Pilates guide

Pilates vs yoga: how they differ, what the research shows, and which to choose

Pilates and yoga share a mat, a focus on the breath and many of the same shapes, but they come from different places: yoga from Indian philosophy, Pilates from a 20th-century trainer who called his method Contrology. Pilates usually moves through short sets of repetitions; yoga more often holds poses and ends in relaxation.

In the research, neither comes out clearly ahead. Small head-to-head trials mostly find similar results, Pilates ranks a little higher for back pain, and yoga has much more evidence for low mood. Both are light exercise that counts toward your strength days.

This guide compares them side by side and goal by goal, with the trials, the calories and the safety data, plus a 25-minute workout that lets you try both. Choose by your goal, and by which one you'll keep doing.

The short version

Different roots, overlapping practice

Yoga is an ancient practice rooted in Indian philosophy that usually combines postures, breathing techniques and meditation. Pilates is a 20th-century conditioning method, focused on strength, trunk control, flexibility, posture and breathing, that its founder called Contrology.

Sources 1, 2, 3

Small trials mostly find similar results

Head-to-head trials, all small, mostly found similar benefits for stress, neck pain, balance and flexibility.

Sources 4, 5, 6

Back pain: Pilates ranks a little higher

In network meta-analyses, which compare many exercise types at once, Pilates ranks above yoga for back pain. The trials are small and the certainty low, and exercise of any kind helps.

Sources 7, 8, 9

Low mood: yoga has far more evidence

The largest analysis of exercise for depression included 33 yoga trials and no Pilates trials.

Source 10

Both are light, and both count as strength

Most classes of either are light intensity, apart from power yoga and sun salutations, and the NHS lists both as muscle-strengthening activities, not aerobic activity.

Sources 11, 12

Both are low-risk, with the same precautions

Side effects in yoga trials were no more common than with usual care or other exercise, and Pilates trials rarely report any. Both need the same care with osteoporosis and neck problems.

Sources 13, 14, 15

How they differ

Where they come from

Joseph Pilates, born in Germany in 1883, developed his method, which he called Contrology, and taught it in New York; he set out his ideas in books in 1934 and 1945 and died in 1967. Yoga is an ancient practice rooted in Indian philosophy, which began as a spiritual practice.

Sources 3, 1

What a class looks like

Pilates usually moves through short sets of controlled movements, often in a set order, and beginners learn a basic set before progressing. Yoga links poses to the breath, often holds them, and many classes end with relaxation or a short meditation. Styles include hatha, restorative yoga, yoga nidra and flowing vinyasa.

Sources 16, 17, 1

Breathing

Contemporary Pilates teaches breathing in through the nose and out through pursed lips, widening the back and sides of the ribs. In yoga, breathing techniques (pranayama) are a practice in their own right.

Sources 18, 1

Equipment

Both need only a mat. Pilates can also be done on spring equipment such as the reformer; yoga uses props such as blocks, straps and blankets to make poses reachable.

Sources 19, 16

What each trains

Both improve flexibility and balance. Pilates is built around trunk endurance and control, while yoga classes more often aim at relaxation and stress, and yoga has a far bigger evidence base for low mood. When a trial matched the two for effort, they gave the same gains.

Sources 20, 10, 4

An expert view

A Cleveland Clinic doctor who teaches yoga suggests Pilates if you need strengthening after an injury, and yoga if you want to learn to relax, and recommends trying both. That's an opinion, not a trial result.

Source 16

What the evidence says: head-to-head trials

Every trial here is small, with 20 to 56 people, so read "similar" as "no clear difference", not proof that the two are the same.

Mostly similar resultsEmerging evidence

In 23 adults with moderate stress, 8 weeks of Pilates or yoga at the same effort gave the same gains in flexibility, balance, heart-rate regulation and mental health. In two trials of 56 adults each with long-lasting neck pain, both eased pain and disability about equally. Online Pilates and online yoga both helped women with multiple sclerosis (MS), and both improved balance in elite fencers.

In teenage girls with period pain both helped, but so did the comparison group, so that trial can't separate them.

