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Effects of Training Based on the Pilates Method on the Blood Pressure of Hypertensive Women

Not Applicable
Completed
Conditions
Hypertension
Interventions
Other: Traditional Pilates group
Other: Modified Pilates group
Registration Number
NCT03791307
Lead Sponsor
João Luiz Q. Durigan
Brief Summary

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.

Detailed Description

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.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
60
Inclusion Criteria
  • Hypertensive women
  • Age 30 to 59
  • Sedentary or who do not practice any form of physical exercise regularly for at least 6 months
  • Make use of antihypertensive medication
  • Who have medical clearance for physical exercise
Exclusion Criteria
  • Complaint of pain that influences or makes the performance of the tests / exercises proposed impossible
  • Congenital or acquired anomalies of upper limbs and lower limbs
  • Presence of musculoskeletal disease or injury that interfere the performance of exercises
  • Changes in pharmacological treatment during the experimental period
  • Release for physical activity suspended during intervention
  • Absence in more than 25% of the exercise sessions

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Traditional Pilates groupTraditional Pilates groupThis group will perform only exercises based on the traditional Pilates method
Modified Pilates groupModified Pilates groupThis group will perform exercises based on the Pilates method alternated with active rest periods on treadmill ergometer
Primary Outcome Measures
NameTimeMethod
Ambulatory blood pressureChange from Baseline systolic and diastolic Blood Pressure at 16 weeks

Systolic and diastolic blood pressure will be measured by 24-hour Ambulatorial Monitoring Blood Pressure, before and after trial period.

Secondary Outcome Measures
NameTimeMethod
Clinical blood pressureChange from Baseline systolic and diastolic Blood Pressure at 16 weeks

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.

HeightChange from Baseline at 16 weeks

Height will be measured using a stadiometer.

Body Mass IndexChange from Baseline body mass index at 16 weeks

Will be analyzed as weight divided by height squared.

FlexibilityChange from Baseline flexibility at 16 weeks

Flexibility will be analyzed by bank of wells test, before and after trial period.

StrengthChange from Baseline strength at 16 weeks

Strength will be analyzed by hydraulic handgrip dynamometer, before and after trial period.

Speed to put on and tie his shoesChange from Baseline speed at 16 weeks

Speed to put on and tie his shoes will be evaluated by a stopwatch, before and after trial period.

Clinical heart rateChange from Baseline clinical heart rate at 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.

Autonomic heart rate modulationChange from Baseline autonomic heart rate modulation at 16 weeks

Autonomic heart rate modulation will be assessed by the heart rate variability method using a heart rate monitor, before and after trial period.

Body weightChange from Baseline body weight at 16 weeks

Body weight will be measured using a digital scale, before and after trial period.

Ventilatory threshold measured by the cardiopulmonary exercise testChange from baseline and at 16 weeks

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.

Analysis of the quality of lifeChange from Baseline quality of life at 16 weeks

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.

Circumference measurementsChange from Baseline circumference measurements at 16 weeks

Will be analyzed the circumference of hip, waist, neck, abdomen, before and after trial period.

Speed to lift from a sitting positionChange from Baseline speed at16 weeks

Speed to lift from a sitting position will be evaluated by a stopwatch, before and after trial period.

Speed to lift from a layered positionChange from Baseline speed at 16 weeks

Speed to lift from a layered position will be evaluated by a stopwatch, before and after trial period

Trial Locations

Locations (1)

University of Brasilia

🇧🇷

Brasília, Distrito Federal, Brazil

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