Evidence map›Paper›PMID 39905474›Full record

ArticleBMC sports science, medicine & rehabilitation2025

Pilates exercise in pregnancy: a systematic review and meta-analysis.

Yuxuan Li, Heran Lu, Liuwei Zhang, Yijia Ren, Xiaotong Dai, Lin Lin

Abstract read
In one paragraph

Article in BMC sports science, medicine & rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Yuxuan LiKey Laboratory of Exercise and Physical Fitness, Beijing Sport University, Ministry of Education, Beijing, China.
Heran LuKey Laboratory of Exercise and Physical Fitness, Beijing Sport University, Ministry of Education, Beijing, China.
Liuwei ZhangKey Laboratory of Exercise and Physical Fitness, Beijing Sport University, Ministry of Education, Beijing, China. 2466@bsu.edu.cn.
Yijia RenKey Laboratory of Exercise and Physical Fitness, Beijing Sport University, Ministry of Education, Beijing, China.
Xiaotong DaiKey Laboratory of Exercise and Physical Fitness, Beijing Sport University, Ministry of Education, Beijing, China.
Lin LinHuman Resource Department of China-Japan Friendship Hospital of the Health Commission, China-Japan Friendship Hospital, Beijing, China. viplynne@163.com.

Funding

the Chinese Universities Scientific Fund 2024TZJK007the National High-Level Hospital Clinical Research Funding 2024-NHLHCRF-GL-02the National Natural Science Foundation of China 81803324
6 · The paper itself

Abstract

backgroundPilates is widely acknowledged as an effective exercise for enhancing physical, psychological, and motor functions. However, there remains ongoing debate regarding the effects of Pilates on pregnancy outcomes. Thus, the objective of this systematic review was to evaluate and critically analyze the existing scientific evidence regarding the effects of Pilates on pregnant women.

methodsA thorough search was performed across 7 databases, focusing on articles published up to June 2024. The quality of evidence was assessed using the Cochrane RoB Tool, and STATA 17.0 software was utilized to perform tests for heterogeneity, publication bias, and sensitivity analysis.

results(1) A total of 11 studies were included in this review, comprising 538 participants. Among these, 3 studies exhibited a low risk of bias, while 8 studies presented an unclear risk of bias. (2) The meta-analysis results indicated that Pilates exercise resulted in non-significant changes in the Body Mass Index (BMI) of pregnant women (SMD 0.02; 95% CI, -0.27 to 0.31; P = 0.887), the body weight of pregnant women (SMD 0.25; 95% CI, -0.52 to 1.02; P = 0.519), the mode of delivery (RR 1.41; 95% CI, 0.95 to 2.09; P = 0.093), and the Low-density lipoprotein (LDL) levels of pregnant women (SMD - 1.182; 95% CI, -2.443 to 0.079; P = 0.066). However, Pilates exercise during pregnancy was associated with significant improvements in APGAR scores at 1 min (SMD 0.41; 95% CI, 0.08 to 0.74; P = 0.015), a reduction in the duration of labor (SMD - 0.557; 95% CI, -0.915 to -0.198; P = 0.002), and a decrease in the Visual Analogue Score (VAS) score (SMD - 0.76; 95% CI, -1.45 to -0.07; P = 0.032). (3) Sensitivity analysis revealed no significant differences in effect size before and after the removal of any individual study, indicating that the meta-analysis results were stable.

conclusionsThis systematic review and meta-analysis demonstrate that Pilates during pregnancy positively influences the shortening of labor duration, improves the newborn's immediate physiological status, and alleviates labor pain.

trial registrationThe study was registered on the International Prospective Registry of Systematic Reviews--PROSPERO database (CRD42023393309) on January 30, 2023.

Indexed as

Exercise during pregnancyMaternal healthMeta-analysisPilates

Identifiers

PMID39905474
PMCPMC11792223

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.