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Current Diabetes Reviews

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ISSN (Print): 1573-3998
ISSN (Online): 1875-6417

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Clinical Trial

Heart Rate Variability and Respiratory Muscle Strength in Patients With Type II Diabetes Practicing Pilates: A Randomized Clinical Trial

Author(s): Samara Sousa Vasconcelos Gouveia, Guilherme Pertinni de Morais Gouveia*, Leydnaya Maria Souza, Bruno Cunha da Costa, Gustavo Henrique Melo Sousa, Vanádia Almeida Pinho, Samila Sousa Vasconcelos, Antonia Tainara Dos Santos Souza, Thamires da Silva Lopes and Luiz Gonzaga Porto Pinheiro

Volume 18, Issue 6, 2022

Published on: 14 January, 2022

Article ID: e280921196866 Pages: 8

DOI: 10.2174/1573399817666210928143752

Price: $65

Abstract

Purpose: This study aimed to analyze the effect of a Pilates protocol on respiratory muscle strength and heart rate variability (HRV) in patients with type 2 diabetes.

Method: A randomized clinical trial (RBR-2gc2qj) was conducted on a type 2 diabetic target population. Patients practiced the Pilates protocol for 8 weeks, with two visits per week. The variables tested were maximum inspiratory pressure (MIP), maximum expiratory pressure (MEP), and HRV (time and frequency domains). All variables were tested for normal distribution. Using SPSS 21.0, analysis of variance was performed for variables with normal distribution, and the Wilcoxon and Friedman tests were used for variables that did not show a normal distribution, with a 5% significance level.

Results: Forty-four participants were included in the study (intervention group: 22; control group: 22; mean age: 61.23 ± 8.49 years), most of whom were female (77.3%), married or in a consensual union (59.1%), had complete literacy (31.8%), and had an average body mass index of 26.96 ± 4.35 kg/m2. There were no significant differences in MIP and MEP b efore and after the protocol between the intervention and control groups. Regarding HRV, there were significant differences in autonomic modulation, especially between the moments before and during exercise and between the moments during and after exercise; however, it was not possible to determine which system (sympathetic or parasympathetic) is most involved in these changes.

Conclusion: The exercise protocol based on the Pilates method did not alter respiratory muscle strength but promoted changes in HRV, especially between the moments before and during exercise and during and after exercise.

Keywords: Diabetes mellitus, exercise movement techniques, biomarkers, oxidative stress, heart rate variability, respiratory muscle strength.

