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Previous issue date: 2016-06-27 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Introduction: With aging changes occur in the bone tissue, both as fast resorption as bone formation, decrease the accumulation of plastic deformation and micro damages, leaving it more prone to fracture bone. These changes may significantly affect the health of the elderly. The Pilates exercises may eventually contribute to the improvement of these characteristics, but despite the growing number of professionals who use the Pilates principles studies are needed to investigate the effectiveness of the technique and its clinical application. Purpose: To verify the effects of a Pilates program on bone mass and body composition in elderly, sedentary. Method: Blind controlled clinical trial which included a sample of 24 sedentary elderly women living in the city of Lages / SC, divided into two groups: GP (Pilates Group) and CG (Control Group). The GP held a Pilates exercise program (mat and equipment) 2 times a week for 6 months. Bone densitometry (DXA) was used to assess bone mineral density (BMD) of the participants before and after the intervention. This research was approved by the Research Ethics Committee (CEP) of the Pontifical Catholic University of Rio Grande do Sul (PUCRS) and registered in the Brazilian Registry of Clinical Trials (Rebec). For the statistical analysis SPSS 20.0 for Windows 8 was used. For the analysis of normality Shapiro-Wilk was used; fot infer the T-Student test was used for normal distribution, and the Mann-Whitney U test for asymmetrical distribution, with significance level set at 5% (p<0.05). Results: 20 elderly women were reevaluated, 9 (63.7 ? 3.3 years old) from the GP and 11 (65.2 ? 3.0 year olds) from the GC. After the intervention there was no significant difference in lumbar BMD (p = 0.14), femoral neck (p = 0.57) and total hip (p = 0.52) between groups. There was a correlation (r = 0.87) proportional between the body mass index (BMI) and BMD. A significant decrease was found (p = 0.03) in the abdominal circumference of the GP. Although not statistically significant, there was improvement in aspects related to the percentage of body fat and lean tissue in GP. Conclusion: A Pilates exercise program held twice a week for six months showed no significant changes in BMD of the investigated elderly. / Introdu??o: Com o envelhecimento ocorrem altera??es no tecido ?sseo, tanto na maior velocidade de reabsor??o como de forma??o ?ssea, diminui??o da deforma??o pl?stica e ac?mulo de micro danos, deixando o osso mais propenso ?s fraturas. Estas modifica??es podem acarretar importantes implica??es para a sa?de dos idosos. Os exerc?cios do m?todo Pilates podem contribuir eventualmente na melhora dessas caracter?sticas, mas apesar do n?mero crescente de profissionais que aplicam os princ?pios do Pilates s?o necess?rios estudos que investiguem a efic?cia da t?cnica e sua aplicabilidade cl?nica. Objetivos: Verificar os efeitos de um programa de Pilates na massa ?ssea e composi??o corporal de idosas sedent?rias. M?todo: Ensaio cl?nico controlado e cego que contou com uma amostra de 24 idosas sedent?rias residentes na cidade de Lages/SC, distribu?das em dois grupos: GP (Grupo Pilates) e GC (Grupo Controle). O GP realizou um programa de exerc?cios de Pilates (solo e aparelhos) 2 vezes por semana durante 6 meses. Foi utilizado densitometria ?ssea (DXA) para avaliar a densidade mineral ?ssea (DMO) das participantes antes e ap?s a interven??o. Esta pesquisa foi aprovada pelo Comit? de ?tica em Pesquisa (CEP) da Pontif?cia Universidade Cat?lica do Rio Grande do Sul (PUCRS) e inscrita no Registro Brasileiro de Ensaios Cl?nicos (ReBEC). Para o tratamento estat?stico foi utilizado o programa SPSS 20.0 para Windows 8. Para a an?lise da normalidade foi utilizado Shapiro-Wilk; para infer?ncia foi utilizado o teste T-Student para distribui??o normal e o teste U de Mann-Whitney para distribui??o assim?trica, com n?vel de signific?ncia fixado em 5% (p<0,05). Resultados: Foram reavaliadas 20 idosas, sendo 9 (63,7?3,3 anos) do GP e 11 (65,2?3,0 anos) do GC. Ap?s a interven??o n?o houve diferen?a significativa na DMO lombar (p=0,14), colo femoral (p=0,57) e f?mur total (p=0,52) entre os grupos. Houve uma correla??o (r=0,87) entre ?ndice de massa corporal (IMC) e DMO. Foi encontrada uma diminui??o significativa na circunfer?ncia abdominal do GP (p=0,035). Apesar de n?o ser estatisticamente significativa, houve melhora nos aspectos relacionados ? porcentagem de gordura corporal e tecido magro no GP. Conclus?o: Um programa de exerc?cios de Pilates realizado duas vezes por semana durante seis meses n?o mostrou altera??es significativas na DMO das idosas investigadas.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/6965 |
| Date | 27 June 2016 |
| Creators | Liposcki, Daniela Branco |
| Contributors | Schneider, Rodolfo Herberto |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Gerontologia Biom?dica, PUCRS, Brasil, Instituto de Geriatria e Gerontologia |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 4438661476953179033, 600, 600, 600, 600, 2296420844541114010, -969369452308786627, 2075167498588264571 |
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