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Energy Cost and Metabolic Intensity of Pilates Exercises in Older Adults

27 de maio de 2026 atualizado por: 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.

Visão geral do estudo

Status

Recrutamento

Condições

Intervenção / Tratamento

Descrição detalhada

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.

Tipo de estudo

Intervencional

Inscrição (Estimado)

20

Estágio

  • Não aplicável

Contactos e Locais

Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.

Contato de estudo

Estude backup de contato

Locais de estudo

  • Brasil
    • Paraná
      • Jacarezinho, Paraná, Brasil, 86400-000
        • Recrutamento
        • Universidade Estadual do Norte do Paraná
        • Contato:
        • Contato:
        • Subinvestigador:
          • Matheus R Quaglio, MSC

Critérios de participação

Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.

Critérios de elegibilidade

Idades elegíveis para estudo

  • Adulto
  • Adulto mais velho

Aceita Voluntários Saudáveis

Sim

Descrição

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).

Plano de estudo

Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.

Como o estudo é projetado?

Detalhes do projeto

  • Finalidade Principal: Prevenção
  • Alocação: Randomizado
  • Modelo Intervencional: Atribuição cruzada
  • Mascaramento: Nenhum (rótulo aberto)

Armas e Intervenções

Grupo de Participantes / Braço
Intervenção / Tratamento
Experimental: 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.
Comportamental: Mat Pilates
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).
Experimental: 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.
Comportamental: Equipment-Based Pilates
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.
Comparador Ativo: 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.
Comportamental: Treadmill Walking
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.

O que o estudo está medindo?

Medidas de resultados primários

Medida de resultado
Descrição da medida
Prazo
Metabolic Intensity
Prazo: 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
Prazo: 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.

Medidas de resultados secundários

Medida de resultado
Descrição da medida
Prazo
Oxygen Consumption
Prazo: 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
Prazo: 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
Prazo: 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

Colaboradores e Investigadores

É aqui que você encontrará pessoas e organizações envolvidas com este estudo.

Patrocinador

Universidade Estadual do Norte do Parana

Investigadores

  • Cadeira de estudo: Matheus R Quaglio, MSC, Universidade Estadual do Norte do Paraná

Datas de registro do estudo

Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados ​​pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.

Datas Principais do Estudo

Início do estudo (Estimado)

1 de junho de 2026

Conclusão Primária (Estimado)

1 de dezembro de 2026

Conclusão do estudo (Estimado)

1 de dezembro de 2026

Datas de inscrição no estudo

Enviado pela primeira vez

27 de maio de 2026

Enviado pela primeira vez que atendeu aos critérios de CQ

27 de maio de 2026

Primeira postagem (Real)

2 de junho de 2026

Atualizações de registro de estudo

Última Atualização Postada (Real)

2 de junho de 2026

Última atualização enviada que atendeu aos critérios de controle de qualidade

27 de maio de 2026

Última verificação

1 de maio de 2026

Mais Informações

Termos relacionados a este estudo

Palavras-chave

Termos MeSH relevantes adicionais

Outros números de identificação do estudo

  • CEP_7.934.239

Plano para dados de participantes individuais (IPD)

Planeja compartilhar dados de participantes individuais (IPD)?

NÃO

Descrição do plano 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.

Informações sobre medicamentos e dispositivos, documentos de estudo

Estuda um medicamento regulamentado pela FDA dos EUA

Não

Estuda um produto de dispositivo regulamentado pela FDA dos EUA

Não

Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .

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