THE EFFECT OF PILATES ON METABOLIC CONTROL AND OXIDATIVE STRESS OF DIABETICS TYPE 2 – A RANDOMIZED CONTROLLED CLINICAL TRIAL

SUMMARY Introduction The Pilates method is an approach to body and mind exercises that has as its foundation the gain of stability, strength and flexibility, and the work of muscular control, posture and breathing, which can generate repercussions on oxidative stress and ROS production, it is expected that Pilates can satisfactorily influence glycemic and oxidative stress reduction in elderly diabetes. Aim To analyze the effect of a Pilates protocol on variables indicative of metabolic control and oxidative stress in patients with Type 2 Diabetes Mellitus. Method Randomized clinical trial in type 2 diabetics enrolled in Hiperdia Parnaiba. A Pilates protocol was performed for 8 weeks, with 2 weekly consultations. The tested variables were: blood glucose, glycated hemoglobin, lipid profile, C-reactive protein and malondialdehyde. ANOVA tests, correlation of Wilcoxon, Friedman and Spearman, were used, with a significance level of 5%. Results 44 diabetics participated in the study (intervention group: 22; control: 22), with a mean age of 61.23 ±8.49years, the majority being female (77.3%), married (59.1%), literate (31.8%), with an average BMI of 26.96 ±4.35kg/m2. When analyzing the effects of the protocol, there was a significant reduction in glycated hemoglobin (p=0.002) and oxidative stress (p=0.004) in the intervention group, however, there were no differences in fasting glucose (p=0.055) and in the profile lipid, expressed by the total cholesterol (p=0.654), HDL (p = 0.591), LDL (p=0.564) and triglycerides (0.192). There was a moderate positive correlation between oxidative stress and glycated hemoglobin (r=0.44, p=0.000). Conclusion: The exercise protocol based on the Pilates method produced a reduction in glycated hemoglobin and oxidative stress.