Effects of individualized low-intensity mat Pilates on aerobic capacity and recovery ability in adults

Article information

Phys Act Nutr. 2022;26(4):046-053
Publication date (electronic) : 2022 December 31
doi : https://doi.org/10.20463/pan.2022.0024
1Graduate School of Sports Medicine, CHA University, Gyeonggi-do, Republic of Korea
2Department of Medicine, General Graduate School, CHA University, Gyeonggi-do, Republic of Korea
*Corresponding author : Woo-Hwi Yang, Assist. Prof. Dr. Graduate School of Sports Medicine, Department of Medicine, General Graduate School, CHA University, 43, Beolmal-ro 30beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, Republic of Korea. Tel: +82-31-728-7917 E-mail: ywh1235@cha.ac.kr
Received 2022 August 18; Revised 2022 November 3; Accepted 2022 November 30.

Abstract

[Purpose]

Although Pilates is one of the most widely performed physical activities in Korea, no physiological evidence is available regarding its energy recovery ability. Therefore, the purpose of this study was to investigate the effects of individualized low-intensity mat Pilates on aerobic capacity and recovery ability in adults.

[Methods]

Ten physically active women participated in this study. Pre- and post-lactate threshold (LT) tests were performed to compare jogging/running speeds (S; km·h−1) and heart rates (HR; beats·min−1) at 1.5, 2.0, 3.0, 4.0 mmol·L−1 lactate concentrations (La). Subjects performed 1 h of low-intensity mat Pilates twice a week for four weeks. During these sessions, exercise intensity was determined based on the heart rate corresponding to individualized low-inten- sity recovery zone 1, which was estimated using a mathematical model of log-log LT1 (from pre-test; < 2 mmol·L−1). All physiological variables were measured before and after exercise intervention.

[Results]

Significant differences were found in body mass increase and body mass index increase between the pre- and post-tests (p = 0.016 and p = 0.014, respectively, effect size (ES) = 0.13; ES = −0.11). Levels of La between 1.0 and 1.4 m·s−1 in the post-LT test tended to decrease, although such decrease was not significantly different. Moderate to high positive correlations between differences (Δ) of S and ΔHR at 1.5, 3.0, and 4.0 mmol·L−1La were observed.

[Conclusion]

Positive correlations between ΔS and ΔHR at certain La levels indicate that low-intensity mat Pilates based on heart rate corresponding to individualized recovery zone 1 might be recommended for physically active adults.

INTRODUCTION

Mitochondrial dysfunction and oxidative stress are involved in aging, age-related diseases, and metabolic syndromes. Metabolic syndrome is a cluster of pathological conditions, including abdominal obesity, hyperlipidemia, insulin resistance, and other abnormalities [1,2]. This new non-communicable disease has become apparent as a common public health problem globally [2,3]. Increased risk of developing metabolic syndrome is seen in the general population in the modern workplace, mostly due to a sedentary lifestyle, high-calorie intake, low-fiber food consumption, and technological development [2-4]. Individuals with metabolic syndrome are more likely to develop cardiovascular diseases and type 2 diabetes than those without metabolic syndrome [5]. The cost of curing metabolic syndrome is a social, governmental, and economic burden worldwide [3,5-8].

Therefore, many health organizations have recommended aerobic endurance exercises to prevent risk factors for this syndrome 8 . Physical activity such as aerobic endurance training is recommended to regulate metabolic risk factors, including fasting triglycerides, high-density lipoprotein (HDL), and insulin sensitivity, and to improve cardiorespiratory fitness and type 2 diabetes mellitus [4,9]. However, the volume and intensity of physical activity differ among studies, with most of these activities achieving minimal amount of physical activity [10,11]. Exercising moderately for at least 150 minutes or vigorously for 75 minutes per week was suggested by the World Health Organization [11]. In this regard, individually prescribed exercise improves physical health in the general population [12]. Lactate threshold (LT) tests have been used by scientists and clinical physicians for several decades as a useful physiological metric to measure aerobic endurance capability and prescribe individualized exercise intensity for athletes as well as cardiac patients [12-14]. Therefore, blood lactate concentration is recognized as a more sensitive physiological parameter than estimated VO2max or maximal heart rate (HRmax) [13,15].

