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2025 Vol.32, Issue 6 Preview Page

Research Article

Effects of a 12-week Combined Pilates and Weight-bearing Exercise Program on Physical Fitness and Lifestyle Disease Indicators in Postmenopausal Obese Women

12주간의 필라테스와 체중부하운동의 복합처치가 폐경 비만 여성의 체력과 생활습관병 지표에 미치는 영향

Un-Joo Kang1
,
Ko-Eun Choi2
,
Man-Gyoon Lee3*
강 언주1
,
최 고은2
,
이 만균3*
1Graduate student, Division of Sports Medicine and Science, Graduate School of Physical Education, Kyung Hee University, Yongin, Korea
2Researcher, Division of Sports Medicine and Science, Graduate School of Physical Education, Kyung Hee University, Yongin, Korea
3Professor, Division of Sports Medicine and Science, Graduate School of Physical Education, Kyung Hee University, Yongin, Korea
1경희대학교 체육대학원 스포츠의·과학전공 대학원생
2경희대학교 체육대학원 스포츠의·과학전공 연구원
3경희대학교 체육대학원 스포츠의·과학전공 교수
*Corresponding Author
31 December 2025. pp. 705-715
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Abstract

This study investigated the effects of a 12-week combined Pilates and weight-bearing exercise program on physical fitness and lifestyle disease indicators in postmenopausal obese women. Participants in the training group (TR; n=12) performed 60 minutes per session, 3 sessions per week for 12 weeks, while the control group (CON; n=12) maintained their usual lifestyle. Two-way repeated measures ANOVA revealed significant decreases in body weight, fat mass, and waist-to-hip ratio, and significant improvements in muscular strength, endurance, flexibility, and balance in the TR. In addition, fasting insulin, HOMA-IR, bone alkaline phosphatase, and bone mineral density improved significantly in the TR. These findings suggest that combined Pilates and weight-bearing exercises can improve body composition, physical fitness, and lifestyle disease risk factors in postmenopausal obese women.

Keywords
Pilates
Weight-bearing exercise
Physical fitness
Lifestyle disease
Menopause
References
1

Bayram, K. S., Sahin, G., Zateri, C., & Coşkun, A. (2023). Effect of short-term Pilates exercises on bone mineral density and physical performance in older women. Turkish Journal of Sports Medicine, 58(2), 088-093. https://doi.org/10.47447/tjsm.0744

10.47447/tjsm.0744
2

Choi, H. M., Hurr, C., & Kim, S. (2020). Effects of elastic band exercise on functional fitness and blood pressure response in the healthy elderly. International Journal of Environmental Research and Public Health, 17(19), 1-10. https://doi.org/10.3390/ijerph17197144

10.3390/ijerph1719714433003575PMC7579118
3

De Souza, M. V. S. & Vieira, C. B. (2006). Who are the people looking for the Pilates method? Journal of Bodywork and Movement Therapies, 10(4), 328-334. https://doi.org/10.1016/j.jbmt.2005.10.005

10.1016/j.jbmt.2005.10.005
4

De Souza, R. O. B., de Faria Marcon, L., de Arruda, A. S. F., Junior, F. L. P., & de Melo, R. C. (2018). Effects of mat Pilates on physical functional performance of older adults: A meta-analysis of randomized controlled trials. American Journal of Physical Medicine and Rehabilitation, 97(6), 414-425. https://doi.org/10.1097/PHM.0000000000000883

10.1097/PHM.0000000000000883
5

Du, Y. & Fan, Y. (2023). The effect of fatigue on postural control and biomechanical characteristic of lunge in badminton players. Bioengineering, 10(3), 1-12. https://doi.org/10.3390/bioengineering10030301

10.3390/bioengineering1003030136978693PMC10045116
6

Forsyth, J. J. (2023). Menopause osteoporosis and bone intervention using lifestyle exercise: A randomized controlled study. Journal of Mid-life Health, 14(2), 94-100. https://doi.org/10.4103/jmh.jmh_27_23

