Mérida-Téllez Juan Manuel, Vázquez-Lara Juana María, Fernández-Carrasco Francisco Javier, Gómez-Salgado Juan, Macías-Toronjo Israel, Muñoz-Vela Francisco Javier, Fagundo-Rivera Javier, Palomo-Gómez Rocío, Rodríguez-Díaz Luciano
School of Doctorate, University of Huelva, Huelva, Spain.
Las Lagunas Health Centre, Servicio Andaluz de Salud, Junta de Andalucía, Málaga, Spain.
Medicine (Baltimore). 2025 Apr 25;104(17):e41967. doi: 10.1097/MD.0000000000041967.
The practice of the Pilates method (PM) improves sleep quality, as well as it could decrease low back pain. This study aimed to evaluate the effects of Pilates on the quality of life (QoL) of pregnant women during pregnancy.
A systematic review examining perceived QoL, pain, and mental health in pregnant women practising the PM was conducted following the PRISMA 2020 criteria in the Pubmed, Scopus, Web of Science, and Trip Database electronic databases, including studies published between January 2013 and February 2024. Methodological quality was assessed using the critical appraisal tool for studies of the Joanna Briggs Institute.
Ten publications addressing the key words on the topic were included involving a total of 499 pregnant women, of which 268 had practiced Pilates and 231 had received routine care. The results showed that, in 2 of the studies, pregnant women who had practised the PM during pregnancy showed an improvement in perceived QoL (chi-squared value = 5.597, P = .018), sleep quality (P = .018) and physical mobility (P = .040). Lumbopelvic pain (LBPP) was reduced in the group of pregnant women in eight of these studies (with values of P < .001 and P < .05), and 1 study reported no significant differences among these variables. In terms of mental health, 2 studies reported a decrease in anxiety (P < .05 and P = .009) and 1 study indicated lower depression levels (scores of control group from a mean of 6.19 to 7.54, and the intervention group from a mean of 8.61 to 4.59).
The PM shows benefits in improving the QoL of pregnant women who practise it during pregnancy. Other indicators such as LBPP and mental health also benefit from Pilates. The practice of physical activity, supervised by nurses and midwives, can lead to an improvement in pregnant women's perception of their own health and QoL.
PRISMA Declaration.
PROSPERO registration number CRD42024513781.
普拉提方法（PM）的练习可改善睡眠质量，并能减轻腰痛。本研究旨在评估普拉提对孕期妇女生活质量（QoL）的影响。
按照PRISMA 2020标准，在PubMed、Scopus、科学网和Trip数据库等电子数据库中进行了一项系统评价，考察练习普拉提的孕妇的感知生活质量、疼痛和心理健康状况，纳入2013年1月至2024年2月发表的研究。使用乔安娜·布里格斯研究所研究的批判性评价工具评估方法学质量。
共纳入10篇涉及该主题关键词的出版物，涉及499名孕妇，其中268名练习了普拉提，231名接受了常规护理。结果显示，在2项研究中，孕期练习普拉提的孕妇在感知生活质量（卡方值=5.597，P=0.018）、睡眠质量（P=0.018）和身体活动能力（P=0.040）方面有所改善。在其中8项研究中，孕妇组的腰盆腔疼痛（LBPP）减轻（P<0.001和P<0.05），1项研究报告这些变量之间无显著差异。在心理健康方面，2项研究报告焦虑有所减轻（P<0.05和P=0.009），1项研究表明抑郁水平较低（对照组得分从平均6.19降至7.54，干预组得分从平均8.61降至4.59）。
普拉提对孕期练习的孕妇改善生活质量有好处。其他指标如腰盆腔疼痛和心理健康也受益于普拉提。在护士和助产士的监督下进行体育活动，可改善孕妇对自身健康和生活质量的感知。
PRISMA声明。
PROSPERO注册号CRD42024513781。
