PurposeThe purpose of this study was to investigate the pilates exercise in hypoxia increases vascular endothelial function in professional Pilates players.MethodsTen healthy Pilates expert female (age: 26.9 ± 2.7, weight: 50.8 ± 5.2, BMI: 19.3 ± 1.4) completed two different trials on different days, consisting of exercise in normoxia (N trial) and exercise in 3,000 m simulated altitude (526 mmHg) hypobaric hypoxia (H trial). After 30 minutes of exposure in each environment, they performed tubing Pilates exercise for 50 minutes under normoxia and hypoxia. Pilates exercise using tubing were composed of 25 types, each performed for 2 minutes. Pilates motion is configured as follows : roll up & down, biceps, arm circles, teaser, rolling, spine twist, mermaid, cobra, swimming, double kicks, swan, cat, thigh stretching, hug a tree, squat, row, saw, hip pull, hundred, lats pull, leg arc, scissor, helicopter, right side leg pull, left side leg pull. Metabolic parameters (minute ventilation; VE, oxygen uptake; VO2, carbon dioxide excretion; VCO2, respiratory exchange ratio; RER, carbohydrate oxidation; CO, fatty acid oxidation; FAO, energy expenditure; EE) and cardiac function (heart rate; HR, stroke volume; SV, cardiac output; CO, end‐diastolic volume; EDV, end‐systolic volume; ESV, ejection fraction; EF) were measured every minutes during Pilates exercise. The sum of the values measured for 50 minutes was used as the result (exceptionally, RER uses average values). Blood pressure (BP), branchial ankle pulse wave velocity (baPWV) and flow mediated dilation (FMD) in branchial artery were measured as vascular function before and after exercise.ResultsIn metabolic parameters, H trial showed significantly higher VE, VCO2, RER and CO than N trial. However, FAO was lower in H trial than in N trial. VO2 and EE. VO2 and EE presented no significant difference between the two trials. In cardiac function, HR showed a significant increase in H trial compared with N trial, however, the remaining cardiac function parameters did not show significant difference. In vascular function, BP (systolic blood pressure, diastolic blood pressure, pulse pressure and mean arterial pressure) and baPWV did not show significant interaction effects between exercise and environment. However, FMD presented a significant interaction effects between exercise and environment. As a result of the post‐hoc, both trial showed a significant increase in FMD via exercise and the increase rate in FMD was significantly higher in H trial (48.5 ± 22.9) than in N trial (34.9 ± 18.3). Also, H trial showed a significantly higher FMD before exercise than N trial.ConclusionOur results suggest that Pilates exercise under moderate hypoxia shows greater metabolic and cardiac response by relatively higher exercise intensity, and it also elicit synergy effect on vascular endothelial function than under normoxia in professional Pilates players.
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