Introduction: Aging leads to vascular endothelial dysfunction and muscle impairment. While resistance exercise improves muscular function, its acute effects on vascular function vary in the literature, with some studies reporting detrimental effects. These findings indicate the need for exercises that optimize muscle function without compromising vascular function. Reformer Pilates (RP) is a low-impact exercise involving an adjustable sliding platform. However, the acute effects of RP on vascular function among older adults remain unknown. Therefore, this study aimed to investigate the acute effects of RP on vascular function in older adults. Methods: Overall, 17 participants (age: 65 ± 2.76 years, body mass index: 23.42 ± 3.68 kg/m2) were examined and assigned to control and RP conditions under a randomized crossover design. The RP condition involved a 3.5–5 omnibus perceived exertion scale with 19 exercise postures for 60 min. Brachial artery flow-mediated dilation (FMD), brachial-ankle pulse wave velocity (baPWV), and blood pressure were measured at baseline and 0, 10, 30, and 60 min after exercise. Results: RP significantly improved FMD at all time points compared with that at baseline (p < 0.05). baPWV increased at 0 min post-RP but returned to baseline levels at other time points. Additionally, RP showed improved FMD at 0, 10, and 30 min compared with that in the control condition (p < 0.05). However, no significant differences were observed in blood pressure or mean arterial pressure in either condition. Conclusion: RP enhanced FMD and regulated blood pressure for approximately 60 min post-exercise, suggesting its suitability for older adults to enhance vascular function and control blood pressure during exercise. Nonetheless, longitudinal resistance training intervention studies are needed to validate these findings.

1.
Kercher
VM
,
Kercher
K
,
Bennion
T
,
Levy
P
,
Alexander
C
,
Amaral
PC
, et al
.
2022 fitness trends from around the globe
.
ACSM’s Health & Fit J
.
2022
;
26
(
1
):
21
37
.
2.
Batrakoulis
A
,
Jamurtas
AZ
,
Metsios
GS
,
Perivoliotis
K
,
Liguori
G
,
Feito
Y
, et al
.
Comparative efficacy of 5 exercise types on cardiometabolic health in overweight and obese adults: a systematic review and network meta-analysis of 81 randomized controlled trials
.
Circ Cardiovasc Qual Outcomes
.
2022
;
15
(
6
):
e008243
.
3.
Bull
FC
,
Al-Ansari
SS
,
Biddle
S
,
Borodulin
K
,
Buman
MP
,
Cardon
G
, et al
.
World Health Organization 2020 guidelines on physical activity and sedentary behaviour
.
Br J Sports Med
.
2020
;
54
(
24
):
1451
62
.
4.
Bovolini
A
,
Costa-Brito
AR
,
Martins
F
,
Furtado
GE
,
Mendonça
GV
,
Vila-Chã
C
.
Impact of exercise on vascular function in middle-aged and older adults: a scoping review
.
Sports
.
2022
;
10
(
12
):
208
.
5.
Cortez-Cooper
MY
,
Anton
MM
,
Devan
AE
,
Neidre
DB
,
Cook
JN
,
Tanaka
H
.
The effects of strength training on central arterial compliance in middle-aged and older adults
.
Eur J Cardiovasc Prev Rehabil
.
2008
;
15
(
2
):
149
55
.
6.
Dawson
EA
,
Cable
NT
,
Green
DJ
,
Thijssen
DHJ
.
Do acute effects of exercise on vascular function predict adaptation to training
.
Eur J Appl Physiol
.
2018
;
118
(
3
):
523
30
.
7.
Mitranun
W
.
The acute effects of short and long durations of plank training on endothelial function
.
Songklanakarin J Sci Technol
.
2016
;
38
(
6
):
691
7
.
8.
Paditsaeree
K
,
Mitranun
W
.
Does combining elastic and weight resistance acutely protect against the impairment of flow-mediated dilatation in untrained men
.
Artery Res
.
2018
;
23
(
C
):
1
8
.
9.
Jurva
JW
,
Phillips
SA
,
Syed
AQ
,
Syed
AY
,
Pitt
S
,
Weaver
A
, et al
.
The effect of exertional hypertension evoked by weight lifting on vascular endothelial function
.
J Am Coll Cardiol
.
2006
;
48
(
3
):
588
9
.
