Home Medizin Studienergebnisse zeigen, dass Pilates den Blutdruck bei Bluthochdruckpatienten senkt

Studienergebnisse zeigen, dass Pilates den Blutdruck bei Bluthochdruckpatienten senkt

von NFI Redaktion

According to a study published in the Journal of Human Hypertension, Pilates training programs are safe for patients with high blood pressure and can be integrated into their rehabilitation.

Study: The effectiveness of the Pilates method in patients with high blood pressure: systematic review and meta-analysis. Image credit: ESB Professional / ShutterstockStudy: The effectiveness of the Pilates method in patients with high blood pressure: systematic review and meta-analysis. Image credit: ESB Professional / Shutterstock

Background

Hypertension or high blood pressure poses a significant public health concern due to its widespread prevalence. The condition increases the risk of cardiovascular diseases and associated disability and mortality. While medications can effectively treat high blood pressure, consistent adherence to treatment is crucial for optimal results.

Available evidence suggests that a combination of pharmacological and non-pharmacological interventions is highly effective in addressing all risk factors associated with high blood pressure. In particular, physical activity is considered an excellent measure for lowering blood pressure in hypertensive patients. This intervention effectively reduces blood pressure, even in patients with poor responsiveness to anti-hypertensive medications.

Among various types of physical activities, aerobic exercises are considered the primary option for blood pressure control. Additionally, isometric training, dynamic resistance training, and high-intensity interval training have shown positive effects in patients with high blood pressure. However, despite the numerous health benefits, these physical activities are generally associated with low adherence rates.

In this systematic review and meta-analysis, scientists examined the effectiveness of Pilates training programs in controlling blood pressure in patients with high blood pressure. They considered Pilates as an alternative option for physical exercise due to its adaptability to different conditions such as rehabilitation and fitness.

Study Design

Researchers searched four electronic databases for randomized clinical trials and comparative studies that investigated the effects of Pilates training on blood pressure in patients with high blood pressure.

The final analysis included a total of four randomized clinical trials and seven comparative studies. All of these studies were published between 2015 and 2023. In terms of methodological quality, one was of low quality, four were of good quality, and six were of high quality.

The selected studies included a total of 458 participants with decompensated hypertension, arterial hypertension, or normal blood pressure. All participants with arterial hypertension received anti-hypertensive treatment during Pilates training.

Nine out of eleven selected studies used Pilates-based mats as the study intervention; one used Pilates with equipment, and the other used both. In comparative studies, the control groups performed aerobic exercises or activities of daily living.

Key Observations

A substantial proportion of selected studies described the positive effects of Pilates training programs on blood pressure control in patients with high blood pressure. The meta-analysis included data from three randomized controlled trials and two comparative studies.

The results showed that Pilates demonstrated significantly higher effectiveness in lowering systolic, diastolic, and mean blood pressure compared to other physical activity interventions used in control groups.

The meta-analysis of data from four comparative studies revealed that Pilates exerted similar blood pressure-lowering effects in hypertensive and normotensive participants. However, these effects were statistically non-significant.

Significance of the Study

The meta-analysis concludes that Pilates is safe and effective for blood pressure control in patients with high blood pressure. However, its effectiveness might not necessarily be superior to other physical training interventions.

Most of the studies included in the systematic review and meta-analysis demonstrate the significant positive effects of mat Pilates on blood pressure. This suggests that the inclusion of exercises requiring isometric strength could be helpful in lowering blood pressure.

Mat Pilates is a low- to moderate-intensity exercise. In contrast, Pilates with equipment is a high-intensity exercise. Studies using Pilates with equipment did not find significant blood pressure-lowering effects. This suggests that the intensity of Pilates is an important factor to consider in its application for blood pressure control. Supporting this hypothesis, existing literature indicates that light or moderate aerobic training is more effective in lowering blood pressure than high-intensity aerobic training.

While the results of the meta-analysis indicated a blood pressure-lowering effect of Pilates, overall, it was found that Pilates does not have a greater effect than aerobic exercises. Furthermore, a combination of aerobic exercises and Pilates did not yield greater benefits.

Based on these observations, scientists recommend integrating Pilates as part of the rehabilitation approach for blood pressure control in patients with high blood pressure. However, it should be noted that Pilates does not necessarily offer greater benefits than aerobic exercises and may not necessarily contribute to improving adherence to training programs.

Journal reference:

  • Daniel González-Devesa. 2024. The effectiveness of the Pilates method in patients with high blood pressure: systematic review and meta-analysis. Journal of Human Hypertension. DOI: 10.1038/s41371-024-00899-110.10, https://www.nature.com/articles/s41371-024-00899-1

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