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25. Simple Steps, Substantial Results: A Meta-Analysis of Pilates at Reducing Blood Pressure in Hypertensive Patients

2024; Lippincott Williams & Wilkins; Volume: 42; Issue: Suppl 2 Linguagem: Inglês

10.1097/01.hjh.0001026880.50796.e1

1473-5598

Clonia Milla, Bellinda Zalzabillah Tazkira, Salma Firdaus, Yongki Welliam, Hendri Susilo,

Peripheral Artery Disease Management

Background: Hypertension, affecting 1.28 billion people globally, remains a significant challenge. While diverse treatment options exist, including medications and lifestyle modifications, achieving consistent adherence, particularly among sedentary individuals, presents a significant hurdle. Limited adherence to traditional exercise regimens necessitates exploring alternative approaches, one of which being Pilates, an indoor isometric exercise program. Objective: This study aimed to evaluate Pilates efficacy for lowering blood pressure (BP) in hypertensive patients. Method: A systematic literature search was conducted on PubMed, Science Direct, Web of Science, and DOAJ in January 2024 according to PRISMA 2020 guidelines. Original studies on Pilates in hypertensive patients, presenting systolic BP (SBP) and diastolic BP (DBP) as their primary outcomes, were selected for analysis. Heart rate (HR) and mean arterial pressure (MAP) were stated as secondary outcomes. Meta-analysis was performed using R software 4.3.1 using a random-effect model. Result: Out of 387 preliminary studies, a systematic literature search identified 7 eligible studies involving 227 participants. Overall, Pilates was found to significantly reduce both SBP (SMD=−2.10 mmHg [95% CI: −4.14 to −0.05, p=0.046]; I 2 =94.2%, p<0.01) and DBP (SMD=−2.25 mmHg [95% CI: −3.82 to −0.67, p=0.012]; I 2 =93.7%, p<0.01). Subgroup analysis revealed that despite differences in study design (RCT vs. crossover trials) and duration of intervention (8, 12, and 16 weeks), no significant differences were found. Conclusion: In conclusion, Pilates significantly reduced SBP and DBP, suggesting its potential as a non-pharmacological adjunctive treatment for hypertension. However, larger and longer-term studies are needed to confirm the long-term efficacy and safety of Pilates for managing hypertension.