Blood lactate level during LT test is used to individualize exercise intensity for training program [12,14,16]. Exercise intensity areas based on the LT test included training zones (1, 2, and 3: low, threshold/moderate, and high) [12,13]. Blood lactate values increase with increasing exercise intensity because more pyruvate and lactate are generated through carbohydrate metabolism [12,13,17]. Previous studies have suggested that measured blood lactate concentration and fat and carbohydrate metabolism are indirect variables of metabolic flexibility and mitochondrial function [12,13,18]. Low-intensity training (< 2 mmol·L-1) can increase mitochondrial function, such as metabolic flexibility [12-14]. Triglycerides in fat cells are hydrolyzed to glycerol and free fatty acids (FFAs), which are converted into acetyl-CoA by β-oxidation in the mitochondria [13,17,19]. For obese individuals or the general population or both, low-intensity exercise (LIE) might be preferable to high-intensity exercise (HIE) training. Before participating in HIE, building an aerobic base is first required through high-volume and low-intensity training based on the typical linear periodized program to reduce stress on skeletal muscles, lower the risk of injuries, and increase adherence to the training [10,12,20]. Currently, Pilates as an alternative physical exercise program is widely performed by the general population [21]. Pilates can improve muscular strength, core stability, flexibility, dynamic posture maintenance, and balance [21,22]. According to a survey conducted by the Ministry of Culture, Sports, and Tourism in 2019 on national recreational sports trends, Pilates is listed as one of the top ten physical activities of Koreans [23]. Despite the popularity of Pilates exercises, little is known about more accurate and individualized exercise intensity to ensure better health and performance.

Previous studies have indicated that participation in Pilates exercises is accompanied by health benefits [21,22]. It is currently unclear how individualized low-intensity mat Pilates exercises impact aerobic and endurance capacity in adults because there are fewer studies regarding the relationship of low-intensity exercise based on the LT test with improvement in physiological parameters, particularly mat-based Pilates exercise. A mat Pilates exercise program was selected to make the exercise intervention easier for participants without space and time constraints. Moreover, mat Pilates was effective enough to modify a 1 h long sequence, which was confirmed in our pilot study. Therefore, this study aimed to investigate the effects of individualized low-intensity mat Pilates exercise on energetic recovery ability (ATP re-synthesis from accumulated blood lactate) and general endurance in adults using several physiological parameters, including the LT test.

METHODS

Participants

The sample size was calculated as follows: effect size = 1.20, alpha error probability = 0.05, statistical power = 0.80 (G* power software version 3.1.9.7; Franz Faul, University Kiel, Germany) [12,18,24]. A total of ten physically active female adults participated in this study (age: 31 ± 5 years; height: 160 ± 5 cm; body mass: 55.1 ± 6.5 kg; body mass index: 21 ± 2.8 kg·m−2; Table 1). Participants participated in group exercise classes for at least two to three sessions per week for at least one year. They were recruited from regional fitness centers and Pilates studios through official notifications. Participants were asked to avoid intake of food or drinks except for water for at least three hours before each testing session to avoid the influence on measurements due to food intake [12,25,26]. All participants completed anthropometric measurements using a bioelectrical impedance analyzer (Inbody 270; Inbody Co. Ltd., Seoul, Korea) before and after the exercise intervention (Table 1). Pre- and post-lactate threshold (LT) tests were performed to compare speeds (S; km·h-1) and heart rates (HR; beats·min-1) at 1.5, 2.0, 3.0, and 4.0 mmol·L−1 lactate concentrations (La) using a mathematical interpolation model [12,27-29]. Participants performed low-intensity mat Pilates based on an individually prescribed HR range under the guidance of an instructor. The exercise intervention was performed for 1 h twice a week for four weeks [12]. This study was approved by the Institutional Ethics Committee of the CHA University (No. 1044308-202111-HR-087-02). The approved protocols were per the Declaration of Helsinki.

Anthropometric data pre- and post- 1 h low-intensity mat Pilates exercise (n = 10).

Study design

All participants completed an anthropometric measurement and LT test on a treadmill (NR30XA, DRAX Corporation Ltd., Seoul, Korea) before and after the exercise intervention. The pre- and post-LT tests consisted of 5 min stages interspersed with 30 s breaks for La measurements. The first stage was started at 1.0 m·s−1, with increments of 0.4 m·s−1 every 5 minutes [25,27,30]. All the procedures were conducted in a controlled laboratory environment (room temperature, 23 °C; relative humidity, 50%). Capillary blood sampling was performed from the earlobe (20 μL) to determine La levels. The blood lactate concentration was analyzed using an enzymatic-amperometric sensor chip system (Biosen C-line, EKF diagnostics sales, GmbH, Barleben, Germany). The test was ceased when La exceeded 4.0 mmol·L−1 after each exercise test in all participants [12,25,31]. Following the test, every participant went through the recovery stage for 5 min at the same speed as the first stage to check the tendency of individual decreased lactate concentrations (Figure 1). Based on pre-LT test results, participants performed an hour of individualized low-intensity mat Pilates two times a week for four weeks to achieve the same exercise volume. A four-week exercise intervention period was selected to maintain the same low-intensity exercise volume as in previous studies [12,26,32,33]. The individualized low-intensity heart rate for the exercise intervention was calculated from the results of the pre-LT test in 72% of LT 1 (101 ± 17 beats·min−1) heart rate within recovery zone 1 (recovery domain before the increased lactate curve within zone 1; RZ 1) [14,25,34] (Table 2). The workout intensity was based on the heart rate corresponding to 72% of LT 1 (< 2 mmol·L −1 blood lactate) from the results of the pre-LT test. LT 1 was estimated using a previously described mathematical model of log-log LT 1 [12,25,27-29,35]. The mat Pilates sequence for exercise intervention was modified from that used in previous studies 36-38 (Figure 2). During exercise intervention, the HR of all participants was carefully managed within the individualized HR range using an HR telemetry (H10 sensor, Polar Electro, Finland) [12,39].

