The influence of the Pilates method on quality of life and bone remodelling in older women: a controlled study

  • Nathalia Regina Sabatini Gandolfi
  • Jose Eduardo Corrente
  • Alberto De Vitta
  • Loraine Gollino
  • Gláucia Maria Ferreira da Silva MazetoEmail author



The objective of this study was to evaluate the effects of the Pilates method on quality of life and bone remodeling markers in a group of older women.


A longitudinal prospective study with intervention was performed on 40 women aged over 60 years; they were divided into two groups: one submitted to a 50-min Pilates exercise session once a week for 20 weeks (Pilates), and the other was not (Control). Both groups were compared for quality of life using the Medical Outcomes Study 36, and for bone-specific alkaline phosphatase (BSAP) and Type 1 collagen C-telopeptide (CTx) bone remodeling markers.


The Pilates group presented improvement in the quality of life evaluation scores: physical functioning (67.50 ± 18.88 × 86.25 ± 9.58; p = 0.0232), and physical component summary (65.00 ± 14.39 × 79.70 ± 3.83; p = 0.0220). The Pilates group also presented higher scores than that of Controls after the exercise program: physical functioning (86.25 ± 9.58 × 55.50 ± 20.83, p = 0.0003), physical role (100.00 ± 0.00 × 41.25 ± 46.79, p = 0.0009), emotional role (100.00 ± 0.00 × 48.33 ± 50.12, p = 0.0046), vitality (82.50 ± 14.28 × 60.25 ± 21.43, p = 0.011), physical component summary (79.70 ± 3.83 × 54.90 ± 15.05, p < 0.0001), and emotional component summary (74.10 ± 8.37 × 54.18 ± 22.55, p = 0.0111). No changes were noted in bone remodeling markers [CTx (0.39 ± 0.26 × 0.38 ± 0.22 ng/mL) and BSAP (10.73 ± 2.40 × 11.01 ± 3.56 μg/L)] and did not differ from the Control group both before (CTx: 0.39 ± 0.26 × 0.37 ± 0.17 ng/mL; BSAP: 10.73 ± 2.40 × 10.58 ± 3.49 μg/L; p > 0.05) and after exercise (CTx: 0.38 ± 0.22 × 0.38 ± 0.22 ng/mL; BSAP: 11.01 ± 3.56 × 9.85 ± 3.12 μg/L; p > 0.05).


The group of women submitted to Pilates presented improved quality of life but without changes in bone remodeling.


Aging Bone remodeling Exercise movement techniques Exercise therapy Quality of life 



This project was supported by Fundação de Amparo à Pesquisa do Estado de São Paulo – FAPESP (Grant for research; Process Number 2011/14448-8), and by the National Council for Scientific and Technological Development – CNPq (Master’s degree).

Compliance with ethical standards

Conflict of interest

All the authors declared that they have no conflict of interest.

Ethical approval

All procedures performed in this study were in accordance WITH the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Internal Medicine Department, Botucatu Medical SchoolSao Paulo State University – UnespBotucatuBrazil
  2. 2.Biostatistics Department, Institute of BiosciencesSao Paulo State University – UnespBotucatuBrazil
  3. 3.Universidade Anhanguera - UNIDERPCampo GrandeBrazil

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