This study aimed to systematically review the available evidence on the effects of Pilates training programs on blood pressure in hypertensive patients. Randomized clinical trials and comparative studies were searched in four electronic databases until September 2023 (updated December 2023). The methodological quality of included studies was assessed using the Physiotherapy Evidence Database and Methodological Index for Non-Randomized Studies scales. A total of 4 randomized clinical trials and 7 comparative studies were included, showing a low (n = 1), hight (n = 6), and good (n = 4) methodological quality. Data synthesis indicated that participants who performed Pilates program obtained significantly reduces on systolic blood pressure and diastolic blood pressure, of −4.76 mmHg (95% CI: −6.55 to −2.97, p < 0.001) and −3.43 mmHg (95% CI: −4.37 to −2.49, p < 0.001), respectively, in comparison with those included in the comparison groups. When the analysis was performed by comparing hypertensive, and normotensive patients, the results remained non-significant for blood pressure (systolic blood pressure: 0.96 mmHg (95% CI: −2.85 to 4.77, P = 0.49); diastolic blood pressure: 1.18 mmHg (95% CI: −1.23 to 3.58, P = 0.34); mean blood pressure: 1.73 mmHg (95% CI: −1.96 to 5.42, P = 0.36). Evidence suggests Pilates is safe for hypertensive patients and can be part of their rehabilitation, but it may not necessarily offer superior results or improve exercise adherence compared to other modalities.

本研究旨在系统地回顾普拉提训练计划对高血压患者血压影响的现有证据。截至 2023 年 9 月，在四个电子数据库中检索了随机临床试验和比较研究（2023 年 12 月更新）。使用物理治疗证据数据库和非随机研究量表方法学指数评估纳入研究的方法学质量。总共纳入了 4 项随机临床试验和 7 项比较研究，显示出低（n  = 1）、高（n  = 6）和良好（n  = 4）的方法学质量。数据综合表明，进行普拉提计划的参与者的收缩压和舒张压显着降低，分别为-4.76 mmHg（95% CI：-6.55至-2.97，p  < 0.001）和-3.43 mmHg（95% CI：- 4.37 至 -2.49，p  < 0.001），分别与对照组中的对照组相比。当通过比较高血压和正常血压患者进行分析时，血压结果仍然不显着（收缩压：0.96 mmHg（95% CI：-2.85 至 4.77，P  = 0.49）；舒张压：1.18 mmHg） （95% CI：-1.23 至 3.58，P  = 0.34）；平均血压：1.73 mmHg（95% CI：-1.96 至 5.42，P  = 0.36）。有证据表明普拉提对于高血压患者来说是安全的，可以成为高血压患者的一部分。康复，但与其他方式相比，它不一定能提供更好的结果或提高运动依从性。