Wang Yi, Chen Zehua, Wu Zugui, Ye Xiangling, Xu Xuemeng
The Fifth Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Guangdong Second Traditional Chinese Medicine Hospital, Guangzhou, China.
Front Physiol. 2021 Mar 11;12:643455. doi: 10.3389/fphys.2021.643455. eCollection 2021.
Evidence for the efficacy of Pilates for the modulation of body weight and body composition is unclear. This meta-analysis aimed to evaluate the effects of Pilates on body weight and body composition in adults with overweight or obesity. The PubMed, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), and EMBASE databases were systematically searched from the inception dates to 12 November 2020 for relevant randomized controlled trials (RCTs). Randomized controlled trials comparing Pilates with other physical exercises or without any intervention were included. Three reviewers independently performed the data extraction and assessed study quality. The mean differences (MDs) and 95% confidence intervals (CIs) for pooled data were calculated. Outcome measures were body weight, body mass index (BMI), body fat percentage, lean body mass, and waist circumference. Eleven RCTs with 393 subjects were included. This study revealed that Pilates dramatically reduces body weight (MD = -2.40, 95% CI: [-4.04, -0.77], = 0.004, = 51%), BMI (MD = -1.17, 95% CI: [-1.85, -0.50], = 0.0006, = 61%), and body fat percentage (MD = -4.22, 95% CI: [-6.44, -2.01], = 0.0002, = 88%) in adults with overweight or obesity. The reduction in body weight and body fat percentage appears to be more pronounced in studies including participants with obesity only, and the efficacy of Pilates for the improvement of body weight and BMI appears to be more evident in longer intervention duration. However, Pilates has no significant effect on waist circumference (MD = -2.65, 95% CI: [-6.84, 1.55], = 0.22, = 0%) and lean body mass (MD = -0.00, 95% CI: [-1.40, 1.40], = 1.00, = 23%). Pilates dramatically reduces body weight, BMI, and body fat percentage in adults with overweight or obesity. Large-scale and well-designed RCTs with improved methodology and reporting are urgently needed to further confirm these results.
普拉提对体重和身体成分调节效果的证据尚不清楚。这项荟萃分析旨在评估普拉提对超重或肥胖成年人的体重和身体成分的影响。从数据库创建日期至2020年11月12日，系统检索了PubMed、Cochrane图书馆、科学网、中国知网和EMBASE数据库，以查找相关的随机对照试验（RCT）。纳入了比较普拉提与其他体育锻炼或无任何干预措施的随机对照试验。三位评审员独立进行数据提取并评估研究质量。计算汇总数据的平均差（MD）和95%置信区间（CI）。结果指标包括体重、体重指数（BMI）、体脂百分比、瘦体重和腰围。纳入了11项随机对照试验，共393名受试者。该研究表明，普拉提能显著降低超重或肥胖成年人的体重（MD = -2.40，95% CI：[-4.04, -0.77]，P = 0.004，I² = 51%）、BMI（MD = -1.17，95% CI：[-1.85, -0.50]，P = 0.0006，I² = 61%）和体脂百分比（MD = -4.22，95% CI：[-6.44, -2.01]，P = 0.0002，I² = 88%）。在仅纳入肥胖参与者的研究中，体重和体脂百分比的降低似乎更为明显，而普拉提对体重和BMI改善的效果在干预持续时间较长时似乎更为显著。然而，普拉提对腰围（MD = -2.65，95% CI：[-6.84, 1.55]，P = 0.22，I² = 0%）和瘦体重（MD = -0.00，95% CI：[-1.40, 1.40]，P = 1.00，I² = 23%）没有显著影响。普拉提能显著降低超重或肥胖成年人的体重、BMI和体脂百分比。迫切需要大规模、设计良好且方法和报告有所改进的随机对照试验来进一步证实这些结果。
