as the main portion of the session (~50 min), and 1 stretching exercise as cool-down. Strengthening exercises will be performed in 3 sets of 10 repetitions with 1-minute rest intervals. Mat Pilates will use body weight and accessories (Swiss ball, elastic bands, foam roller, magic circle). Equipment-based Pilates will use Reformer, Cadillac, Ladder Barrel and Step Chair. The treadmill walking session will consist of 50 minutes at 4.8 km/h (1% incline), preceded by a 5-minute warm-up and followed by a 5-minute cool-down (warm-up and cool-down periods excluded from analysis).

Energy cost and metabolic intensity will be measured using the Cosmed K5 portable indirect calorimetry system (breath-by-breath). Resting metabolic rate will be estimated from the final 5 minutes of a 20-minute supine rest period before each session. Metabolic intensity will be expressed in METs using the older adult reference value (1 MET₆₀ = 2.7 mL/kg/min). Rating of perceived exertion (Borg CR-10) will be assessed after each exercise set (Pilates) or every 5 minutes (walking); session RPE will be recorded 30 minutes after session completion.

All sessions will be held between 9:00-10:00 AM in a temperature-controlled room (22°C; 40-60% relative humidity). Participants will receive a standardized pre-exercise meal (28 g carbohydrate, 12 g protein, 1.2 g fat; 174 kcal) 30 minutes before each session, following an 8-hour overnight fast.

Statistical analysis: Data normality will be assessed using the Shapiro-Wilk test. Descriptive statistics will be expressed as mean ± SD. A two-way repeated-measures ANOVA (protocol × time) will be used to compare conditions across time points. Mauchly's test will assess sphericity; Greenhouse-Geisser correction will be applied if violated. Post-hoc pairwise comparisons will use Bonferroni correction. Effect sizes will be reported as partial eta-squared (η²p). Cohen's d will be calculated for pairwise comparisons. Significance level: p < 0.05. Analyses will be performed using SPSS 25.0.

Type d'étude

Interventionnel

Inscription (Estimé)

20

Phase

  • N'est pas applicable

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Coordonnées de l'étude

Sauvegarde des contacts de l'étude

Lieux d'étude

    • Paraná
      • Jacarezinho, Paraná, Brésil, 86400-000
        • Recrutement
        • Universidade Estadual do Norte do Paraná
        • Contact:
        • Contact:
        • Sous-enquêteur:
          • Matheus R Quaglio, MSC

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

  • Adulte
  • Adulte plus âgé

Accepte les volontaires sains

Oui

La description

Inclusion Criteria:

  • Age 60 years or older;
  • Body mass index (BMI) between 22 and 27 kg/m²;
  • Not currently undergoing dietary treatment or program for weight gain or loss;
  • No severe musculoskeletal disorders (e.g., osteoarthritis grade III or IV, moderate-to-severe pain ≥ 4 on the NRS 0-10 scale) or neurological conditions (e.g., Parkinson's disease, Alzheimer's disease, multiple sclerosis);
  • Continuously practicing Pilates for at least 6 months prior to enrollment, with a minimum frequency of twice per week.

Exclusion Criteria:

  • Chronic decompensated conditions that may pose health risks during exercise (e.g., uncontrolled hypertension, bronchitis, asthma);
  • Any history of cardiovascular events (e.g., coronary artery disease, stroke, heart failure, arrhythmias, valvular heart disease);
  • Decompensated metabolic diseases or use of medications with recognized direct impact on energy and glycemic metabolism, including antidiabetics and systemic corticosteroids;
  • Positive response to any item on the Physical Activity Readiness Questionnaire (PAR-Q).

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: La prévention
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation croisée
  • Masquage: Aucun (étiquette ouverte)