Figure 1.

Study design.

The pre-LT test was conducted before the 4-week low-intensity (< 2 mmol∙L-1) mat Pilates exercise intervention. The LT test consisted of 5 min stages interspersed with 30 s breaks for La measurements. The first stage was started at 1.0 m·s−1, with increments of 0.4 m·s−1 every 5 min. Capillary blood sampling was performed from the earlobe (20 μL) to determine La. During the intervention, two sessions of 1 h mat Pilates were performed every week for four weeks. After the 4-week exercise intervention, a post-LT test was conducted for all participants.

Recommended individualized low-intensity HR for exercise (mat Pilates).

Figure 2.

Low-intensity mat Pilates sequence for the exercise intervention. The intervention was performed for an hour each time.

Statistical analyses

All data were statistically analyzed using GraphPad Prism 9.0 (GraphPad Software, La Holla, CA, USA). The parameters are presented as the mean and standard deviation (mean ± SD) or standard error of the mean (S.E.M). Normal distribution was assessed using the Shapiro–Wilk test. A paired t-test was used to compare pre- and post-anthropometric data and La and HR variables between the pre- and post-LT tests. A Wilcoxon signed-rank test was used to compare pre- and post-test body fat, exercise speeds at 1.5, 2.0, 3.0, and 4.0 mmol·L−1 La, and HR at 1.5, 2.0, 3.0, and 4.0 mmol·L−1 La. The effect sizes (ES; Cohen’s d or Z/√N) were calculated for the parameters. The thresholds for small, moderate, and large effects were 0.2, 0.5, and 0.8, respectively, for the parametric tests and 0.1, 0.3, and 0.5, respectively, for non-parametric tests [40]. Statistical significance was set at p < 0.05. Furthermore, Spearman’s rank correlations between ΔS and ΔHR at 1.5, 2.0, 3.0, and 4.0 mmol·L−1 La were analyzed.

RESULTS

Comparison of pre- and post-test anthropometric data

Significant differences were found in body mass increase and body mass index increase after the individualized low-intensity mat Pilates exercise intervention compared with those before the exercise intervention (p = 0.016 and p = 0.014, respectively, effect size (ES) = 0.13; ES = −0.11). The body fat percentage showed no significant difference between the pre-test and post-test (p > 0.05).

Comparison of pre- and post-LT test S and HR at La

There was no significant difference in HR values at 1.5, 2.0, 3.0, or 4.0 mmol·L−1 La between before and after exercise intervention (p > 0.05). Levels of La between 1.0 and 1.4 m·s-1 in the lactate threshold test after exercise intervention tended to decrease in zone 1. However, there was no significant difference in exercise speed at 1.5, 2.0, 3.0, and 4.0 mmol·L−1 La between the pre- and post-LT test (p > 0.05) (Figure 3).

Figure 3.

The tendency of a rightward shift of the exponential lactate curve demonstrated the improved exercise speed [m·s-1] at La levels between 1.0 and 1.4 m·s-1.

Correlations between ∆S and ∆HR of all subjects at 1.5, 2.0, 3.0, and 4.0 mmol·L−1 La

Moderate to high positive correlations between ∆S and ∆HR at 1.5 (correlation coefficient [r] = 0.70; R2 = 0.49; 95% confidence interval [95% CI]: 24.13–53.73; p = 0.0252), 3.0 (r = 0.83; R2 = 0.68; 95% CI: 37.58–68.61; p = 0.0043), and 4.0 mmol·L-1 La (r = 0.84; R2 = 0.70; 95% CI: 26.68–78.88; p = 0.0034) were observed.

DISCUSSION

The physiological effects of Pilates exercises, especially on aerobic and recovery abilities, are currently unclear. To the best of our knowledge, this study is the first to examine how individualized low-intensity mat Pilates influence aerobic endurance and energetic recovery ability in female adults. The principal finding of this study was that body mass and body mass index values significantly increased after the exercise intervention. Levels of La between 1.0 and 1.4 m·s-1 in the lactate threshold test after exercise intervention tended to decrease in zone 1. Furthermore, moderate to high positive correlations were observed between ∆S and ∆HR for all subjects at 1.5, 3.0, and 4.0 mmol·L-1 La after the 4-week individualized low-intensity mat Pilates exercise intervention.