[1]
Bullo V, Bergamin M, Gobbo S, Sieverdes JC, Zaccaria M, Neunhaeuserer D, et al. The effects of Pilates exercise training on physical fitness and wellbeing in the elderly: A systematic review for future exercise prescription. Prev Med (Baltim) 2015; 75: 1-11.
[http://dx.doi.org/10.1016/j.ypmed.2015.03.002]
[2]
Edition S. IDF Diabetes Atlas the Seventh Edition. 7th ed. 2015. http://www.diabetesatlas.org/resources/2015-atlas.html
[3]
Beagley J, Guariguata L, Weil C, Motala AA. Global estimates of undiagnosed diabetes in adults. Diabetes Res Clin Pract 2014; 103(2): 150-60.
[http://dx.doi.org/10.1016/j.diabres.2013.11.001] [PMID: 24300018]
[4]
Melorose J, Perroy R, Careas S. Guidelines of the Brazilian Society of Diabetes 2013-2014. Statew Agric L Use Baseline 2015 2014; 1: 382.
[5]
Campbell PT, Newton CC, Patel AV, Jacobs EJ, Gapstur SM. Diabetes and cause-specific mortality in a prospective cohort of one million U.S. adults. Diabetes Care 2012; 35(9): 1835-44.
[http://dx.doi.org/10.2337/dc12-0002] [PMID: 22699290]
[6]
Boyer WR, Churilla JR, Ehrlich SF, Crouter SE, Hornbuckle LM, Fitzhugh EC. Protective role of physical activity on type 2 diabetes: Analysis of effect modification by race-ethnicity. J Diabetes 2018; 10(2): 166-78.
[http://dx.doi.org/10.1111/1753-0407.12574] [PMID: 28544478]
[7]
Williamson JW, Fadel PJ, Mitchell JH. New insights into central cardiovascular control during exercise in humans: A central command update. Exp Physiol 2006; 91(1): 51-8.
[http://dx.doi.org/10.1113/expphysiol.2005.032037] [PMID: 16239250]
[8]
Takahashi ACM, Melo RC, Quitério RJ, Silva E, Catai AM. The effect of eccentric strength training on heart rate and on its variability during isometric exercise in healthy older men. Eur J Appl Physiol 2009; 105(2): 315-23.
[http://dx.doi.org/10.1007/s00421-008-0905-5] [PMID: 18987877]
[9]
Vanderlei LCM, Pastre CM, Hoshi RA, de Carvalho TD, de Godoy MF. Noções básicas de variabilidade da frequência cardíaca e sua aplicabilidade clínica. Rev Bras Cir Cardiovasc 2009; 24: 205-17.
[http://dx.doi.org/10.1590/S0102-76382009000200018] [PMID: 19768301]
[10]
Alvarenga GM, Charkovski SA, Santos LKD, Silva MABD, Tomaz GO, Gamba HR. The influence of inspiratory muscle training combined with the Pilates method on lung function in elderly women: A randomized controlled trial. Clinics (São Paulo) 2018; 73: e356.
[http://dx.doi.org/10.6061/clinics/2018/e356] [PMID: 29924184]
[11]
Melo KCB, Araújo F de S. Cordeiro Júnior CCM, de Andrade KTP, Moreira SR. Pilates method training. J Strength Cond Res 2020; 34: 1001-7.
[http://dx.doi.org/10.1519/JSC.0000000000002704] [PMID: 29985228]
[12]
Novoa PCR. What changes in research ethics in Brazil: Resolution no. 466/12 of the National Health Council. Einstein (Sao Paulo) 2014; 12(1): vii-x.
[http://dx.doi.org/10.1590/S1679-45082014ED3077] [PMID: 24728263]
[13]
de Souza LM, Pegorare ABG de S, Christofoletti G, Barbosa SRM. Influence of a protocol of Pilates exercises on the contractility of the pelvic floor muscles of non-institutionalized elderly persons. Rev Bras Geriatr Gerontol 2017; 20: 484-92.
[http://dx.doi.org/10.1590/1981-22562017020.160191]
[14]
Vasconcelos Gouveia SS, Pertinni de Morais Gouveia G, Souza LM, et al. The effect of pilates on metabolic control and oxidative stress of diabetics type 2 - A randomized controlled clinical trial. J Bodyw Mov Ther 2021; 27: 60-6.
[http://dx.doi.org/10.1016/j.jbmt.2021.01.004] [PMID: 34391294]
[15]
Neder JA, Andreoni S, Lerario MC, Nery LE. Reference values for lung function tests. II. Maximal respiratory pressures and voluntary ventilation. Braz J Med Biol Res 1999; 32(6): 719-27.
[http://dx.doi.org/10.1590/S0100-879X1999000600007] [PMID: 10412550]
[16]
Costa D, Gonçalves HA, de Lima LP, Ike D, Cancelliero KM, Montebelo MI de L. Novos valores de referência para pressões respiratórias máximas na população brasileira. J Bras Pneumol 2010; 36: 306-12.
[http://dx.doi.org/10.1590/S1806-37132010000300007] [PMID: 20625667]
[17]
Pereira LFF, Mancuzo EV, Rezende CF, Côrrea R de A. Six-minute walk test and respiratory muscle strength in patients with uncontrolled severe asthma: A pilot study. J Bras Pneumol 2015; 41(3): 211-8.
