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| Name | Class |
|---|---|
| Catholic University of BrasÃlia | OTHER |
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The main objective of this study is to evaluate and compare the effect of the Pilates method associated with aerobic exercise and the traditional Pilates method on the blood pressure of hypertensive medicated women. In addition, we aim to analyze and compare the chronic effects of training on cardiac autonomic modulation, on cardiorespiratory fitness, functionality and quality of life.
Subjects will be allocated randomly in three groups: (1) Traditional Pilates group, which will perform only exercises based on the traditional Pilates method, (2) Modified Pilates group, which will perform exercises based on the Pilates method alternated with active rest periods on treadmill ergometer, (3) Control group: will not perform any physical exercise during the trial period. The sessions will be performed two times a week, during 16 weeks. Subjects will be evaluated before and after 16 weeks of intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Traditional Pilates group | Experimental | This group will perform only exercises based on the traditional Pilates method |
|
| Modified Pilates group | Experimental | This group will perform exercises based on the Pilates method alternated with active rest periods on treadmill ergometer |
|
| Control group | No Intervention | This group will not perform any physical exercise during the trial period. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Traditional Pilates group | Other | The participants will perform only exercises based on the traditional Pilates method, 2 times a week, for 50 minutes, for 16 weeks. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Ambulatory blood pressure | Systolic and diastolic blood pressure will be measured by 24-hour Ambulatorial Monitoring Blood Pressure, before and after trial period. | Change from Baseline systolic and diastolic Blood Pressure at 16 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical blood pressure | 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. | Change from Baseline systolic and diastolic Blood Pressure at 16 weeks |
| Clinical heart rate |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| João LQ Durigan, PhD | University of Brasilia | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Brasilia | BrasÃlia | Federal District | 72220-900 | Brazil |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25464462 | Background | 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. | |
| 27168471 | Background | 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. |
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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One researcher will be blinded to the conduct of evaluations and revaluations. One researcher will be blinded for outcomes statistics analysis.
| Modified Pilates group | Other | 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. |
|
Clinical assessment of heart rate will be measured by a heart rate monitor after 10 minutes of rest, before and after trial period. |
| Change from Baseline clinical heart rate at 16 weeks |
| Autonomic heart rate modulation | Autonomic heart rate modulation will be assessed by the heart rate variability method using a heart rate monitor, before and after trial period. | Change from Baseline autonomic heart rate modulation at 16 weeks |
| Ventilatory threshold measured by the cardiopulmonary exercise test | 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. | Change from baseline and at 16 weeks |
| Analysis of the quality of life | 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. | Change from Baseline quality of life at 16 weeks |
| Flexibility | Flexibility will be analyzed by bank of wells test, before and after trial period. | Change from Baseline flexibility at 16 weeks |
| Strength | Strength will be analyzed by hydraulic handgrip dynamometer, before and after trial period. | Change from Baseline strength at 16 weeks |
| Speed to lift from a sitting position | Speed to lift from a sitting position will be evaluated by a stopwatch, before and after trial period. | Change from Baseline speed at16 weeks |
| Speed to lift from a layered position | Speed to lift from a layered position will be evaluated by a stopwatch, before and after trial period | Change from Baseline speed at 16 weeks |
| Speed to put on and tie his shoes | Speed to put on and tie his shoes will be evaluated by a stopwatch, before and after trial period. | Change from Baseline speed at 16 weeks |
| Body weight | Body weight will be measured using a digital scale, before and after trial period. | Change from Baseline body weight at 16 weeks |
| Height | Height will be measured using a stadiometer. | Change from Baseline at 16 weeks |
| Body Mass Index | Will be analyzed as weight divided by height squared. | Change from Baseline body mass index at 16 weeks |
| Circumference measurements | Will be analyzed the circumference of hip, waist, neck, abdomen, before and after trial period. | Change from Baseline circumference measurements at 16 weeks |
| 10881154 | Background | 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. |
| 27622959 | Background | 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. |
| 27819379 | Background | 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. |
| 15313543 | Background | 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. |
| 26423529 | Background | 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. |
| 24875976 | Background | 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. |
| 23874763 | Background | 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. |
| 12821592 | Background | 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. |
| 24341872 | Background | 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. |
| 23217437 | Background | 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. |
| 35084038 | Derived | 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. |