Previous studies have shown that low-load-high repetitions training sessions can result in body fat reduction [21,41]. A 10-week program of a 1-hour mat Pilates session showed significant body fat reduction in both male and female participants over the exercise intervention period [38]. A low-load-high repetition exercise intervention for 12 weeks significantly reduced the body fat percentage [41]. However, no changes in body fat were found after low-intensity Pilates exercise in this study. This indicates that a higher number of repetitions and a longer intervention period might improve body composition and reduce body fat in participants [42].

Levels of La between 1.0 and 1.4 m·s-1 after exercise intervention showed a tendency of improvement, whereas no significant difference was observed in HR values or exercise speed at 1.5, 2.0, 3.0, or 4.0 mmol·L−1 La (Figure 3). Previous studies have shown that endurance training could increase total fat utilization while decreasing the use of carbohydrates [43-46]. Therefore, the tendency of a rightward shift in the exponential lactate curve between 1.0 and 1.4 m·s-1 La was understandable. During resting and low-intensity exercise conditions, more plasma fatty acids are delivered to produce energy, and the rate of lactate production is lowered [13,17,19]. In the post-LT test, the levels of La in the last stage showed a tendency to improve, while there were no significant differences between stages. Our findings suggest that low-intensity mat Pilates exercise for four weeks might improve general endurance. Lee et al. [12] and Hwang et al. [25] reported that LIE and individualized low-intensity exercise (ILIE) improved energy recovery and general endurance in zones 1, 2, and 3. There was no significant difference in the HR values after four weeks of 1 h of low-intensity Pilates exercise. Previous studies on LIE have analyzed several HR-related variables, such as heart rate variability (HRV), HRmax , and blood pressure [47-49]. A recent study showed that HRV in patients with peripheral artery disease improved after five sessions of exercise intervention per week for 3 months [48]. Moreover, 3-5 sessions of 1 h LIE for 12 weeks led to increased left ventricular ejection and decreased blood pressure in LIE for at least 12 weeks, which might improve the HR variables. Furthermore, Hwang et al. [25] reported that the 9-week ILIE within recovery zone 1 (RZ 1) decreased the HR in professional athletes.

Although there were no significant differences in HR values or calculated jogging/running speeds at 1.5, 2.0, 3.0, and 4.0 mmol·L−1 La in the pre- and post-tests, correlation analyses of the study presented positive relationships between ∆S and ∆HR at 1.5, 3.0, and 4.0 mmol·L-1 La (Figure 4). A previous study by Lee et al. [12] has reported that after four weeks of 1 h LIE intervention, HR levels of physically active adults tend to increase with improved exercise speeds, showing positive, moderate to high correlations between ∆S and ∆HR at 1.5, 2.0, and 4.0 mmol·L−1 La. Hwang et al. [25] have reported that after nine weeks of 1 h ILIE sessions within RZ 1 for professional athletes, La levels and HRs are lowered in the post-LT test with low positive correlations between ∆S and ∆HR at 1.5 and 2.0 mmol·L−1 La. These studies indicate that exercise intervention based on heart rate corresponding to recovery training zone 1 from the results of the LT-test may be prescribed to physically active adults, but not for professional athletes, since only low positive correlations between ∆S and ∆HR were observed in professional soccer players after a 9-week of 1-h ILIE (72% of log-log LT) [25].

Figure 4.

Spearman’s correlation (n = 10) between delta (∆) exercise speeds and delta (∆) heart rate at 1.5 (r = 0.70, p = 0.0252, 95% CI: 24.13–53.73), 3.0 (r = 0.68, p = 0.0043, 95% CI: 37.58–68.61), and 4.0 mmol·L−1 La (r = 0.84, p = 0.0034, 95% CI: 26.68–78.88) showed moderate to high positive relationships.

Pilates exercises may significantly benefit cardiopulmonary physiology [38]. During resting and LIE conditions, lactate produced in active muscle cells is transported to the liver or kidney (Cori cycle) via the blood and resynthesized by the cell-to-cell lactate shuttle mechanism, also known as gluconeogenesis [12,13,50]. The movement pattern of the upper and lower limbs collectively allows a higher oxygenated blood flow into muscle tissues, enhancing muscle-oxidative capacity [37,51,52]. Since lactate metabolism is closely related to hepatic blood flow, increased local circulation in muscles during low-intensity Pilates exercises may improve cardiorespiratory fitness [13,37]. According to previous studies, forearm isometric strength is inversely related to blood lactate concentrations, especially in smaller muscle groups, such as those in the forearms and muscle groups that do not have much impact on total lactate production [24,50,53,54]. During prolonged exercise lasting for two hours, the elimination of lactate mostly occurs and is maintained in the liver [13]. Splanchnic uptake of lactate is higher after arm exercises compared with that after leg exercises [24,50,55]. Therefore, arm exercise has a greater effect on the hepatic uptake of lactate than leg exercise [50,56,57]. The increased hepatic uptake of lactate during arm movements affects ATP re-synthesis in the liver [50,58,59]. Therefore, more arm-based movements should be included in the latter part of the low-intensity mat Pilates sequence to improve aerobic endurance and energy recovery ability.

