The Pilates Method reduces blood pressure and increases respiratory strength and cardiorespiratory capacity in medicated hypertensive women
摘要
The escalating global cost of chronic diseases, linked to physical inactivity, underscores the need for effective interventions for conditions like hypertension, heart disease, and reduced lung function. This study evaluated the impact of a 15-week Pilates Method (PM) exercise program on lung function, cardiorespiratory capacity, and blood pressure in medicated hypertensive women.
MethodsThis observational, longitudinal, before-and-after study involved 22 hypertensive women (median age 53 years) participating in 60-min PM sessions thrice weekly. Pre- and post-intervention assessments included anthropometry, respiratory muscle strength (measured throughout and one month post-intervention), spirometry, cardiopulmonary exercise testing, blood pressure, biochemical analysis, flexibility, and handgrip strength.
ResultsSignificant improvements were observed in several anthropometric variables, with a large effect size on conicity index. Maximum inspiratory (MIP) and maximum expiratory pressure (MEP) increased post-PM, and no significant loss was observed one month after the end of the protocol. Almost all spirometric (except forced expiratory volume in the first second) and cardiopulmonary exercise variables increased post-PM, with maximal oxygen consumption (VO2max) showing a large effect size. Furthermore, PM promoted a significant improvement in the majority of biochemical variables (except HDL), a significant reduction in 24-h and daytime systolic blood pressure with a large effect size, and improved flexibility and handgrip strength.
ConclusionThe PM protocol elicited significant positive changes across a range of anthropometric, respiratory muscle strength, cardiopulmonary, and cardiovascular parameters in hypertensive women, highlighting its potential as an effective non-pharmacological management strategy for this population.