Effect of Mat Pilates on Body Fluid Composition, Pelvic Stabilization, and Muscle Damage during Pregnancy

In this study, according to the exercise intensity (50–60% of HRmax (Maximum Heart Rate), RPE (Rating of Perceived Exertion: 11–13) proposed by The American Congress of Obstetricians and Gynecologists (ACOG) for pregnant women, mat Pilates exercise is related to body composition, lipid parameters, a...

Full description

Bibliographic Details
Main Authors: Ah-Hyun Hyun, Yoo-Jeong Jeon
Format: Article
Language:English
Published: MDPI AG 2020-12-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/10/24/9111
_version_ 1797544108654329856
author Ah-Hyun Hyun
Yoo-Jeong Jeon
author_facet Ah-Hyun Hyun
Yoo-Jeong Jeon
author_sort Ah-Hyun Hyun
collection DOAJ
description In this study, according to the exercise intensity (50–60% of HRmax (Maximum Heart Rate), RPE (Rating of Perceived Exertion: 11–13) proposed by The American Congress of Obstetricians and Gynecologists (ACOG) for pregnant women, mat Pilates exercise is related to body composition, lipid parameters, and pelvic stabilization. The effects on muscle and muscle damage were investigated. The subjects of this study were 16 pregnant women registered at the Cultural Center of Gyeonggi-do C Women’s Hospital, and the gestation period was 16 to 24 weeks. The mat Pilates exercise program (twice a week, 60 min per day, total 12 weeks) changed the Pilates exercise program every 6 weeks according to the subject’s pain level and physical fitness. Body composition before and after exercise, hip flexion, abduction and dilated lipids, inflammation, muscle damage, and stress hormones were measured through blood biochemical analysis. First, the difference in total body water, intracellular water, and skeletal muscle changes (post-pre) increased significantly in the Pilates exercise (PE) group compared to the control (CON) group, while the extracellular/intracellular water ratio significantly decreased. The effect of Pilates on body composition and lipid profile confirmed that, after testing, total body water (TBW), intracellular water (ICW), and extracellular water (ECW) were significantly greater than pre-test values in both groups (TBW: <i>z</i> = −2.286, <i>p</i> = 0.022, <i>r</i> = 0.572; ICW: <i>z</i> = −2.818, <i>p</i> = 0.005, <i>r</i> = 0.705; ECW: <i>z</i> = −1.232, <i>p</i> = 0.218, <i>r</i> = 0.308), whereas the ECW/ICW ratio decreased significantly only in the PE group (<i>z</i> = −2.170, <i>p</i> = 0.030, <i>r</i> = 0.543); while the increases in TBW and ICW were greater in the PE group than in the CON group, the ECW/ICW ratio decreased significantly in the PE group. Blood tests showed significant increases in body weight (BW), body fat mass (BFM), and percentage of body fat (PBF) in both groups post-test as compared to pre-test (BW: <i>z</i> = −1.590, <i>p</i> = 0.112, <i>r</i> = 0.398; BFM: <i>z</i> = −0.106, <i>p</i> = 0.916; PBF: <i>z</i> = −1.643, <i>p</i> = 0.100, <i>r</i> = 0.411). There was a slight increase in creatine kinase (CK) and lactate dehydrogenase (LDH), which are indices of muscle damage, and in the difference between the periods within the group, the CK and LDH of the CON group showed a tendency to increase significantly after inspection compared to the previous values (CK: <i>z</i> = −1.700, <i>p</i> = 0.089, <i>r</i> = 0.425, LDH: <i>z</i> = −2.603, <i>p</i> = 0.009, <i>r</i> = 0.651). Aspartate aminotransferase (AST) decreased significantly in the Pilates exercise group compared to that in the control group, and as a result of confirming the difference in the amount of change in C-reactive protein (CRP), there was no significant difference between the two groups, and the PE group showed a tendency to decrease after inspection compared to the previous period even in the difference between the periods in the group. The CON group showed an increasing trend, but no significant difference was found. Cortisol, a stress hormone, also increased significantly after inspection both groups compared to before (CON group: <i>z</i> = −2.201, <i>p</i> = 0.028; PE group: <i>z</i> = −2.547, <i>p</i> = 0.011). Therefore, the 12 week Pilates exercise program conducted in this study has a positive effect on body water balance and strengthens the muscles related to pelvic stabilization within the range of reducing muscle damage or causing muscle damage and stress in pregnant women. We think that it has an effective exercise intensity.
first_indexed 2024-03-10T13:54:47Z
format Article
id doaj.art-fa849fe392a9421fb8e9278297359506
institution Directory Open Access Journal
issn 2076-3417
language English
last_indexed 2024-03-10T13:54:47Z
publishDate 2020-12-01
publisher MDPI AG
record_format Article
series Applied Sciences
