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HypertensionNCT03791307

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

A study testing Traditional Pilates group and Modified Pilates group in people with Hypertension, run by João Luiz Q. Durigan at 1 site in Brazil.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial 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. Read more about this study

Who is it for?
Ages 30 to 59 years, women only
Conditions the study is for
Hypertension
What is being tested?
Traditional Pilates group and Modified Pilates group
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteBrazil
Study dates
8 Apr 2019to 20 Dec 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 30 to 59 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • 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

Who cannot join

  • 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

Trial locations and contacts

1 site in 1 country.

Brazil1 site
  • University of Brasilia

    Brasília, Federal District, 72220-900

Other trials in Brazil

About this study

Official title: Blood Pressure, Autonomic Heart Rate Modulation, Cardiorespiratory Parameters, Functionality and Quality of Life in Hypertensive Women After 16 Weeks of Training Based on the Pilates Method

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.

Read the 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.

Conditions
Hypertension
Being tested
Traditional Pilates group, Modified Pilates group
Keywords
Pilates method, Blood pressure, Autonomic heart rate modulation
Medical subject headings
Hypertension

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Traditional Pilates groupOther

    The participants will perform only exercises based on the traditional Pilates method, 2 times a week, for 50 minutes, for 16 weeks.

  • Modified Pilates groupOther

    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.

Study groups in NCT03791307
Study groupRoleWhat they receive
Traditional Pilates groupExperimentalThis group will perform only exercises based on the traditional Pilates method
Receives: Other: Traditional Pilates group
Modified Pilates groupExperimentalThis group will perform exercises based on the Pilates method alternated with active rest periods on treadmill ergometer
Receives: Other: Modified Pilates group
Control groupNo interventionThis group will not perform any physical exercise during the trial period.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Ambulatory blood pressure

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

    Measured: Change from Baseline systolic and diastolic Blood Pressure at 16 weeks

Secondary outcomes (14)
  1. 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.

    Measured: Change from Baseline systolic and diastolic Blood Pressure at 16 weeks

  2. Clinical heart rate

    Clinical assessment of heart rate will be measured by a heart rate monitor after 10 minutes of rest, before and after trial period.

    Measured: Change from Baseline clinical heart rate at 16 weeks

  3. 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.

    Measured: Change from Baseline autonomic heart rate modulation at 16 weeks

  4. 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.

    Measured: Change from baseline and at 16 weeks

  5. 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.

    Measured: Change from Baseline quality of life at 16 weeks

  6. Flexibility

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

    Measured: Change from Baseline flexibility at 16 weeks

  7. Strength

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

    Measured: Change from Baseline strength at 16 weeks

  8. 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.

    Measured: Change from Baseline speed at16 weeks

  9. 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

    Measured: Change from Baseline speed at 16 weeks

  10. 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.

    Measured: Change from Baseline speed at 16 weeks

  11. Body weight

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

    Measured: Change from Baseline body weight at 16 weeks

  12. Height

    Height will be measured using a stadiometer.

    Measured: Change from Baseline at 16 weeks

  13. Body Mass Index

    Will be analyzed as weight divided by height squared.

    Measured: Change from Baseline body mass index at 16 weeks

  14. Circumference measurements

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

    Measured: Change from Baseline circumference measurements at 16 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Jan 2019
  2. Study start8 Apr 2019
  3. Primary completion20 Dec 2019
  4. Study completion20 Dec 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03791307
Sponsor's protocol ID
CAEE: 99221818.9.0000.0029
Status last verified
Mar 2020
First submitted
18 Dec 2018
Last updated
25 Mar 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • 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.

    PubMed 25464462
  • 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.

    PubMed 27168471
  • 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.

    PubMed 10881154
  • 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.

    PubMed 27622959
  • 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.

    PubMed 27819379
  • 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.

    PubMed 15313543
  • 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.

    PubMed 26423529
  • 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.

    PubMed 24875976
  • 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.

    PubMed 23874763
  • 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.

    PubMed 12821592
  • 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.

    PubMed 24341872
  • 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.

    PubMed 23217437
  • 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.

    PubMed 35084038

Questions about this trial

What is this clinical trial studying?

A study testing Traditional Pilates group and Modified Pilates group in people with Hypertension, run by João Luiz Q. Durigan at 1 site in Brazil.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 25 Mar 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Brazil. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Ambulatory blood pressure (time frame: Change from Baseline systolic and diastolic Blood Pressure at 16 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03791307, which also lists 13 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Mar 2020.

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