10.
Morishima
T
,
Tsuchiya
Y
,
Iemitsu
M
,
Ochi
E
.
High-intensity resistance exercise with low repetitions maintains endothelial function
.
Am J Physiol Heart Circ Physiol
.
2018
;
315
(
3
):
H681
6
.
11.
Tsuchiya
Y
,
Morishima
T
,
Ochi
E
.
Slow-speed low-intensity but not normal-speed high-intensity resistance exercise maintains endothelial function
.
Res Q Exerc Sport
.
2022
;
94
(
2
):
560
7
.
12.
Betik
AC
,
Luckham
VB
,
Hughson
RL
.
Flow-mediated dilation in human brachial artery after different circulatory occlusion conditions
.
Am J Physiol Heart Circ Physiol
.
2004
;
286
(
1
):
H442
8
.
13.
Shechter
M
,
Issachar
A
,
Marai
I
,
Koren-Morag
N
,
Freinark
D
,
Shahar
Y
, et al
.
Long-term association of brachial artery flow-mediated vasodilation and cardiovascular events in middle-aged subjects with no apparent heart disease
.
Int J Cardiol
.
2009
;
134
(
1
):
52
8
.
14.
Tinken
TM
,
Thijssen
DH
,
Hopkins
N
,
Dawson
EA
,
Cable
NT
,
Green
DJ
.
Shear stress mediates endothelial adaptations to exercise training in humans
.
Hypertension
.
2010
;
55
(
2
):
312
8
.
15.
van Popele
NM
,
Grobbee
DE
,
Bots
ML
,
Asmar
R
,
Topouchian
J
,
Reneman
RS
, et al
.
Association between arterial stiffness and atherosclerosis: the Rotterdam Study
.
Stroke
.
2001
;
32
(
2
):
454
60
.
16.
Brunner
H
,
Cockcroft
JR
,
Deanfield
J
,
Donald
A
,
Ferrannini
E
,
Halcox
J
, et al
.
Endothelial function and dysfunction. Part II: association with cardiovascular risk factors and diseases. A statement by the Working Group on Endothelins and Endothelial Factors of the European Society of Hypertension
.
J Hypertens
.
2005
;
23
(
2
):
233
46
.
17.
Laurent
S
,
Boutouyrie
P
,
Asmar
R
,
Gautier
I
,
Laloux
B
,
Guize
L
, et al
.
Aortic stiffness is an independent predictor of all-cause and cardiovascular mortality in hypertensive patients
.
Hypertension
.
2001
;
37
(
5
):
1236
41
.
18.
Mitchell
GF
,
Hwang
SJ
,
Vasan
RS
,
Larson
MG
,
Pencina
MJ
,
Hamburg
NM
, et al
.
Arterial stiffness and cardiovascular events: the framingham heart study
.
Circulation
.
2010
;
121
(
4
):
505
11
.
19.
Lakatta
EG
,
Levy
D
.
Arterial and cardiac aging: major shareholders in cardiovascular disease enterprises: Part I: aging arteries: a “set up” for vascular disease
.
Circulation
.
2003
;
107
(
1
):
139
46
.
20.
Gholamrezaei
A
,
Van Diest
I
,
Aziz
Q
,
Vlaeyen
JWS
,
Van Oudenhove
L
.
Psychophysiological responses to various slow, deep breathing techniques
.
Psychophysiology
.
2021
;
58
(
2
):
e13712
.
21.
Wells
C
,
Kolt
GS
,
Bialocerkowski
A
.
Defining Pilates exercise: a systematic review
.
Complement Ther Med
.
2012
;
20
(
4
):
253
62
.
22.
Batrakoulis
A
.
Psychophysiological adaptations to Pilates training in overweight and obese individuals: a topical review
.
Diseases
.
2022
;
10
(
4
):
71
.
23.
Wong
CM
,
Rugg
B
,
Geere
JA
.
The effects of Pilates exercise in comparison to other forms of exercise on pain and disability in individuals with chronic non-specific low back pain: a systematic review with meta-analysis
.
Musculoskelet Care
.
2023
;
21
(
1
):
78
96
.
24.
Bullo
V
,
Bergamin
M
,
Gobbo
S
,
Sieverdes
JC
,
Zaccaria
M
,
Neunhaeuserer
D
, et al
.
