Effect of Mat Pilates Training on Women After Menopause

Study Overview
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Brief Summary
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This project aims to verify the chronic effect of Mat Pilates exercise on climacteric symptoms, ambulatory blood pressure responses, lipid and glucose profile and pro and anti-inflammatory and antioxidant markers in postmenopausal normotensive and hypertensive women. All volunteers received the same intervention.

Detailed Description
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The Pilates program was performed three times a week for 12 weeks. Initially a familiarization was made regarding the principles of the method. All volunteers underwent 24-hour blood pressure assessment using ambulatory blood pressure measurement (ABPM) and venous blood samples were collected from fasting, saliva and questionnaires before and after the Pilates training period.

Official Title
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Effect of Mat Pilates Training on Climacteric Symptoms and Physiological Changes in Women After Menopause

Conditions
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Physical Activity, Blood Pressure

Intervention / Treatment
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* Other: Hypertensive group
* Other: Normotensive group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women between the ages of 40 and 70; Be post menopausal (amenorrhea for at least 12 months); Medical release to perform physical activities. Do not present physical problems or cardiovascular complications that prevent the performance of physical exercises; Exclusion Criteria: To present a history of stroke or acute myocardial infarction; Smoking; Diagnosis of Diabetes Mellitus. Present renal pathologies. Use medications that interfere with lipid metabolism; Use of antihypertensive drugs (except for the hypertensive group); Use hormone replacement therapies; Present gastrointestinal conditions.

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Group 1 - Hypertensive: Composed of hypertensive women who participated in a training program with Pilates exercises in the soil associated to the daily antihypertensive of each one. Group 2 - Normotensives: Composed of normotensive women who participated in a training program with solo Pilates exercises without antihypertensive presence. Both groups underwent 12 weeks of Pilates training.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Hypertensive group<br>The Mat Pilates session was held lasting 50 minutes of exercises with the first 5 minutes heating and in each exercise performing 10 repetitions with 45 seconds of rest between one exercise and another. For practice, are used only mats, and alternative devices such as the Swiss ball and the flexible ring, as well as body weight and the force of gravity as resistance factors and Borg's subjective perception of effort scale for intensity parameters. The 20 exercises were chosen through the classic exercises thus classified by the creator of the Joseph Pilates method.During the sessions, volunteers were instructed on correct breathing without performing the valsalva maneuver. | Other: Hypertensive group<br>* Pilates 12-week training on the ground, often 3 times a week for 50 minutes of prescribed method exercises.<br>|
| Other: Normotensive group<br>The Mat Pilates session was held lasting 50 minutes of exercises with the first 5 minutes heating and in each exercise performing 10 repetitions with 45 seconds of rest between one exercise and another. For practice, are used only mats, and alternative devices such as the Swiss ball and the flexible ring, as well as body weight and the force of gravity as resistance factors and Borg's subjective perception of effort scale for intensity parameters. The 20 exercises were chosen through the classic exercises thus classified by the creator of the Joseph Pilates method.During the sessions, volunteers were instructed on correct breathing without performing the valsalva maneuver. | Other: Normotensive group<br>* Pilates 12-week training on the ground, often 3 times a week for 50 minutes of prescribed method exercises.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Blood pressure | Resting diastolic and systolic blood pressures will be monitored by Microlife® BP 3BT0A automatic monitor in mmHg. | Change from Baseline at 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Ambulatory blood pressure monitoring | Ambulatory blood pressure monitoring will be monitored during 24 hours using a Dyna+ ABPM device in mmHg. | Change from Baseline at 12 weeks | 
| Kupperman - Blatt Index | The climacteric symptoms will be evaluated by the following questionnaire Kupperman - Blatt Index. The questionnaire has scores that from 0 to 19 indicate mild symptoms, 20 to 35 moderate and greater than 35 symptoms of severe climacteric. | Change from Baseline at 12 weeks | 
| Cervical Scale | The climacteric symptoms will be evaluated by the following questionnaire Cervical Scale. The questionnaire does not have scales. Indicates only a high or low score regarding the presence of climacteric symptoms. | Change from Baseline at 12 weeks | 
| Menopause Rating Scale (MRS) | The climacteric symptoms will be evaluated by the following questionnaire Menopause Rating Scale (MRS). The scores from 0 to 4 of the questionnaire indicate absence of symptoms, as well as from 5 to 8 presence of mild symptoms, 9 to 15 moderate and greater than 16 symptoms of severe climacteric. | Change from Baseline at 12 weeks | 
| Sleep quality | Sleep quality will be assessed by the Pittsburgh Sleep Quality Index (PSQI).A score of 0 to 4 indicates a good quality of sleep, 5 to 10 quality of bad sleep and greater than 10 the presence of sleep disorder. | Change from Baseline at 12 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pilates, Blood Pressure, Postmenopausal women