Aarohi Sanjay Shaligram, Varun Naik, BR Ganesh
Introduction: Type 2 Diabetes Mellitus (T2DM) is a common metabolic disorder among mid-aged adults. Physical fitness is a measure approach for maintaining Blood Glucose Levels (BGL) within the ranges. Pilates is a low-impact exercise and easy to perform. Mat Pilates (MP) and Swiss Ball Pilates (SBP) were the two interventions used in the current study. Aim: To determine and compare the effect of four weeks of MP and SBP on blood profile and body composition elements in sedentary T2DM. Materials and Methods: The present randomised controlled trial was conducted over a period of 12 months at Karnataka Lingayat Education Society’s (KLES) Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi, Karnataka, India. A total of 30 participants were enrolled and randomly assigned into two groups during the study period with each group of 15 participants; Group A received MP, while Group B received SBP. Outcome measures included Blood Lactate (BL) levels, body composition elements, and BGLs were recorded on day 1 and after four weeks of intervention. Results: Statistical analysis was done using Statistical Package for the Social Sciences (SPSS). Within-group analysis demonstrated significant improvement in BL with Group A (p-value <0.001) and for Group B (p-value <0.001), blood glucose both the groups p-value being <0.001 and body composition elements like fat (Group A, p-value=0.003) (Group B, p-value <0.001), skeletal muscle mass, water content, Waist to Hip Ratio (WHR), physical age, and overall Health Assessment Score (HAS). Conclusion: Both MP and SBP led to significant improvements in body composition, metabolic function, and overall physical health. By successfully reducing BL, blood glucose, and body fat while raising skeletal muscle mass, water content, and HAS, both strategies showed their effectiveness in fostering fitness and well-being.