Does sex influence cardiovascular responses after a Pilates session? A randomized cross-sectional study

Sex and cardiovascular responses in Pilates

Authors

  • Rhennan R. Barbosa University of Pernambuco (UPE), Federal University of Paraíba (UFPB), Recife (PE), Brazil
  • Aline de F. Brito University of Pernambuco (UPE), Recife (PE), Brazil
  • Camila B. A. Barros University of Pernambuco (UPE), Petrolina (PE), Brazil
  • Helen Christinne L. L. da Cunha University of Pernambuco (UPE), Recife (PE), Brazil
  • Manoel da C. Costa University of Pernambuco (UPE), Recife (PE), Brazil
  • Jorge Luiz de B. Gomes Federal University of the São Francisco Valley (UNIVASF), Petrolina (PE), Brail

DOI:

https://doi.org/10.17784/mtprehabjournal.2026.24.1379

Keywords:

Post-exercise hypotension, mat Pilates, blood pressure, exercise

Abstract

Background: Aerobic and strength are recommended for post-exercise hypotension (PEH). Pilates regarding sex-PEH comparisons is needed. Objective: Aimed to investigate sex-related cardiovascular responses during and after a Pilates session. Methods: Seven females and seven males performed randomly Pilates and Control. Heart rate (HR), systolic (SBP), and diastolic blood pressure (DBP) were measured according a) rest, b) during (15-minute), and after (0, 15, and 30-minute). Pilates was performed with Cadillac, Combo Chair, and Reformer. A generalized estimating equation was utilized (p<0.05). Results: For both sexes, HR was higher at 15 minutes, POST-0, and POST-15 for Pilates sessions (P<0.05). An HR and DP sex difference was found in Pilates and control for males at PRE moment compared to 15-minute and POST-0 for females in the same session (P<0.05). Similarly, DP was higher at 15 minutes, POST-0, and POST-15 for Pilates sessions (p<0.05) for both sexes. Regarding SBP, no PEH was detected over time. However, a sex difference was found in Pilates for males at 15-moment compared to PRE, 15-minute and POST-15, and POST-30 for females (p<0.05). DBP values presented no statistical changes. Conclusion: Although no PEH for both sexes, sex influences HR, SBP, and DP responses during and after a single Pilates session.

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Published

2026-03-20

How to Cite

R. Barbosa, R., de F. Brito , A., B. A. Barros, C., L. L. da Cunha, H. C., da C. Costa, M., & de B. Gomes, J. L. (2026). Does sex influence cardiovascular responses after a Pilates session? A randomized cross-sectional study: Sex and cardiovascular responses in Pilates . Manual Therapy, Posturology & Rehabilitation Journal, 24. https://doi.org/10.17784/mtprehabjournal.2026.24.1379

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Section

Research articles