Research Summary
Analyzed using Evidence Intelligence™

Pilates Improves Glycemic Control and Physical Function in Older Adults

Last updated September 9, 2026

Key finding

Blood glucose levels decreased by 4.06 mg/dL (p < 0.001; d = 0.68)

This study examined the effects of a 12-week Pilates-based intervention on glycemic control and physical function in older adults with type 2 diabetes, finding significant improvements in various health metrics.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study examined the effects of a 12-week Pilates-based intervention on glycemic control and physical function in older adults with type 2 diabetes, finding significant improvements in various health metrics.

Clinical relevance

These findings are clinically significant as they suggest that Pilates can be a beneficial physical activity for managing diabetes and enhancing physical capabilities in older adults. Improved glycemic control and physical function can lead to better overall health outcomes and quality of life for this population.

Keep in mind

Unclear effectiveness for some outcomes Limited generalizability due to specific population Potential lack of long-term follow-up data

Published in

Journal Reference

Publication details and source links for this paper.

Beatriz R, Fidel H, Agust&#237;n A, et al. Effects of a 12-Week Pilates-Based Intervention on Glycemic Control and Physical Function in Older Adults with Type 2 Diabetes Mellitus. Healthcare. 2025;13(9):1012. doi:10.3390/healthcare13091012

Main Effects

Blood glucose levels decreased by 4.06 mg/dL (p < 0.001; d = 0.68)

Handgrip strength increased by 1.76 kg (p < 0.001; d = 0.48)

Balance improved by 2.37 points (p < 0.001; d = 0.66)

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Pilates-based intervention and Berg Balance Scale, Blood glucose, Flexibility (Chair Sit-and-Reach Test), and 2 more.

Primary intervention

Pilates-based intervention

Primary outcomes

  • Berg Balance Scale
  • Blood glucose
  • Flexibility (Chair Sit-and-Reach Test)

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

5
Evidence pairs
5
Relationships
3
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 72

3

Related topics

5

Evidence pairs

814

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 5 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Fasting Blood Glucose

matched_outcome

Related evidence

Evidence topic

Glycemic Control

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Berg Balance Scale

Pilates-based intervention → Berg Balance Scale

Pilates-based intervention → Berg Balance Scale

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Blood glucose

Pilates-based intervention → Blood glucose

Pilates-based intervention → Blood glucose

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Flexibility (Chair Sit-and-Reach Test)

Pilates-based intervention → Flexibility (Chair Sit-and-Reach Test)

Pilates-based intervention → Flexibility (Chair Sit-and-Reach Test)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Handgrip Strength

Pilates-based intervention → Handgrip Strength

Pilates-based intervention → Handgrip Strength

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Improvement in 4-m gait speed

Pilates-based intervention → Improvement in 4-m gait speed

Pilates-based intervention → Improvement in 4-m gait speed

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Blood glucose decreased by 4.06 mg/dL, indicating improved glycemic control.
  • Handgrip strength increased by 1.76 kg, showing enhanced physical strength.
  • Balance improved by 2.37 points, suggesting better stability.
who this applies

Who this applies to

  • Older adults aged 60 and above
  • Individuals diagnosed with type 2 diabetes mellitus
keep in mind

Keep in Mind

  • Results may not apply to younger populations or those without diabetes.
  • The study's short duration limits understanding of long-term effects.
  • Effectiveness for some outcomes remains unclear, requiring further research.
between the lines

Between the Lines

  • Unclear effectiveness for some outcomes
  • Limited generalizability due to specific population
  • Potential lack of long-term follow-up data

Evidence Library

Build your evidence library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Pilates-based intervention and Improvement in 4-m gait speed, Pilates-based intervention and Berg Balance Scale.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Pilates-based intervention improve berg balance scale?

Emerging Evidence

Pilates-based intervention appears to improve berg balance scale.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Berg Balance Scale

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Pilates-based intervention improve blood glucose?

Emerging Evidence

Pilates-based intervention appears to improve blood glucose.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Blood glucose

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Pilates-based intervention improve flexibility (chair sit-and-reach test)?

Emerging Evidence

Pilates-based intervention appears to improve flexibility (chair sit-and-reach test).

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Flexibility (Chair Sit-and-Reach Test)

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Pilates-based intervention improve handgrip strength?

Emerging Evidence

Pilates-based intervention appears to improve handgrip strength.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Handgrip Strength

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
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