Previous studies have shown that exercise sessions with a higher training volume could increase indices of metabolic cost and aerobic fitness [56,60]. Arterial lactate concentration decreases during prolonged exercise owing to lowered lactate release from the working muscles [13,61]. According to Tinoco-Fernández et al. [38], 10-weeks of three 1-h mat Pilates sessions each week significantly improved cardiorespiratory variables, such as peak V̇O2, maximal V̇O2, HR, and respiratory exchange ratio (RER). Adults who have not been physically active or practiced exercise habitually showed substantial cardiorespiratory adaptation after the Pilates exercise intervention [22,38]. In contrast, no significant cardiorespiratory adaptation was observed in a 4-week Pilates program [62]. Therefore, to improve cardiovascular health and aerobic performance with the Pilates method, exercise intervention may be required to be performed for a longer time.

For further studies, calorie and nutritional intake control of participants should be conducted before the experimental protocol. It is necessary to instruct participants not to change their diet habits during the experimental period [41,42,52]. Moreover, no control group was included in this study. This limitation should be addressed in future studies.

Our findings indicate that individualized low-intensity Pilates exercises may enhance aerobic endurance and energy recovery in adults. The tendency of a rightward shift of the exponential lactate curve can be indirectly explained by improved energetic recovery ability, including fat oxidation and ATP re-synthesis, along with aerobic endurance capacity in zones 1, 2, and 3 [12,13,25,31]. If low-intensity Pilates exercise is performed for more than 6-8 weeks, due to its low energy consumption, Pilates exercise would improve the mechanism of fat metabolism and mitochondrial function [12,13,25,31]. Future studies with larger sample sizes are required to investigate how individualized low-intensity mat Pilates is related to other metabolism-related indices such as triglyceride, HDL-cholesterol, and fasting plasma glucose.

According to the findings of this study, low-intensity mat Pilates based on heart rate corresponding to 72% of LT 1 may be prescribed to physically active adults. LIE based on heart rate may be suitable for exercise beginners and physically active individuals but not for professional athletes. Along with low-intensity mat Pilates, aerobic exercise activities, such as low-intensity jogging/running, are recommended to improve cardiovascular fitness and mitochondrial function, resulting in improved metabolic flexibility and general endurance. Traditionally, Pilates exercises have concentrated on flexibility, body control, muscle strength, and accuracy of movements. However, the physiological parameters found important in this study are useful for people who perform Pilates exercises. Our findings indicate that individualized low-intensity Pilates exercises may enhance aerobic endurance and energy recovery in adults. The tendency of a rightward shift of the exponential lactate curve can be indirectly explained by improved energetic recovery ability, including fat oxidation and ATP re-synthesis, as well as aerobic endurance in zones 1, 2, and 3. If low-intensity Pilates exercise is performed for more than 6-8 weeks, due to its low energy consumption, Pilates exercise would improve the mechanism of fat metabolism and mitochondrial function. To achieve physical health benefits and cardiorespiratory fitness with mat Pilates, it is recommended that ILIE in RZ 1 be performed with multiple sets, a high number of repetitions, and a short interval, which can then enable the general population to exercise in higher volumes in zones 2 and 3.

Acknowledgements

We would like to thank all the participants for their involvement in this study.

