Effects of pilates exercises on strength, endurance and muscle power in older adults: Systematic review and meta-analysis.

Autor: Oliveira LS; Health Sciences Center, Universidade Estadual do Norte do Paraná (UENP), Brazil., de Oliveira RG; Health Sciences Center, Universidade Estadual do Norte do Paraná (UENP), Brazil., da Silva TQ; Health Sciences Center, Universidade Estadual do Norte do Paraná (UENP), Brazil., Gonzaga S; Health Sciences Center, Universidade Estadual do Norte do Paraná (UENP), Brazil., de Oliveira LC; Health Sciences Center, Universidade Estadual do Norte do Paraná (UENP), Brazil. Electronic address: oliveiralc@uenp.edu.br.
Jazyk: angličtina
Zdroj: Journal of bodywork and movement therapies [J Bodyw Mov Ther] 2024 Jul; Vol. 39, pp. 615-634. Date of Electronic Publication: 2024 Mar 09.
DOI: 10.1016/j.jbmt.2024.02.021
Abstrakt: Introduction: Pilates exercises have been used by the older adults and have shown potential to improve some components of physical fitness.
Objective: To verify the effects of Pilates on strength, endurance and muscle power in older adults.
Methods: The searches were performed in the databases: PubMed, EMBASE, CENTRAL, CINAHL, Web of Science, SPORTDiscus, LILACS and PEDro until September 2022, without filters that limited the date of publications or language. The studies included were: randomized clinical trials (RCTs); interventions that used Pilates; interventions with outcomes involving strength, endurance and/or muscle power; participants over 60 years old.
Results: 24 RCTs (1190 participants) were selected. There is low quality evidence that Pilates did not significantly improve muscle strength compared to the control group (Standardized Mean Difference (SMD) = 1.18 [95%CI -0.71, 3.08] I 2  = 93%), and moderate quality compared to other exercises (SMD = 0.01 [CI95% -0.46, 0.48] I 2  = 0%). Very low quality evidence shows that Pilates can improve muscular endurance of upper limbs compared to control group (Mean Difference (MD) = 4.87 [95%CI 2.38, 7.36] I 2  = 88%) and lower limbs compared to other exercises (MD = 2.68 [CI95% 0.26, 5.10] I 2  = 87%). It was not possible to perform muscle power analysis due to the reduced number of studies.
Conclusion: Currently, it is not feasible to recommend Pilates exercises as a means to improve strength, endurance and muscle power in the older adults. More RCTs covering this topic are needed given the low quality of evidence available at this time.
Competing Interests: Declaration of competing interest The author(s) declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(Copyright © 2024 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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