spelling doaj.art-fa849fe392a9421fb8e92782973595062023-11-21T01:45:57ZengMDPI AGApplied Sciences2076-34172020-12-011024911110.3390/app10249111Effect of Mat Pilates on Body Fluid Composition, Pelvic Stabilization, and Muscle Damage during PregnancyAh-Hyun Hyun0Yoo-Jeong Jeon1Department of Health and Exercise Science, Korea National Sport University, 1239, Yangjae-daero, Songpa-gu, Seoul 05541, KoreaDepartment of Sports & Health Science, Hanbat National University, Yoo Seong-gu 125, Daejeon 34158, KoreaIn this study, according to the exercise intensity (50–60% of HRmax (Maximum Heart Rate), RPE (Rating of Perceived Exertion: 11–13) proposed by The American Congress of Obstetricians and Gynecologists (ACOG) for pregnant women, mat Pilates exercise is related to body composition, lipid parameters, and pelvic stabilization. The effects on muscle and muscle damage were investigated. The subjects of this study were 16 pregnant women registered at the Cultural Center of Gyeonggi-do C Women’s Hospital, and the gestation period was 16 to 24 weeks. The mat Pilates exercise program (twice a week, 60 min per day, total 12 weeks) changed the Pilates exercise program every 6 weeks according to the subject’s pain level and physical fitness. Body composition before and after exercise, hip flexion, abduction and dilated lipids, inflammation, muscle damage, and stress hormones were measured through blood biochemical analysis. First, the difference in total body water, intracellular water, and skeletal muscle changes (post-pre) increased significantly in the Pilates exercise (PE) group compared to the control (CON) group, while the extracellular/intracellular water ratio significantly decreased. The effect of Pilates on body composition and lipid profile confirmed that, after testing, total body water (TBW), intracellular water (ICW), and extracellular water (ECW) were significantly greater than pre-test values in both groups (TBW: <i>z</i> = −2.286, <i>p</i> = 0.022, <i>r</i> = 0.572; ICW: <i>z</i> = −2.818, <i>p</i> = 0.005, <i>r</i> = 0.705; ECW: <i>z</i> = −1.232, <i>p</i> = 0.218, <i>r</i> = 0.308), whereas the ECW/ICW ratio decreased significantly only in the PE group (<i>z</i> = −2.170, <i>p</i> = 0.030, <i>r</i> = 0.543); while the increases in TBW and ICW were greater in the PE group than in the CON group, the ECW/ICW ratio decreased significantly in the PE group. Blood tests showed significant increases in body weight (BW), body fat mass (BFM), and percentage of body fat (PBF) in both groups post-test as compared to pre-test (BW: <i>z</i> = −1.590, <i>p</i> = 0.112, <i>r</i> = 0.398; BFM: <i>z</i> = −0.106, <i>p</i> = 0.916; PBF: <i>z</i> = −1.643, <i>p</i> = 0.100, <i>r</i> = 0.411). There was a slight increase in creatine kinase (CK) and lactate dehydrogenase (LDH), which are indices of muscle damage, and in the difference between the periods within the group, the CK and LDH of the CON group showed a tendency to increase significantly after inspection compared to the previous values (CK: <i>z</i> = −1.700, <i>p</i> = 0.089, <i>r</i> = 0.425, LDH: <i>z</i> = −2.603, <i>p</i> = 0.009, <i>r</i> = 0.651). Aspartate aminotransferase (AST) decreased significantly in the Pilates exercise group compared to that in the control group, and as a result of confirming the difference in the amount of change in C-reactive protein (CRP), there was no significant difference between the two groups, and the PE group showed a tendency to decrease after inspection compared to the previous period even in the difference between the periods in the group. The CON group showed an increasing trend, but no significant difference was found. Cortisol, a stress hormone, also increased significantly after inspection both groups compared to before (CON group: <i>z</i> = −2.201, <i>p</i> = 0.028; PE group: <i>z</i> = −2.547, <i>p</i> = 0.011). Therefore, the 12 week Pilates exercise program conducted in this study has a positive effect on body water balance and strengthens the muscles related to pelvic stabilization within the range of reducing muscle damage or causing muscle damage and stress in pregnant women. We think that it has an effective exercise intensity.https://www.mdpi.com/2076-3417/10/24/9111exercise intensitybody compositionlactate dehydrogenasestress hormone
spellingShingle Ah-Hyun Hyun
Yoo-Jeong Jeon
Effect of Mat Pilates on Body Fluid Composition, Pelvic Stabilization, and Muscle Damage during Pregnancy
Applied Sciences
exercise intensity
body composition
lactate dehydrogenase
stress hormone
title Effect of Mat Pilates on Body Fluid Composition, Pelvic Stabilization, and Muscle Damage during Pregnancy
title_full Effect of Mat Pilates on Body Fluid Composition, Pelvic Stabilization, and Muscle Damage during Pregnancy
title_fullStr Effect of Mat Pilates on Body Fluid Composition, Pelvic Stabilization, and Muscle Damage during Pregnancy
title_full_unstemmed Effect of Mat Pilates on Body Fluid Composition, Pelvic Stabilization, and Muscle Damage during Pregnancy
title_short Effect of Mat Pilates on Body Fluid Composition, Pelvic Stabilization, and Muscle Damage during Pregnancy
title_sort effect of mat pilates on body fluid composition pelvic stabilization and muscle damage during pregnancy
topic exercise intensity
body composition
lactate dehydrogenase
stress hormone
url https://www.mdpi.com/2076-3417/10/24/9111
work_keys_str_mv AT ahhyunhyun effectofmatpilatesonbodyfluidcompositionpelvicstabilizationandmuscledamageduringpregnancy
AT yoojeongjeon effectofmatpilatesonbodyfluidcompositionpelvicstabilizationandmuscledamageduringpregnancy