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Here, we investigated the effects of 16 weeks of MP training contrasted with MP supplemented with aerobic exercise (MP+AE) and compared with a non-intervention group on autonomic modulation, cardiorespiratory fitness, strength, flexibility, performance of functional tasks, QOL, anthropometric variables, clinical BP, and heart rate. Methods: This is a three-arm, secondary analysis of an RCT. Sixty HW, aged 30 to 59 years, were allocated into: MP only (MP), MP+AE on a treadmill (MP+AE), and Control Group, without exercises. Assessments were performed before and after 16 weeks of training. Results: The ANOVA shows differences in between-group comparisons in the SDNN, rMSSD, and SD1 in the heart rate variability analysis, with increases in rMSSD, SDNN, and SD1 only in the MP, and this result was not found in the MP+AE group (p &lt; 0.05). Differences were observed in the between-group comparisons in time in the cardiorespiratory exercise test (CPX), flexibility, and the waist-to-hip ratio, with changes in the MP+AE, differences in QOL, and increments in the MP and MP+AE (p &lt; 0.05). Conclusions: MP increased the indices that reflect vagal and global cardiac autonomic modulation. MP+AE improved the CPX performance, flexibility, QOL, and anthropometric variables. These results suggest that MP supplemented or not with AE has promising effects in HW.<\/jats:p>","DOI":"10.3390\/ijerph191710577","type":"journal-article","created":{"date-parts":[[2022,8,25]],"date-time":"2022-08-25T21:28:12Z","timestamp":1661462892000},"page":"10577","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Is the Combination of Aerobic Exercise with Mat Pilates Better than Mat Pilates Training Alone on Autonomic Modulation Related to Functional Outcomes in Hypertensive Women? Secondary Analysis of a Randomized Controlled Trial"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9778-2800","authenticated-orcid":false,"given":"Isabella da Silva","family":"Almeida","sequence":"first","affiliation":[{"name":"Laboratory of Muscle and Tendon Plasticity, Graduate Program in Rehabilitation Science, Faculdade de Ceil\u00e2ndia, Universidade de Bras\u00edlia, Distrito Federal, Bras\u00edlia 72220-275, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Let\u00edcia de Souza","family":"Andrade","sequence":"additional","affiliation":[{"name":"Physiotherapy School Clinic, Physiotherapy Department, Universidade Cat\u00f3lica de Bras\u00edlia, Distrito Federal, Bras\u00edlia 71966-700, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7900-210X","authenticated-orcid":false,"given":"Alessandra Martins Melo de","family":"Sousa","sequence":"additional","affiliation":[{"name":"Laboratory of Muscle and Tendon Plasticity, Graduate Program in Rehabilitation Science, Faculdade de Ceil\u00e2ndia, Universidade de Bras\u00edlia, Distrito Federal, Bras\u00edlia 72220-275, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6323-7003","authenticated-orcid":false,"given":"Gerson Cipriano","family":"Junior","sequence":"additional","affiliation":[{"name":"Laboratory of Exercise Physiology, Graduate Program in Rehabilitation Science, Faculdade de Ceil\u00e2ndia, Universidade de Bras\u00edlia, Distrito Federal, Bras\u00edlia 72220-275, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4837-3936","authenticated-orcid":false,"given":"Aparecida Maria","family":"Catai","sequence":"additional","affiliation":[{"name":"Physiotherapy Department, Universidade Federal de S\u00e3o Carlos, S\u00e3o Paulo 13565-905, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yomara Lima","family":"Mota","sequence":"additional","affiliation":[{"name":"Health Education and Consultancy Department, PROCER Health Education and Consultancy, S\u00e3o Paulo 12916-398, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o Luiz Quagliotti","family":"Durigan","sequence":"additional","affiliation":[{"name":"Laboratory of Muscle and Tendon Plasticity, Graduate Program in Rehabilitation Science, Faculdade de Ceil\u00e2ndia, Universidade de Bras\u00edlia, Distrito Federal, Bras\u00edlia 72220-275, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,8,25]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1269","DOI":"10.1161\/HYP.0000000000000066","article-title":"2017 ACC\/AHA\/AAPA\/ABC\/ACPM\/AGS\/APhA\/ASH\/ASPC\/NMA\/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology\/American Heart Association Task F","volume":"71","author":"Whelton","year":"2018","journal-title":"Hypertension"},{"key":"ref_2","unstructured":"WHO (2018). 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