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Effect of Muscle Strengthening Training with Pilates Reformer on Overweight/obese and Normal Body Weight Women (PRET)

Not Applicable
Completed
Conditions
Physiological Responses
Pilates Exercise
Overweight and Obese Women
Energy Expenditure
Strength Training
Registration Number
NCT06675162
Lead Sponsor
University of Thessaly
Brief Summary

This study investigates the physiological responses and the metabolic burden of a Pilates Reformer strength training session in physically inactive premenopausal women with a body mass index of 18-24.9 and 25.01-39.9. The sample included 20 women divided into two groups: 10 with normal weight (NW) and 10 with overweight/obesity (OB). In a non-randomised control design, the participants will perform a 60-minute muscle-strengthening session with Pilates Reformer equipment.

Detailed Description

Pilates Reformer (PR) is one of the most popular types of exercise worldwide and is considered a gentle and safe method for untrained and overweight people. The PR training approach has been found to contribute positively to various health conditions (vascular function, blood pressure, physical fitness, musculoskeletal problems), improving the quality of life and mental well-being of the participants. At the same time, it seems that it can have a positive effect on the lipid profile and other biochemical markers such as insulin and fasting glucose. Furthermore, muscle strengthening training with PR equipment provides better levels of mobility, increasing active range of motion, and also provides greater pelvic and trunk stability for both adult and middle-aged participants.

This study is designed to investigate the physiological and metabolic burden of a muscle-strengthening session with PR equipment in 20 pre-menopausal and physically inactive women with a body mass index (BMI) of 18-24, 99 \& 25.01-39.9, as well as to determine the contribution of energy systems (mitochondrial, glycolytic) during and after the exercise. Each training session will last approximately 60 minutes, will be led by at least one trainer, and will include a warm-up of 7-10 minutes, muscle strengthening and mobility exercises of 35 minutes, and a recovery of 5 minutes. Anthropometric indicators, dietary intake, resting heart rate, blood lactate, resting metabolic rate, muscle soreness, rate of perceived exertion, blood pressure, and performance measurements will be measured at baseline. The metabolic cost during PR training session will be estimated from heart rate, blood lactate, resting oxygen uptake, exercise oxygen uptake, and excess post-exercise oxygen consumption measurements using a portable gas analyzer. After the PR training session will be measured the rate of perceived exertion, blood pressure, blood lactate, and muscle soreness levels.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
20
Inclusion Criteria
  • Be approved for participation by an orthopedist and internist
  • Have not followed any diet or nutritional supplements for weight loss in the last six months before the study
  • The group with overweight/obesity will consist of women with a body mass index of 25.01 - 39.9 kg/m2
  • Be physically Inactive in the last six months before the study.
Exclusion Criteria
  • Musculoskeletal injury
  • Weight loss>10% in 6 months
  • <20 years
  • >50 years
  • Μenopause
  • Chronic diseases
  • Use of alcohol, caffeine and any type of ergogenic supplements or medication during the study
  • Physically active.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Change in exercise-induced energy expenditureAt pre-exercise, 60 minutes during PR training, and 30 minutes after the exercise session (single bout lasting 60 minutes)

Exercise energy expenditure (kcal) will be measured using a portable indirect calorimetry system

Change in excess post-exercise oxygen consumption (EPOC)At 30 minutes after the exercise session (single bout lasting 60 minutes)

EPOC (kcal) will be measured using a portable indirect calorimetry system

Change in blood lactate concentration (BLa)At pre- and post-exercise session (single bout) at 4 minutes post-exercise

BLa (mmol/L) concentration will be measured in a microphotometer with commercially available kits

Change in heart rateAt pre-exercise, 60 minutes during PR training, and 30 minutes after the exercise session (single bout lasting 60 minutes)

Heart rate (bpm) will be measured with a wearable heart rate monitor

Change in perceived exertionAt pre- and post-exercise session (single bout) at 4 minutes post-exercise.

Rating of perceived exertion (RPE) will be measured with the Borg scale (0-10)

Respiratory Exchange Ratio (RER)At pre-exercise, 60 minutes during PR training, and 30 minutes after the exercise session (single bout lasting 60 minutes)

Respiratory Exchange Ratio (RER) will be measured using a portable indirect calorimetry system

Breath Frequency (BF)At pre-exercise, 60 minutes during PR training, and 30 minutes after the exercise session (single bout lasting 60 minutes)

Breath Frequency (BF) will be measured using a portable indirect calorimetry system

Change in oxygen consumptionAt pre-exercise, 60 minutes during PR training, and 30 minutes after the exercise session (single bout lasting 60 minutes)

Oxygen consumption will be measured using a portable indirect calorimetry system

Secondary Outcome Measures
NameTimeMethod
Fat mass (FM)At baseline

FM (kg) will be assessed by whole-body dual-energy X-ray absorptiometry (DXA)

Body weightAt baseline and at 40 minutes after the exercise session.

Body weight will be measured on a beam balance with a stadiometer

Body heightAt baseline

Body height will be measured on a beam balance with a stadiometer

Body mass index (BMI)At baseline

BMI will be calculated using the Quetelet's equation

Waist circumference (WC)At baseline

WC (cm) will be measured using a Gullick II tape

Hip circumference (HC)At baseline

HC (cm) will be measured using a Gullick II tape

Waist-to-hip ratio (WHR)At baseline

WHR will be calculated by dividing the waist by the hip measurement

Resting metabolic rate (RMR)At baseline

RMR (kcal) will be measured using a portable open-circuit indirect calorimeter with a ventilated hood system

Body fat (BF)At baseline

Body fat (%) will be assessed by whole-body dual-energy X-ray absorptiometry (DXA)

Fat-free mass (FFM)At baseline

FFM (kg) will be assessed by whole-body dual-energy X-ray absorptiometry (DXA)

Bone mass densityAt baseline

Bone mass density will be measured by using Dual-emission X-ray absorptiometry

Bone mass contentAt baseline

Bone mass content will be measured by using Dual-emission X-ray absorptiometry

Peak Maximal oxygen consumption (Peak VO2)At baseline

Peak VO2 will be estimated by open circuit spirometry via breath by breath method

Dietary intakeAt baseline

Dietary intake will be assesed over a 7-day period using diet recalls

Systolic Blood PressureAt pre-exercise, 60 minutes during PR training, and 30 minutes after the exercise session (single bout lasting 60 minutes)

Systolic Blood Pressure will be examined using a sphygmomanometer

Diastolic Blood PressureAt pre-exercise, 60 minutes during PR training, and 30 minutes after the exercise session (single bout lasting 60 minutes)

Diastolic Blood Pressure will be examined using a sphygmomanometer

Rest Heart RateAt baseline

The rest heart rate will be estimated using a heart rate monitor

Evaluation of physical activity (PA)At baseline

The PA will be evaluated for seven days before the intervention via accelerometry

Trial Locations

Locations (2)

Department of Physical Education and Sport Science

🇬🇷

Trikala, Thessaly, Greece

Department of Physical Education and Sports Science, University of Thessaly

🇬🇷

Trikala, Thessaly, Greece

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