10.4103/jmh.jmh_27_2338029036PMC10664055
7

Ghasemi, S., Sadeghi, H., Roudsari, A. T., & Basiri, Z. (2017). The effect of weight bearing exercise on bone mineral density of premenopausal women. Journal of Clinical Physiotherapy Research, 2(3), 104-109. https://doi.org/10.21859/jech-03015

10.21859/jech-03015
8

Girard, O., Malatesta, D., & Millet, G. P. (2017). Walking in hypoxia: An efficient treatment to lessen mechanical constraints and improve health in obese individuals? Frontiers in Physiology, 8, 1-6. https://doi.org/10.3389/fphys.2017.00073

10.3389/fphys.2017.0007328232806PMC5298970
9

Herman, E. (2004). Ellie Herman's Pilates Props Workbook: Illustrated Step-by-Step Guide. Ulysses Press: Berkeley, CA.

10

Holstein, B. E., Avlund, K., Due, P., Martinussen, T., & Keiding, N. (2006). The measurement of change in functional ability: Dealing with attrition and the floor/ ceiling effect. Archives of Gerontology and Geriatrics, 43(3), 337-350. https://doi.org/10.1016/j.archger.2005.12.004

10.1016/j.archger.2005.12.004
11

Joshi, R., Rathi, M., & Parmar, N. (2022). Effect of Pilates ring exercises on pelvic floor muscles in females with stress urinary incontinence: A randomized control trial. Indian Journal of Physical Therapy and Research, 4(2), 114-121. https://doi.org/10.4103/ijptr.ijptr_63_22

10.4103/ijptr.ijptr_63_22
12

Kamyab, M., McHugh, B., & Bowers, R. (2021). Waist circumference, a clinical measurement for the activity of transversus abdominis. Iranian Rehabilitation Journal, 19(3), 273-278. https://doi.org/10.32598/irj.19.3.1391.1

10.32598/irj.19.3.1391.1
13

Kemmler, W., von Stengel, S., Kohl, M., & Engelke, K. (2019). Exercise frequency and bone mineral density increase: A 12-month randomized controlled non- inferiority trial. Osteoporosis International, 30(3), 573-584.

14

Kilim, S. R. & Chandala, S. R. (2013). A comparative study of lipid profile and estradiol in pre-and post- menopausal women. Journal of Clinical and Diagnostic Research, 7(8), 1596-1598. https://doi.org/10.7860/JCDR/2013/6162.3234

10.7860/JCDR/2013/6162.323424086849PMC3782906
15

Kim, S. W., Seo, M. W., Jung, H. C., & Song, J. K. (2021). Effects of high-impact weight-bearing exercise on bone mineral density and bone metabolism in middle-aged premenopausal women: A randomized controlled trial. Applied Sciences, 11(2), 1-12. https://doi.org/10.3390/app11020846

10.3390/app11020846
16

Kitahara, C. M., Berrington de González, A., Freedman, N. D., Huxley, R., Mok, Y. Jee, S. H., & Samet, J. M. (2011). Total cholesterol and cancer risk in a large prospective study in Korea. Journal of Clinical Oncology, 29(12), 1592-1598. https://doi.org/10.1200/JCO.2010.31.5200

10.1200/JCO.2010.31.520021422422PMC3082977
17

Kloubec, J. A. (2010). Pilates for improvement of muscle endurance, flexibility, balance, and posture. The Journal of Strength and Conditioning Research, 24(3), 661-667. https://doi.org/10.1519/JSC.0b013e3181c277a6

10.1519/JSC.0b013e3181c277a6
18

Korea Disease Control and Prevention Agency (2023). 2022 National Health Statistics.