References

1. Bhatti JS, Bhatti GK, Reddy PH. Mitochondrial dysfunction and oxidative stress in metabolic disorders - a step towards mitochondria based therapeutic strategies. Biochim Biophys Acta Mol Basis Dis 2017;1863:1066–77.
2. Saklayen MG. The global epidemic of the metabolic syndrome. Curr Hypertens Rep 2018;20:12.
3. Schwarz PE, Reimann M, Li J, Bergmann A, Licinio J, Wong ML, Bornstein SR. The metabolic syndrome - a global challenge for prevention. Horm Metab Res 2007;39:777–80.
4. Myers J, Kokkinos P, Nyelin E. Physical activity, cardiorespiratory fitness, and the metabolic syndrome. Nutrients 2019;11:1652.
5. Grundy SM. Metabolic syndrome pandemic. Arterioscler Thromb Vasc Biol 2008;28:629–36.
6. Pan WH, Yeh WT, Weng LC. Epidemiology of metabolic syndrome in Asia. Asia Pac J Clin Nutr 2008;17:37–42.
7. Global Burden of Metabolic Risk Factors for Chronic Diseases Collaboration. Cardiovascular disease, chronic kidney disease, and diabetes mortality burden of cardiometabolic risk factors from 1980 to 2010: a comparative risk assessment. Lancet Diabetes Endocrinol 2014;2:634–47.
8. Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, Gordon DJ, Krauss RM, Savage PJ, Smith Jr SC, Spertus JA, Costa F. Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation 2005;112:2735–52.
9. Cornelissen VA, Buys R, Smart NA. Endurance exercise beneficially affects ambulatory blood pressure: a systematic review and meta-analysis. J Hypertens 2013;31:639–48.
10. van Aggel-Leijssen DPC, Saris WHM, Wagenmarkers AJM, Senden JM, van Baak MA. Effect of exercise training at different intensities on fat metabolism of obese men. J Appl Physiol 2002;92:1300–9.
11. Guidelines Review Committee. Global recommendations on physical activity for health WHO; 2010.
12. Lee D, Son J, Joo HM, Won JH, Park SB, Yang WH. Effects of individualized low-intensity exercise and its duration on recovery ability in adults. Healthcare 2021;9:249.
13. Yang WH, Park H, Grau M, Heine O. Decreased blood glucose and lactate: Is a useful indicator of recovery ability in athletes? Int J Environ Res Public Health 2020;17:5470.
14. Faude O, Kindermann W, Meyer T. Lactate threshold concepts: how valid are they? Sports Med 2009;39:469–90.
15. Weber T, Ducos M, Mulder E, Beijer A, Herrera F, Zange J, Degens H, Bloch W, Rittweger J. The relationship between exercise-induced muscle fatigue, arterial blood flow and muscle perfusion after 56 days local muscle unloading. Clin Physiol Funct Imaging 2014;34:218–29.
16. Messias LHD, Polisel EEC, Manchado-Gobatto FB. Advances of the reverse lactate threshold test: Non-invasive proposal based on heart rate and effect of previous cycling experience. PLoS One 2018;13e0194313.
17. Coyle EF. Substrate utilization during exercise in active people. Am J Clin Nutr 1995;61:968–79.
18. San-Millan I, Brooks GA. Assessment of metabolic flexibility by means of measuring blood lactate, fat, and carbohydrate oxidation responses to exercise in professional endurance athletes and less-fit individuals. Sports Med 2018;48:467–79.
19. Bulow J, Madsen J. Influence of blood flow on fatty acid mobilization form lipolytically active adipose tissue. Pflugers Arch 1981;390:169–74.
20. Casado A, González-Mohíno F, González-Ravé JM, Foster C. Training periodization, methods, intensity distribution, and volume in highly trained and elite distance runners: a systematic review. Int J Sports Physiol Perform 2022;17:820–33.
21. Evangelou C, Sakkas GK, Hadjicharalambous M, Aphamis G, Petrou P, Giannaki CD. The effect of a three month, low-load-high-repetitions group-based exercise program versus pilates on physical fitness and body composition in inactive women. J Bodyw Mov Ther 2021;26:18–23.
22. de Souza Andrade L, da Silva Almeida I, Mochizuki L, Sousa CV, Falk Neto JH, Kennedy MD, Durigan JLQ, Mota YL. What is the exercise intensity of pilates? An analysis of the energy expenditure, blood lactate, and intensity of apparatus and mat Pilates sessions. J Bodyw Mov Ther 2021;26:36–42.
23. Ministry of Culture, Sports and Tourism. National life sports survey 2019; Available from: www.mcst.go.kr.
24. Yang WH, Park JH, Shin YC, Kim J. Physiological profiling and energy system contributions during simulated epee matches in elite fencers. Int J Sports Physiol Perform 2022;17:943–50.
25. Hwang J, Moon NR, Heine O, Yang WH. The ability of energy recovery in professional soccer players is increased by individualized low-intensity exercise. PLoS One 2022;17e0270484.
26. Stöggl T, Sperlich B. Polarized training has greater impact on key endurance variables than threshold, high intensity, or high volume training. Front Physiol 2014;5:33.
27. Heck H, Mader A, Hess G, Mücke S, Müller R, Hollmann W. Justification of the 4-mmol/l lactate threshold. Int J Sports Med 1985;6:117–30.
28. Quittmann OJ, Abel T, Zeller S, Foitschik T, Strüder HK. Lactate kinetics in handcycling under various exercise modalities and their relationship to performance measures in able-bodied participants. Eur J Appl Physiol 2018;118:1493–505.
29. Zeller S, Abel T, Smith PM, Strueder HK. Influence of noncircular chainring on male physiological parameters in hand cycling. J Rehabil Res Dev 2015;52:211–20.
30. Mader A. Zur Beurteilung der Sportartspezifischen Ausdauer Leistungsbewertung und Trainingsgestaltung. Dtsch Z Sports Med 1976;30:212–18.
31. Yang WH, Park JH, Park SY, Park Y. Energetic contributions including gender differences and metabolic flexibility in the general population and athletes. Metabolites 2022;12:965.
