Research Summary
Analyzed using Evidence Intelligence™

Pilates improves nutritional status and quality of life in older adults with diabetes

Last updated September 9, 2026

Key finding

Post-intervention scores indicated better nutritional condition in the experimental group (26.98 ± 3.21) compared to the control group (25.08 ± 3.59).

This study evaluated the impact of a 12-week Pilates intervention on nutritional status and health-related quality of life 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

Extended (5–20+ y)

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 evaluated the impact of a 12-week Pilates intervention on nutritional status and health-related quality of life in older adults with Type 2 diabetes, finding significant improvements in various health metrics.

Clinical relevance

These findings highlight the potential of Pilates as a beneficial intervention for older adults with Type 2 diabetes, suggesting that incorporating such exercise programs could enhance their nutritional status and overall quality of life. This is particularly important given the increasing prevalence of diabetes and the need for effective lifestyle interventions to manage health in this population.

Keep in mind

The sample size may limit the generalizability of the findings. The study duration was relatively short, potentially affecting long-term outcomes. The control group received standard care, which may not account for all confounding variables.

Published in

Journal Reference

Publication details and source links for this paper.

Beatriz R, Agustín A, Fidel H, Yolanda C, María DCC, Yih-Kuen J. Effects of a 12-Week Pilates Intervention on Nutritional Status and Health-Related Quality of Life in Older Adults with Type 2 Diabetes Mellitus: A Randomized Controlled Trial. Diagnostics. 2025;15(22):2913. doi:10.3390/diagnostics15222913

Main Effects

Nutritional status improved in the Pilates group (26.98 ± 3.21) compared to control (25.08 ± 3.59), p=0.005.

General health scores were higher in the Pilates group (71.44 ± 18.29) versus control (57.02 ± 18.37), p=0.001.

Physical functioning scores increased in the Pilates group (78.08 ± 19.83) compared to control (69.52 ± 22.69), p=0.043.

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 exercise program and Change in Bodily Pain Domain of Health-Related Quality of Life, Change in role physical domain of health-related quality of life, Change in social functioning domain of health-related quality of life, and 5 more.

Primary intervention

Pilates-based exercise program

Primary outcomes

  • Change in Bodily Pain Domain of Health-Related Quality of Life
  • Change in role physical domain of health-related quality of life
  • Change in social functioning domain of health-related quality of life

Evidence relationships

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

8
Evidence pairs
8
Relationships
1
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: 63

1

Related topics

8

Evidence pairs

123

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 8 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

Add related evidence to your Evidence Tracker

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Primary evidence

Evidence topic

Quality of Life

matched_outcome

Core evidence

Study findings

The primary outcomes reported in this study.

Change in Bodily Pain Domain of Health-Related Quality of Life

Pilates-based exercise program → Change in Bodily Pain Domain of Health-Related Quality of Life

Pilates-based exercise program → Change in Bodily Pain Domain of Health-Related Quality of Life

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
25
Negative
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Change in role physical domain of health-related quality of life

Pilates-based exercise program → Change in role physical domain of health-related quality of life

Pilates-based exercise program → Change in role physical domain of health-related quality of life

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

Change in social functioning domain of health-related quality of life

Pilates-based exercise program → Change in social functioning domain of health-related quality of life

Pilates-based exercise program → Change in social functioning domain of health-related quality of life

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

General Health Management Improvement

Pilates-based exercise program → General Health Management Improvement

Pilates-based exercise program → General Health Management Improvement

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

Nutritional status

Pilates-based exercise program → Nutritional status

Pilates-based exercise program → Nutritional status

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

Physical functioning

Pilates-based exercise program → Physical functioning

Pilates-based exercise program → Physical functioning

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

Role limitation due to emotional problems score

Pilates-based exercise program → Role limitation due to emotional problems score

Pilates-based exercise program → Role limitation due to emotional problems score

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

Vitality

Pilates-based exercise program → Vitality

Pilates-based exercise program → Vitality

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

  • Pilates improved nutritional status significantly (1.9 score increase, p=0.005).
  • General health improved by 14.42 points in the Pilates group (p=0.001).
  • Physical functioning increased by 6.93 points in the Pilates group (p=0.043).
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 findings are based on a specific Pilates intervention and may not generalize to other forms of exercise.
  • Long-term effects of the Pilates intervention were not assessed in this study.
between the lines

Between the Lines

  • The sample size may limit the generalizability of the findings.
  • The study duration was relatively short, potentially affecting long-term outcomes.
  • The control group received standard care, which may not account for all confounding variables.

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 exercise program and Change in Bodily Pain Domain of Health-Related Quality of Life, Pilates-based exercise program and General Health Management Improvement.

Related evidence relationships

Explore in Evidence Explorer

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

Included in these evidence collections

Curated evidence collections and hubs this study is part of.

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Questions answered by this study

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

Does Pilates-based exercise program improve change in role physical domain of health-related quality of life?

Emerging Evidence

Pilates-based exercise program appears to improve change in role physical domain of health-related quality of life.

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

Ranked evidence signals

  1. 1

    Change in role physical domain of health-related quality of life

    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 exercise program improve change in social functioning domain of health-related quality of life?

Emerging Evidence

Pilates-based exercise program appears to improve change in social functioning domain of health-related quality of life.

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

Ranked evidence signals

  1. 1

    Change in social functioning domain of health-related quality of life

    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

What evidence is available on Pilates-based exercise program and general health management improvement?

Emerging Evidence

Pilates-based exercise program appears to improve general health management improvement.

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

Ranked evidence signals

  1. 1

    General Health Management Improvement

    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 exercise program improve nutritional status?

Emerging Evidence

Pilates-based exercise program appears to improve nutritional status.

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

Ranked evidence signals

  1. 1

    Nutritional status

    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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