The effects of Pilates exercise training on physical fitness and wellbeing in the elderly: a systematic review for future exercise prescription
.
Prev Med
.
2015
;
75
:
1
11
.
25.
Meikis
L
,
Wicker
P
,
Donath
L
.
Effects of Pilates training on physiological and psychological health parameters in healthy older adults and in older adults with clinical conditions over 55 years: a meta-analytical review
.
Front Neurol
.
2021
;
12
:
724218
.
26.
Pereira
MJ
,
Mendes
R
,
Mendes
RS
,
Martins
F
,
Gomes
R
,
Gama
J
, et al
.
Benefits of Pilates in the elderly population: a systematic review and meta-analysis
.
Eur J Investig Health Psychol Educ
.
2022
;
12
(
3
):
236
68
.
27.
Fourie
M
,
Gildenhuys
GM
,
Shaw
I
,
Shaw
BS
,
Toriola
AL
,
Goon
DT
.
Effects of a mat Pilates programme on body composition in elderly women
.
West Indian Med J
.
2013
;
62
(
6
):
524
8
.
28.
Vieira
ND
,
Testa
D
,
Ruas
PC
,
Salvini
TF
,
Catai
AM
,
de Melo
RC
.
The effects of 12 weeks Pilates-inspired exercise training on functional performance in older women: a randomized clinical trial
.
J Bodyw Mov Ther
.
2017
;
21
(
2
):
251
8
.
29.
de Oliveira Francisco
C
,
de Almeida Fagundes
A
,
Gorges
B
.
Effects of Pilates method in elderly people: systematic review of randomized controlled trials
.
J Bodyw Mov Ther
.
2015
;
19
(
3
):
500
8
.
30.
Chen
Z
,
Ye
X
,
Xia
Y
,
Song
H
,
Wang
Y
,
Guan
Y
, et al
.
Effect of Pilates on glucose and lipids: a systematic review and meta-analysis of randomized controlled trials
.
Front Physiol
.
2021
;
12
:
641968
.
31.
Jung
K
,
Seo
J
,
Jung
WS
,
Kim
J
,
Park
HY
,
Lim
K
.
Effects of an acute Pilates program under hypoxic conditions on vascular endothelial function in Pilates participants: a randomized crossover trial
.
Int J Environ Res Public Health
.
2020
;
17
(
7
):
2584
.
32.
Mitranun
W
,
Peepathum
P
.
Brachial flow-mediated dilatation response to acute different upper body training postures in lean inactive vs. lean active men
.
Artery Res
.
2018
;
22
(
C
):
1
7
.
33.
Franklin
NC
,
Ali
M
,
Goslawski
M
,
Wang
E
,
Phillips
SA
.
Reduced vasodilator function following acute resistance exercise in obese women
.
Front Physiol
.
2014
;
5
:
253
.
34.
Corretti
MC
,
Anderson
TJ
,
Benjamin
EJ
,
Celermajer
D
,
Charbonneau
F
,
Creager
MA
, et al
.
Guidelines for the ultrasound assessment of endothelial-dependent flow-mediated vasodilation of the brachial artery: a report of the International Brachial Artery Reactivity Task Force
.
J Am Coll Cardiol
.
2002
;
39
(
2
):
257
65
.
35.
Dhindsa
M
,
Sommerlad
SM
,
Devan
AE
,
Barnes
JN
,
Sugawara
J
,
Ley
O
, et al
.
Interrelationships among noninvasive measures of postischemic macro- and microvascular reactivity
.
J Appl Physiol
.
2008
;
105
(
2
):
427
32
.
36.
Rocha
J
,
Cunha
FA
,
Cordeiro
R
,
Monteiro
W
,
Pescatello
LS
,
Farinatti
P
.
Acute effect of a single session of Pilates on blood pressure and cardiac autonomic control in middle-aged adults with hypertension
.
J Strength Cond Res
.
2020
;
34
(
1
):
114
23
.
37.
Park
S
,
Rink
LD
,
Wallace
JP
.
Accumulation of physical activity leads to a greater blood pressure reduction than a single continuous session, in prehypertension
.
J Hypertens
.
2006
;
24
(
9
):
1761
70
.
38.