[http://dx.doi.org/10.1590/S1806-37132015000004483] [PMID: 26176518]
[18]
Pellizzaro CO, Thomé FS, Veronese FV. Effect of peripheral and respiratory muscle training on the functional capacity of hemodialysis patients. Ren Fail 2013; 35(2): 189-97.
[http://dx.doi.org/10.3109/0886022X.2012.745727] [PMID: 23199095]
[19]
Cambri LT, Fronchetti L, Oliveira FR, Gevaerd M da S. Variabilidade da frequência cardíaca e controle metabólico. Arq Sanny Pesq Saúde 2008; 1: 72-82.
[20]
dos Santos GM, Sousa PV de L, Barros NV dos A. Programa Hiperdia No Estado Do Piauí, Brasil 2018; 16: 48-53.
[21]
Araujo Filho ACA de, Almeida PD, Araujo AKL, et al. Perfil epidemiológico do diabetes mellitus em um estado do nordeste brasileiro Epidemiological profile of Diabetes Mellitus in a northeastern brazilian state. Rev Pesqui Cuid é Fundam Online 2017; 9: 641.
[http://dx.doi.org/10.9789/2175-5361.2017.v9i3.641-647]
[22]
Prado MA, Francisco PMSB, Barros MB de A. Diabetes in the elderly: drug use and the risk of drug interaction. Cien Saude Colet 2016; 21(11): 3447-58.
[http://dx.doi.org/10.1590/1413-812320152111.24462015] [PMID: 27828578]
[23]
de Jesus LT, Baltieri L, de Oliveira LG, Angeli LR, Antonio SP, Pazzianotto-Forti EM. Efeitos do método Pilates sobre a função pulmonar, a mobilidade toracoabdominal e a força muscular respiratória: Ensaio clínico não randomizado, placebo-controlado. Fisioter Pesqui 2015; 22: 213-22.
[24]
Lopes ED de S, Ruas G, Patrizzi LJ. Efeitos de exercícios do método Pilates na força muscular respiratória de idosas: Um ensaio clínico. Rev Bras Geriatr Gerontol 2014; 17: 517-23.
[http://dx.doi.org/10.1590/1809-9823.2014.13093]
[25]
Cancelliero-Gaiad KM, Ike D, Pantoni CBF, Borghi-Silva A, Costa D. Respiratory pattern of diaphragmatic breathing and pilates breathing in COPD subjects. Braz J Phys Ther 2014; 18(4): 291-9.
[http://dx.doi.org/10.1590/bjpt-rbf.2014.0042] [PMID: 25075999]
[26]
Silva-E-Oliveira J, Amélio PM, Abranches ILL, Damasceno DD, Furtado F. Heart rate variability based on risk stratification for type 2 diabetes mellitus. Einstein (Sao Paulo) 2017; 15(2): 141-7.
[http://dx.doi.org/10.1590/s1679-45082017ao3888] [PMID: 28767910]
[27]
Stein PK, Barzilay JI, Domitrovich PP, et al. The relationship of heart rate and heart rate variability to non-diabetic fasting glucose levels and the metabolic syndrome: The Cardiovascular Health Study. Diabet Med 2007; 24(8): 855-63.
[http://dx.doi.org/10.1111/j.1464-5491.2007.02163.x] [PMID: 17403115]
[28]
Ziegler D, Voss A, Rathmann W, et al. Increased prevalence of cardiac autonomic dysfunction at different degrees of glucose intolerance in the general population: The KORA S4 survey. Diabetologia 2015; 58(5): 1118-28.
[http://dx.doi.org/10.1007/s00125-015-3534-7] [PMID: 25724570]
[29]
Bassi D, Cabiddu R, Mendes RG, et al. Effects of coexistence hypertension and type II diabetes on heart rate variability and cardiorespiratory fitness. Arq Bras Cardiol 2018; 111(1): 64-72.
[http://dx.doi.org/10.5935/abc.20180105] [PMID: 30110046]
[30]
Moreira S, Simões G, Hiyane W, Campbell C, Simões H. Identificação do limiar anaeróbio em indivíduos com diabetes tipo-2 sedentários e fisicamente ativos. Rev Bras Fisioter 2007; 11: 289-96.
[http://dx.doi.org/10.1590/S1413-35552007000400008]
[31]
Tibana RA, Boullosa DA, Leicht AS, Prestes J. Women with metabolic syndrome present different autonomic modulation and blood pressure response to an acute resistance exercise session compared with women without metabolic syndrome. Clin Physiol Funct Imaging 2013; 33(5): 364-72.
[http://dx.doi.org/10.1111/cpf.12038] [PMID: 23701209]
[32]
Leite MLS, Neves CEB, de Paula Junior AR, Osório RAL, Machado CB. Efeitos do Método Pilates sobre a variabilidade da frequência cardíaca, flexibilidade e variáveis antropométricas em indivíduos sedentários TT - Effects of the pilates method on heart rate variability, flexibility and anthropometric variables in sedentar. Fisioter Bras 17: 66-I: 71.2016;

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