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The Pilates Method Alliance (PMA), a not-for-profit professional organization for Pilates, points out that more Americans are practicing Pilates as a way to condition their bodies and improve their physiques. Pilates, a low-impact exercise program appropriate for women of all ages and fitness levels, involves a succession of smooth movements, which integrate both stretching and breathing exercises. Developing a pattern of slow, deliberate movements along with controlled breathing increases blood flow to the muscles providing a number of fitness benefits.