Li Yuxuan, Lu Heran, Zhang Liuwei, Ren Yijia, Dai Xiaotong, Lin Lin
Key Laboratory of Exercise and Physical Fitness, Beijing Sport University, Ministry of Education, Beijing, China.
Department of Physical Fitness and Health, School of Sport Science, Beijing Sport University, Beijing, China.
BMC Sports Sci Med Rehabil. 2025 Feb 4;17(1):20. doi: 10.1186/s13102-025-01067-9.
Pilates is widely acknowledged as an effective exercise for enhancing physical, psychological, and motor functions. However, there remains ongoing debate regarding the effects of Pilates on pregnancy outcomes. Thus, the objective of this systematic review was to evaluate and critically analyze the existing scientific evidence regarding the effects of Pilates on pregnant women.
A thorough search was performed across 7 databases, focusing on articles published up to June 2024. The quality of evidence was assessed using the Cochrane RoB Tool, and STATA 17.0 software was utilized to perform tests for heterogeneity, publication bias, and sensitivity analysis.
(1) A total of 11 studies were included in this review, comprising 538 participants. Among these, 3 studies exhibited a low risk of bias, while 8 studies presented an unclear risk of bias. (2) The meta-analysis results indicated that Pilates exercise resulted in non-significant changes in the Body Mass Index (BMI) of pregnant women (SMD 0.02; 95% CI, -0.27 to 0.31; P = 0.887), the body weight of pregnant women (SMD 0.25; 95% CI, -0.52 to 1.02; P = 0.519), the mode of delivery (RR 1.41; 95% CI, 0.95 to 2.09; P = 0.093), and the Low-density lipoprotein (LDL) levels of pregnant women (SMD - 1.182; 95% CI, -2.443 to 0.079; P = 0.066). However, Pilates exercise during pregnancy was associated with significant improvements in APGAR scores at 1 min (SMD 0.41; 95% CI, 0.08 to 0.74; P = 0.015), a reduction in the duration of labor (SMD - 0.557; 95% CI, -0.915 to -0.198; P = 0.002), and a decrease in the Visual Analogue Score (VAS) score (SMD - 0.76; 95% CI, -1.45 to -0.07; P = 0.032). (3) Sensitivity analysis revealed no significant differences in effect size before and after the removal of any individual study, indicating that the meta-analysis results were stable.
This systematic review and meta-analysis demonstrate that Pilates during pregnancy positively influences the shortening of labor duration, improves the newborn's immediate physiological status, and alleviates labor pain.
The study was registered on the International Prospective Registry of Systematic Reviews--PROSPERO database (CRD42023393309) on January 30, 2023.
普拉提被广泛认为是一种增强身体、心理和运动功能的有效运动。然而，关于普拉提对妊娠结局的影响仍存在争议。因此，本系统评价的目的是评估和批判性分析关于普拉提对孕妇影响的现有科学证据。
对7个数据库进行了全面检索，重点关注截至2024年6月发表的文章。使用Cochrane偏倚风险工具评估证据质量，并使用STATA 17.0软件进行异质性检验、发表偏倚检验和敏感性分析。
（1）本评价共纳入11项研究，包括538名参与者。其中，3项研究偏倚风险较低，8项研究偏倚风险不明确。（2）荟萃分析结果表明，普拉提运动对孕妇体重指数（BMI）（标准化均值差[SMD]0.02；95%置信区间[CI]，-0.27至0.31；P = 0.887）、孕妇体重（SMD 0.25；95%CI，-0.52至1.02；P = 0.519）、分娩方式（风险比[RR]1.41；95%CI，0.95至2.09；P = 0.093）和孕妇低密度脂蛋白（LDL）水平（SMD -1.182；95%CI，-2.443至0.079；P = 0.066）的影响无统计学意义。然而，孕期进行普拉提运动与1分钟时阿氏评分显著改善（SMD 0.41；95%CI，0.08至0.74；P = 0.015）、产程缩短（SMD -0.557；95%CI，-0.915至-0.198；P = 0.002）和视觉模拟评分（VAS）降低（SMD -0.76；95%CI，-1.45至-0.07；P = 0.032）相关。（3）敏感性分析显示，剔除任何一项个体研究前后效应量无显著差异，表明荟萃分析结果稳定。
本系统评价和荟萃分析表明，孕期进行普拉提运动对缩短产程、改善新生儿即时生理状态和减轻分娩疼痛有积极影响。
该研究于2023年1月30日在国际前瞻性系统评价注册库——PROSPERO数据库（CRD42023393309）注册。