32. Stöggl T, Sperlich B. The training intensity distribution among well-trained and elite endurance athletes. Front Physiol 2015;6:295.
33. Kiviniemi AM, Hautala AJ, Kinnunen H, Tulppo MP. Endurance training guided individually by daily heart rate variability measurements. Eur J Appl Physiol 2007;101:743–51.
34. Jamnick NA, Pettitt RW, Granata C, Pyne DB, Bishop DJ. An examination and critique of current methods to determine exercise intensity. Sports Med 2020;50:1729–56.
35. Newell J, Higgins D, Madden N, Cruickshank J, Einbeck J, McMillan K, McDonald R. Software for calculating blood lactate endurance markers. J Sports Sci 2007;25:1403–9.
36. Byrnes K, Wu PJ, Whillier S. Is Pilates an effective rehabilitation tool? A systematic review. J Bodyw Mov Ther 2018;22:192–202.
37. Fernández-Rodríguez R, Álvarez-Bueno C, Ferri-Morales A, Torres-Costoso AI, Cavero-Redondo I, Martínez-Vizcaíno V. Pilates method improves cardiorespiratory fitness: A systematic review and meta-analysis. J Clin Med 2019;8:1761.
38. Tinoco-Fernández M, Jiménez-Martín M, Sánchez-Caravaca MA, Fernández-Pérez AM, Ramírez-Rodrigo J, Vaillaverde-Gutiérrez C. The Pilates method and cardiorespiratory adaptation to training. Res Sports Med 2016;24:281–6.
39. Park SB, Park DS, Kim M, Lee E, Lee D, Jung J, Son SJ, Hong J, Yang WH. High-intensity warm-up increases anaerobic energy contribution during 100-m sprint. Biology 2021;10:198.
40. Cohen J. A power primer. Psychol Bull 1992;112:155–9.
41. O’Connor TE, Lamb KL. The effects of Bodymax high-repetition resistance training on measures of body composition and muscular strength in active adult women. J Strength Cond Res 2003;17:614–20.
42. de Silva Almeida I, de Souza Andrade L, Mochizuki L, Sousa CV, Neto JHF, Kennedy MD, Maciel LA, Durigan JLQ, Mota YL. Effect of three different Pilates sessions on energy expenditure and aerobic metabolism in healthy females. Sport Sci Health 2021;17:223–31.
43. Bergman BC, Butterfield GE, Wolfel EE, Casazza GA, Lopaschuk GD, Brooks GA. Evaluation of exercise and training on muscle lipid metabolism. Am J Physiol 1999;276:E106–17.
44. Bergman BC, Butterfield GE, Wolfel EE, Lopaschunk GD, Casazza GA, Horning MA, Brooks GA. Muscle net glucose uptake and glucose kinetics after endurance training in men. Am J Physiol 1999;277:E81–92.
45. Bergman BC, Wolfel EE, Butterfield GE, Lopaschuk GD, Casazza GA, Horning MA, Brooks GA. Active muscle and whole body lactate kinetics after endurance training in men. J Appl Physiol 1999;87:1684–96.
46. Romijn JA, Coyle EF, Sidossis LS, Gastaldelli A, Horowitz JF, Endert E, Wolfe RR. Regulation of endogenous fat and carbohydrate metabolism in relation to exercise intensity and duration. Am J Physiol 1993;265:E380–91.
47. Hua LP, Brown CA, Hains SJ, Godwin M, Parlow JL. Effects of low-intensity exercise conditioning on blood pressure, heart rate, and autonomic modulation of heart rate in men and women with hypertension. Biol Res Nurs 2009;11:129–43.
48. Brenner IKM, Brown CA, Hains SJM, Tranmer J, Zelt DT, Brown PM. Low-intensity exercise training increases heart rate variability in patients with peripheral artery disease. Biol Res Nurs 2020;22:24–33.
49. Malfatto G, Branzi G, Riva B, Sala L, Leonetti G, Facchini M. Recovery of cardiac autonomic responsiveness with low-intensity physical training in patients with chronic heart failure. Eur J Heart Fail 2002;4:159–66.
50. Ahlborg G, Wahren J, Felig P. Splanchnic and peripheral glucose and lactate metabolism during and after prolonged arm exercise. J Clin Invest 1986;77:690–9.
51. Guimarães GV, Carvalho VO, Bocchi EA, d’Avila VM. Pilates in heart failure patients: a randomized controlled pilot trial. Cardiovasc Ther 2012;30:351–6.
52. Rayes ABR, de Lira CAB, Viana RB, Benedito-Silva AA, Vancini RL, Mascarin N, Andrade MS. The effects of Pilates vs. aerobic training on cardiorespiratory fitness, isokinetic muscular strength, body composition, and functional tasks outcomes for individuals who are overweight/obese: a clinical trial. PeerJ 2019;7e6022.
53. Bonitch-Domínguez JG, Padial P, Feriche B. The effect of lactate concentration on the handgrip strength during judo bouts. J Strength Cond Res 2012;26:1863–71.
54. Julio UF, Panissa VLG, Esteves JV, Cury RL, Agostinho MF, Franchini E. Energy-System Contributions to Simulated Judo Matches. Int J Sports Physiol Perform 2017;12:676–83.
55. Messonnier LA, Emhoff CAW, Fattor JA, Horning MA, Carlson TJ, Brooks GA. Lactate kinetics at the lactate threshold in trained and untrained men. J Appl Physiol 2013;114:1593–602.
56. Mookerjee S, Welikonich MJ, Ratamess NA. Comparison of energy expenditure during single-set vs. multiple-set resistance exercise. J Strength Cond Res 2016;30:1447–52.
57. Nielsen HB, Febbraio MA, Ott P, Krustrup P, Secher NH. Hepatic lactate uptake versus leg lactate output during exercise in humans. J Appl Physiol 2007;103:1227–33.
58. Cori CF, Cori GT. Glycogen formation in the liver from d- and l-lactic acid. J Biol Chem 1929;81:389–403.
59. Jorfeldt L. Glucose metabolism during leg exercise in man. J Clin Invest 1971;50:2715–25.
60. Magosso RF, Junior AJdS, Neto AP, Neto JC, Baldissera V. Energy expenditure during multiple sets of leg press and bench press. J Exerc Physiol Online 2013;16:57–62.
61. Nielsen HB, Boushel R, Madsen P, Secher NH. Cerebral desaturation during exercise reversed by O2 supplementation. Am J Physiol 1999;277:H1045–52.
62. Jago R, Jonker ML, Missaghian M, Baranowski T. Effect of 4 weeks of Pilates on the body composition of young girls. Prev Med 2006;42:177–80.

