COMPARISON OF THE EFFECTS OF MAT AND REFORMER PILATES ON MUSCLE SKELETAL SYSTEM COMPLAINTS, BODY COMPOSITION AND QUALITY OF LIFE IN OBESE WOMEN: RANDOMIZED CONTROLLED STUDY

Öz

Purpose: The purpose of this study is to examine the effects of mat pilates and reformer pilates training on musculoskeletal complaints, body composition and quality of life in obese women. Methods: A randomized controlled study included 36 obese women aged between 20-45 years with a body mass index (BMI) of 30 kg/m2 and above. Participants were divided into two groups as mat pilates group (n=18) and reformer pilates group (n=18). Pilates training was given to the cases in mat pilates and reformer pilates groups for 60 minutes per day, 3 days per week for 8 weeks. Before and after the training, the extremity and trunk circumference measurements of the cases were evaluated with Gullick strip, BMI with voit smart bluetooth digital scale, musculoskeletal complaints were evaluated with Nordic Musculoskeletal System Questionnaire and quality of life was evaluated with Obese Specific Quality of Life Questionnaire. Results: No significant difference was found between the age, height, weight and pre-pilates training BMIs of both groups (p>0.05). A significant decrease was obtained between the pre-test and post-test weight, BMI, waist circumference, hip circumference, waist/hip ratio, fat ratio, muscle ratio and visceral fat ratio values of the mat pilates group and the reformer pilates group (p<0.01). In the comparison between the groups, a significant decrease was observed only between the pre-test and post-test values of waist circumference (p<0.002), waist/hip ratio (p<0.001) and post-test muscle ratio values (p<0.031). No significant difference was found between the pre-test and post-test values of the mat pilates group’s musculoskeletal complaints (neck, shoulder, upper back, hand, arm, hip, knee, foot and elbow) (p>0.05). A significant difference was found between the pre-test and post-test values of the reformer pilates group’s musculoskeletal complaints (neck, shoulder, upper back, elbow, hand, hip and knee area) (p<0.05). While there was a significant improvement between pre-test and post-test quality of life values of the mat pilates (p<0.01) and reformer pilates groups (p<0.01), there was no significant difference between pre-test and post-test quality of life values between the groups (p>0.05). Conclusion: The results of our study showed that both pilates exercises increased body composition and quality of life, while reformer pilates was more effective than mat pilates by reducing musculoskeletal complaints.

Anahtar Kelimeler

• Body composition
• Musculoskeletal complaints
• Obesity
• Pilates
• Quality of life

OBEZ KADINLARDA MAT VE REFORMER PİLATESİN KAS İSKELET SİSTEMİ ŞİKAYETLERİ, VÜCUT KOMPOZİSYONU VE YAŞAM KALİTESİNE ETKİSİNİN KARŞILAŞTIRILMASI: RANDOMİZE KONTROLLÜ ÇALIŞMA

Öz

Amaç: Bu çalışmanın amacı, mat pilates ve reformer pilates eğitiminin obez kadınlarda kas iskelet sistemi şikayeti, vücut kompozisyonu ve yaşam kalitesine etkilerini incelemektir. Yöntem: Randomize kontrollü çalışmaya, yaşları 20-45 arasında değişen, vücut kütle indeksi (VKİ) 30 kg/m2 ve üzeri 36 obez kadın dahil edildi. Katılımcılar mat pilates grubu (n=18) ve reformer pilates grubu (n=18) olmak üzere ikiye ayrıldı. Mat pilates ve reformer pilates grubundaki olgulara 8 hafta boyunca, haftada 3 gün, günde 60 dakika pilates eğitimi verildi. Eğitim öncesi ve sonrası olguların ekstremite ve gövde çevre ölçümleri Gullick şeridiyle, VKİ voit akıllı bluetooth dijital baskül ile, kas iskelet sistemi şikayetleri Nordic Kas İskelet Sistemi Anketi ile yaşam kaliteleri ise Obezlere Özgü Yaşam Kalitesi Anketi ile değerlendirildi. Bulgular: Her iki grubun yaş, boy, kilo ve pilates eğitimi öncesi VKİ arasında anlamlı fark bulunmadı (p>0,05). Mat pilates grubu ve reformer pilates grubu ön test -son test kilo, VKİ, bel çevresi, kalça çevresi, bel/kalça oranı, yağ oranı, kas oranı ve visseral yağ oranı değerleri arasında anlamlı derecede azalma elde edildi (p<0,01). Gruplar arası karşılaştırmada sadece bel çevresi (p<0,002), bel/kalça oranı (p<0,001) ön test-son test değerleri ile son test kas oranı değerleri arasında anlamlı azalma görüldü (p<0,031). Mat pilates grubu kas iskelet sistemi şikayetleri (boyun, omuz, üst sırt, el, kol, kalça, diz, ayak ve dirsek) ön test-son test değerleri arasında anlamlı fark bulunmadı (p>0,05). Reformer pilates grubunun ön test-son test kas iskelet sistemi şikayetleri (boyun, omuz, üst sırt, dirsek, el, kalça ve diz bölgesi) değerleri arasında anlamlı fark bulundu (p<0,05). Mat pilates (p<0,01) ve reformer pilates grubu yaşam kalitesi ön test-son test değerleri arasında anlamlı derecede iyileşme görülürken (p<0,01) gruplar arası ön test-son test yaşam kalitesi değerleri arasında anlamlı fark bulunmadı (p>0,05). Sonuç: Çalışmamızın sonuçları, her iki pilates egzersizlerinin vücut kompozisyonu ve yaşam kalitesini artırdığı, reformer pilatesin ise kas iskelet sistemi şikayetlerini azaltarak mat pilatese göre pozitif yönde daha etkili olduğunu gösterdi.

Anahtar Kelimeler

• Vücut kompozisyonu
• Kas iskelet sistemi şikayetleri
• Obezite
• Pilates
• Yaşam kalitesi

Kaynakça

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