19

Korean Society for the Study of Obesity (2018). Diagnosis and evaluation of obesity. Retrieved from https://general.kosso.or.kr/html/?pmode=obesityDiagnosis

20

Kwon, I., Oh, J. & Kwon, K. (2022). Effect of weight- bearing exercise on HbA1c, blood sugar, lipid profiles, and muscle mass in elderly with diabetes. Sports Science, 40(3), 21-27. https://doi.org/10.46394/ISS.40.3.2

10.46394/ISS.40.3.2
21

Lizcano, F. & Guzmán, G. (2014). Estrogen deficiency and the origin of obesity during menopause. BioMed Research International, 2014(1), 1-11. https://doi.org/10.1155/2014/757461

10.1155/2014/75746124734243PMC3964739
22

Marcus, R. (2001). Role of exercise in preventing and treating osteoporosis. Rheumatic Disease Clinics of North America, 27(1), 131-141. https://doi.org/10.1016/S0889-857X(05)70190-3

10.1016/S0889-857X(05)70190-3
23

Mumcu, O., Singin, R. H. O., Yamaner, F., & Kucukler, F. K. (2020). The effect of Pilates and low-intensity cardio exercise on insulin resistance in women. Turkish Journal of Sports Medicine, 55(4), 259-266. https://doi.org/10.5152/tjsm.2020.180

10.5152/tjsm.2020.180
24

Phrompaet, S., Paungmali, A., Pirunsan, U., & Sitilertpisan, P. (2011). Effects of Pilates training on lumbo-pelvic stability and flexibility. Asian Journal of Sports Medicine, 2(1), 16-22. https://doi.org/10.5812/asjsm.34822

10.5812/asjsm.3482222375213PMC3289190
25

Rahimi, M., Nazarali, P., & Alizadeh, R. (2021). Pilates and TRX training methods can improve insulin resistance in overweight women by increasing an exercise-hormone, Irisin. Journal of Diabetes and Metabolic Disorders, 20(2), 1455-1460. https://doi.org/10.1007/s40200-021-00887-z

10.1007/s40200-021-00887-z34900797PMC8630183
26

Resende-Neto, A. G., Andrade, B. C. O., Cyrino, E. S., Behm, D. G., De-Santana, J. M., & Da Silva-Grigoletto, M. E. (2019). Effects of functional and traditional training in body composition and muscle strength components in older women: A randomized controlled trial. Archives of Gerontology and Geriatrics, 84, 1-13. https://doi.org/10.1016/j.archger.2019.103902

10.1016/j.archger.2019.103902
27

Schulte, P. M. (2015). The effects of temperature on aerobic metabolism: Towards a mechanistic understanding of the responses of ectotherms to a changing environment. The Journal of Experimental Biology, 218(12), 1856-1866. https://doi.org/10.1242/jeb.118851

10.1242/jeb.118851
28

Tabish, S. A. (2017). Lifestyle diseases: Consequences, characteristics, causes and control. Journal of Cardiology and Current Research, 9(3), 1-4. https://doi.org/10.15406/jccr.2017.09.00326

10.15406/jccr.2017.09.00326
29

Vryonidou, A., Paschou, S. A., Muscogiuri, G., Orio, F., & Goulis, D. G. (2015). Mechanisms in endocrinology: Metabolic syndrome through the female life cycle. European Journal of Endocrinology, 173(5), 153-163. https://doi.org/10.1530/EJE-15-0275

10.1530/EJE-15-0275
30

Wei, W., Zhu, J., Ren, S., Jan, Y. K., Zhang, W., Su, R., He, L. (2023). Effects of progressive body-weight versus barbell back squat training on strength, hypertrophy and body fat among sedentary young women. Scientific Reports, 13(1), 1-13. https://doi.org/10.1038/s41598-023-40319-x

10.1038/s41598-023-40319-x37598268PMC10439966
Information
  • Publisher :The Korean Society of Living Environmental System
  • Publisher(Ko) :한국생활환경학회
  • Journal Title :Journal of The Korean Society of Living Environmental System
  • Journal Title(Ko) :한국생활환경학회
  • Volume : 32
  • No :6
  • Pages :705-715
  • Received Date : 2025-10-23
  • Revised Date : 2025-10-29
  • Accepted Date : 2025-11-04
  • DOI :https://doi.org/10.21086/ksles.2025.12.32.6.705
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