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Figure 1.

Study design.

The pre-LT test was conducted before the 4-week low-intensity (< 2 mmol∙L-1) mat Pilates exercise intervention. The LT test consisted of 5 min stages interspersed with 30 s breaks for La measurements. The first stage was started at 1.0 m·s−1, with increments of 0.4 m·s−1 every 5 min. Capillary blood sampling was performed from the earlobe (20 μL) to determine La. During the intervention, two sessions of 1 h mat Pilates were performed every week for four weeks. After the 4-week exercise intervention, a post-LT test was conducted for all participants.

Figure 2.

Low-intensity mat Pilates sequence for the exercise intervention. The intervention was performed for an hour each time.

Figure 3.

The tendency of a rightward shift of the exponential lactate curve demonstrated the improved exercise speed [m·s-1] at La levels between 1.0 and 1.4 m·s-1.

Figure 4.

Spearman’s correlation (n = 10) between delta (∆) exercise speeds and delta (∆) heart rate at 1.5 (r = 0.70, p = 0.0252, 95% CI: 24.13–53.73), 3.0 (r = 0.68, p = 0.0043, 95% CI: 37.58–68.61), and 4.0 mmol·L−1 La (r = 0.84, p = 0.0034, 95% CI: 26.68–78.88) showed moderate to high positive relationships.

Table 1.

Anthropometric data pre- and post- 1 h low-intensity mat Pilates exercise (n = 10).

Parameters Participants (n = 10) (Mean ± SD)
Age [years] 31.60 ± 5.42
Height [cm] 160.85 ± 5.01
Pre-Test (Mean ± SD) Post-Test (Mean ± SD)
Body weight (kg) 55.10 ± 6.54 55.93 ± 6.42*
Body fat [%] 26.95 ± 5.85 26.72 ± 5.67
BMI [kg∙m−2] 21.35 ± 2.89 21.68 ±2.94*

BMI, body mass index; SD, standard deviation. The post-test measurements of body mass [kg] and body mass index [kg·m2] increased compared with those at pre-test (p = 0.0168; ES: 0.13, p = 0.0147; ES: −0.11, respectively). There were significant differences in body mass and BMI values between the pre-test and post-test (p < 0.05).

*

P < 0.05.

Table 2.

Recommended individualized low-intensity HR for exercise (mat Pilates).

Participants Log-log LT 1 HR (beats·min−1) 72% of log-log LT 1 HR (beats·min−1)
n = 10 (Mean ± SD) (Mean ± SD)
140 ± 23 101 ± 17

LT, lactate threshold; HR, heart rate; SD, standard deviation.