Saz-Lara
A
,
Cavero-Redondo
I
,
Álvarez-Bueno
C
,
Notario-Pacheco
B
,
Ruiz-Grao
MC
,
Martínez-Vizcaíno
V
.
The acute effect of exercise on arterial stiffness in healthy subjects: a meta-analysis
.
J Clin Med
.
2021
;
10
(
2
):
E291
.
39.
Li
Y
,
Hanssen
H
,
Cordes
M
,
Rossmeissl
A
,
Endes
S
,
Schmidt-Trucksäss
A
.
Aerobic, resistance and combined exercise training on arterial stiffness in normotensive and hypertensive adults: a review
.
Eur J Sport Sci
.
2015
;
15
(
5
):
443
57
.
40.
Devan
AE
,
Anton
MM
,
Cook
JN
,
Neidre
DB
,
Cortez-Cooper
MY
,
Tanaka
H
.
Acute effects of resistance exercise on arterial compliance
.
J Appl Physiol
.
2005
;
98
(
6
):
2287
91
.
41.
Hartog
R
,
Bolignano
D
,
Sijbrands
E
,
Pucci
G
,
Mattace-Raso
F
.
Short-term vascular hemodynamic responses to isometric exercise in young adults and in the elderly
.
Clin Interv Aging
.
2018
;
13
:
509
14
.
42.
Yeboah
J
,
Crouse
JR
,
Hsu
FC
,
Burke
GL
,
Herrington
DM
.
Brachial flow-mediated dilation predicts incident cardiovascular events in older adults: the cardiovascular health study
.
Circulation
.
2007
;
115
(
18
):
2390
7
.
43.
Phillips
SA
,
Das
E
,
Wang
J
,
Pritchard
K
,
Gutterman
DD
.
Resistance and aerobic exercise protects against acute endothelial impairment induced by a single exposure to hypertension during exertion
.
J Appl Physiol
.
2011
;
110
(
4
):
1013
20
.
44.
Montero
D
,
Padilla
J
,
Diaz-Cañestro
C
,
Muris
DM
,
Pyke
KE
,
Obert
P
, et al
.
Flow-mediated dilation in athletes: influence of aging
.
Med Sci Sports Exerc
.
2014
;
46
(
11
):
2148
58
.
45.
Boonsit
S
,
Peepathum
P
,
Mitranun
W
.
The acute effects of the different total body resistance exercise (trx) postures on flow-mediated dilatation in elderly subjects
.
J Exerc Physiol Online
.
2017
;
20
:
24
35
.
46.
Dawson
EA
,
Green
DJ
,
Timothy Cable
N
,
Thijssen
DH
.
Effects of acute exercise on flow-mediated dilatation in healthy humans
.
J Appl Physiol
.
2013
;
115
(
11
):
1589
98
.
47.
Mourya
M
,
Mahajan
AS
,
Singh
NP
,
Jain
AK
.
Effect of slow- and fast-breathing exercises on autonomic functions in patients with essential hypertension
.
J Altern Complement Med
.
2009
;
15
(
7
):
711
7
.
48.
Joseph
CN
,
Porta
C
,
Casucci
G
,
Casiraghi
N
,
Maffeis
M
,
Rossi
M
, et al
.
Slow breathing improves arterial baroreflex sensitivity and decreases blood pressure in essential hypertension
.
Hypertension
.
2005
;
46
(
4
):
714
8
.
49.
Mitarnun
W
,
Mitranun
W
,
Mitarnun
W
,
Pangwong
W
.
Home-based walking meditation decreases disease severity in Parkinson’s disease: a randomized controlled trial
.
J Integr Complement Med
.
2022
;
28
(
3
):
227
33
.
50.
Martarelli
D
,
Cocchioni
M
,
Scuri
S
,
Pompei
P
.
Diaphragmatic breathing reduces exercise-induced oxidative stress
.
Evid Based Complement Alternat Med
.
2011
;
2011
:
932430
.
51.
Kim
DH
,
Moon
YS
,
Kim
HS
,
Jung
JS
,
Park
HM
,
Suh
HW
, et al
.
Effect of Zen meditation on serum nitric oxide activity and lipid peroxidation
.
Prog Neuro-Psychopharmacol Biol Psychiatry
.
2005
;
29
(
2
):
327
31
.
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