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Pilates training reduces blood pressure in older women with type 2 diabetes: A randomized controlled trial
Affiliation:1. Graduate Program on Physical Education, Federal University of Vale do São Francisco, Petrolina, Pernambuco, Brazil;2. Programa de Educação Tutorial em Educação Física (PET-EF - MEC/FNDE) of Federal University of Vale do São Francisco, Petrolina, Pernambuco, Brazil;3. Graduate Program on Health and Biological Sciences, Federal University of Vale do São Francisco, Petrolina, Pernambuco, Brazil;4. Graduate Program on Health, Kinesiology, and Applied Physiology, Concordia University, QC, Montreal, Canada;1. Universidade Federal de Santa Catarina, Centro de Desportos, Núcleo de Pesquisa em Cineantropometria e Desempenho Humano, Florianópolis, Santa Catarina, Brazil;2. Universidade Federal de Alagoas, Instituto de Educação Física e Esporte. Grupo de Pesquisa em Biodinâmica do Desempenho Humano e Saúde. Maceió, Alagoas, Brazil;1. Biomechanics Laboratory, Universidade Federal de Santa Maria, Centro de Educação Física e Desportos, Santa Maria, RS, Brazil;2. Applied Neuromechanics Research Group, Universidade Federal do Pampa, Uruguaiana, RS, Brazil;3. La Trobe University - Rural Health School, Bendigo, Vic, Australia;4. Biomechanics and Kinesiology Research Group, Universidade Federal do Rio Grande do Sul, Escola de Educação Física, Fisioterapia e Dança, Porto Alegre, RS, Brazil;1. Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey;2. Department of Radiology, Ankara Training and Research Hospital, Ankara, Turkey;3. Department of Therapy and Rehabilitation, Vocational School of Health Services, Karamanoğlu Mehmet Bey University, Karaman, Turkey;1. School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, Leicestershire, LE11 3TU, United Kingdom;2. Department of Cardiovascular Sciences, University of Leicester, Leicester, UK or NIHR Leicester Cardiovascular Biomedical Research Unit, Glenfield Hospital, Leicester, LE3 9QP, United Kingdom;1. Graduate Program in Health, Interdisciplinarity and Rehabilitation from the Faculdade de Ciências Médicas da Universidade Estadual de Campinas, (UNICAMP), São Paulo, Brazil;2. PhD in Medical Sciences from the State University of Campinas, Professor at the Department of Human Development and Rehabilitation of the Graduate Program in Interdisciplinary Health and Rehabilitation of the Faculdade de Ciências Médicas da Universidade Estadual de Campinas (UNICAMP), São Paulo, Brazil;1. Faculty of Health and Medical Sciences, Hokuriku University, Kanazawa, Japan;2. Nanto City Home-visit Nursing Station, Nanto, Japan;3. Nanto Family and Community Medical Center, Nanto, Japan;4. Department of Community-based-Rehabilitation, Nanto Municipal Hospital, Nanto, Japan
Abstract:IntroductionThe study investigated the effect of 12 weeks of pilates training on the hemodynamic responses of older women with type-2 diabetes (T2D). Methods: 22 individuals with T2D were randomly allocated into two groups: CONTROL (n = 11; 67.5 ± 6.3 years; 154.7 ± 6.1 cm; 73.5 ± 6.1 kg; calorie intake: 1487.5 ± 360.6 kcal/day) and PILATES (n = 11; 65.5 ± 5.5 years; 155.0 ± 4.5 cm; 66.2 ± 5.4 kg; calorie intake: 1289.3 ± 385.0 kcal/day). The PILATES group executed a 12-week PILATES training program at moderate intensity, 3x/week with each session lasting 60-min. Systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), and postprandial blood glucose were assessed at four timepoints: i) baseline; ii) 4th week; iii) 8th week; and iv) 12th week (s) of intervention. Two-way ANOVA for repeated measures and the Pearson's correlation coefficient were adopted. The alpha level was set at 0.05.ResultsA time1group interaction effect was found for SBP (F = 4.206; η2 = 0.17; p = 0.02) and DBP (F = 2.624; η2 = 0.12; p = 0.05) with significant reductions (mmHg) in the 4ths and 8ths in the PILATES (PILATES SBP baseline: 134.9 ± 27.6; 4ths: 112.4 ± 15.7; 8ths: 115.8 ± 18.3; 12ths: 124.3 ± 19.1 vs. CONTROL SBP baseline: 126.5 ± 15.7; 4ths: 126.3 ± 16.2; 8ths: 124.5 ± 13.1; 12ths: 126.3 ± 21.4 | PILATES DBP baseline: 72.9 ± 11.3; 4ths: 65.1 ± 12.2; 8ths: 65.8 ± 12.2; 12ths: 67.6 ± 7.5 vs. CONTROL DBP baseline: 74.6 ± 12.0; 4ths: 73.9 ± 11.5; 8ths: 75.3 ± 11.9; 12ths: 74.5 ± 9.2).ConclusionFour and eight weeks of PILATES training promotes reduction in the SBP and DBP of older women with T2D. The exercises performed in this study were mainly body weight exercises and required a few auxiliary materials, which turns this method of training accessible.
Keywords:Diabetes melitus  Aging  Hemodynamics control  Alternative physical exercise
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