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: Mat Pilates
Participants will perform a mat Pilates session consisting of 9 exercises: 1 stretching exercise as warm-up, 7 strengthening exercises, and 1 stretching exercise as cool-down. Strengthening exercises will be performed in 3 sets of 10 repetitions with 1-minute rest intervals (~50 min). Exercises will use body weight and accessories (Swiss ball, elastic bands, foam roller, and magic circle). Warm-up and cool-down periods will be excluded from analysis.
A single session of mat Pilates consisting of 9 exercises: 1 stretching exercise as warm-up, 7 strengthening exercises (~50 min, 3 sets of 10 repetitions with 1-minute rest intervals), and 1 stretching exercise as cool-down. Exercises are performed using body weight and accessories (Swiss ball, elastic bands, foam roller, and magic circle).
Expérimental: Equipment-Based Pilates
Participants will perform an equipment-based Pilates session consisting of 9 exercises: 1 stretching exercise as warm-up, 7 strengthening exercises, and 1 stretching exercise as cool-down. Strengthening exercises will be performed in 3 sets of 10 repetitions with 1-minute rest intervals (~50 min). Exercises will be performed using Reformer, Cadillac, Ladder Barrel, and Step Chair. Warm-up and cool-down periods will be excluded from analysis.
A single session of equipment-based Pilates consisting of 9 exercises: 1 stretching exercise as warm-up, 7 strengthening exercises (~50 min, 3 sets of 10 repetitions with 1-minute rest intervals), and 1 stretching exercise as cool-down. Exercises are performed using Reformer, Cadillac, Ladder Barrel, and Step Chair.
Comparateur actif: Treadmill Walking
Participants will perform 50 minutes of treadmill walking at 4.8 km/h with 1% incline, preceded by a 5-minute warm-up and followed by a 5-minute cool-down at 3.0 km/h. Warm-up and cool-down periods will be excluded from analysis.
A single session of treadmill walking consisting of 50 minutes at 4.8 km/h (1% incline), preceded by a 5-minute warm-up and followed by a 5-minute cool-down at 3.0 km/h.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Metabolic Intensity
Délai: At baseline (pre-session), during each 50-minute exercise session, and 30 minutes after session completion.
Metabolic intensity will be assessed as metabolic equivalents (METs) measured by portable indirect calorimetry (Cosmed K5, breath-by-breath) during each exercise session. METs will be calculated using the older adult reference value (1 MET₆₀ = 2.7 mL/kg/min).
At baseline (pre-session), during each 50-minute exercise session, and 30 minutes after session completion.
Energy Expenditure
Délai: At baseline (pre-session), during each 50-minute exercise session, and 30 minutes after session completion.
Total energy expenditure (kcal) will be measured by portable indirect calorimetry (Cosmed K5, breath-by-breath) during each exercise session.
At baseline (pre-session), during each 50-minute exercise session, and 30 minutes after session completion.

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Oxygen Consumption
Délai: At baseline (pre-session), during each 50-minute exercise session, and 30 minutes after session completion.
Oxygen consumption (VO₂, mL/kg/min) will be measured by portable indirect calorimetry (Cosmed K5, breath-by-breath) during each exercise session.
At baseline (pre-session), during each 50-minute exercise session, and 30 minutes after session completion.
Heart Rate
Délai: At baseline (pre-session), during each 50-minute exercise session, and 30 minutes after session completion.
Heart rate (bpm) will be continuously monitored throughout each exercise session using a Garmin wearable chest strap monitor synchronized with the Cosmed K5 system.
At baseline (pre-session), during each 50-minute exercise session, and 30 minutes after session completion.
Rating of Perceived Exertion
Délai: During each exercise session and 30 minutes after session completion
Perceived exertion will be assessed using the Borg CR-10 scale after each exercise set (Pilates sessions) or every 5 minutes (treadmill walking). Session RPE will be recorded 30 minutes after session completion.
During each exercise session and 30 minutes after session completion

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Les enquêteurs

  • Chaise d'étude: Matheus R Quaglio, MSC, Universidade Estadual do Norte do Paraná

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Estimé)

1 juin 2026

Achèvement primaire (Estimé)

1 décembre 2026

Achèvement de l'étude (Estimé)

1 décembre 2026

Dates d'inscription aux études

Première soumission

27 mai 2026

Première soumission répondant aux critères de contrôle qualité

27 mai 2026

Première publication (Réel)

2 juin 2026

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

2 juin 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

27 mai 2026

Dernière vérification

1 mai 2026

Plus d'information

Termes liés à cette étude

Plan pour les données individuelles des participants (IPD)

Prévoyez-vous de partager les données individuelles des participants (DPI) ?

NON

Description du régime IPD

Individual participant data will not be shared. The Ethics Committee of Universidade Estadual do Norte do Paraná did not authorize the sharing of individual participant data.

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Non

Étudie un produit d'appareil réglementé par la FDA américaine

Non

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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