Sources 4, 5, 6, 21, 22, 23

Single studies that favour oneMixed evidence

In 28 people with MS, in a study that wasn't randomised, Pilates improved walking speed and balance confidence more than yoga. In a pilot trial of 30 older women with leaking, yoga improved symptoms more than Pilates. Neither is large enough to settle anything.

Sources 24, 25

What the big reviews rank

Network meta-analyses compare many types of exercise at once, using direct and indirect comparisons. They rank Pilates from a handful of small trials, so treat the order as a hint.

Back pain: Pilates a little aheadMixed evidence

In a network meta-analysis of 89 studies, Pilates had the best chance of being the most effective exercise for back pain, while yoga's effect on pain wasn't statistically clear; both improved function equally. Two analyses of mind-body exercise also favoured Pilates over yoga. The rankings rest on small trials and low-certainty evidence, and a review written for a World Health Organization (WHO) guideline found that exercise of any kind probably helps.

Sources 7, 8, 26, 9

Neck pain: about equalMixed evidence

A network meta-analysis of 40 trials grouped yoga, Pilates and tai chi together and found them about as good as other exercise. A mind-body analysis of 18 studies ranked yoga best for neck pain and Pilates best for mental quality of life.

Sources 27, 28

Low mood: far more evidence for yogaEmerging evidence

The largest network meta-analysis of exercise for depression (218 trials) included 33 yoga trials, which showed a moderate benefit, and no Pilates trials. In older adults, two mind-body analyses ranked tai chi first, with Pilates and yoga close behind; Pilates came from only 2 trials in one of them.

Sources 10, 29, 30

Sleep: Pilates ranks first, from few trialsMixed evidence

In a network meta-analysis of 86 trials, Pilates ranked first for sleep quality and yoga lower, but Pilates came from only 5 trials and the differences between exercise types weren't significant. Another analysis also ranked Pilates first; in older adults it wasn't among the best.

Sources 31, 32, 33

Bone: neitherMixed evidence

In 11 studies of women aged 45 to 78, neither Pilates nor yoga changed bone density against no exercise.

Source 34

Other conditionsMixed evidence

For knee osteoarthritis, a mind-body analysis ranked Pilates and tai chi best. For balance in MS, one ranked yoga best. In type 2 diabetes, yoga did best for fasting blood sugar and Pilates for cholesterol, a ranking its authors say needs confirming.

Sources 35, 36, 37

Calories and intensity

Both are mostly lightStrong evidence

The 2024 Compendium of Physical Activities lists mat Pilates at 1.8 to 2.8 METs (metabolic equivalents, where sitting still is 1) and most yoga styles at 2.3 to 2.7: hatha 2.3, vinyasa 2.7. Sun salutations (3.5) and power yoga (4.0, an estimate rather than a measured value) reach moderate intensity. Measured sessions average about 3 to 3.7 METs for Pilates and 3.3 for yoga.

Sources 38, 11, 39, 40

What that means in calories

Our arithmetic: for a 70 kg person, 50 minutes of hatha yoga uses about 135 calories, Pilates about 105 to 165 and power yoga about 235, including the energy you'd use sitting anyway. Neither does much for weight on its own; our Pilates for weight loss guide explains.

Source 11

Which to choose, by goal

Our suggestions, each based on the evidence above. The best choice is the one you'll keep doing.

Long-lasting back pain: either, Pilates slightly ahead

Pilates ranks a little higher for pain, at low certainty, and any exercise helps. In a Pilates trial, twice a week beat once a week.

Sources 7, 8, 9, 41

Neck pain: either

They did equally well in trials and in a pooled analysis.

Sources 5, 6, 27

Stress and relaxation: yoga, if relaxation appeals

Yoga's breathing practice and closing relaxation suit people who want to learn to relax (an expert's view), though in a trial matched for effort both eased stress-related measures equally.

Sources 16, 4

Low mood: yoga has more evidence

There are 33 yoga trials in the largest depression analysis, and Pilates reviews are mixed.

Sources 10, 42

Core endurance and control: Pilates

It is built around trunk control, and it adds about 10 curl-ups a minute against no exercise.

Source 20

Flexibility, balance and sleep: either

Both improved flexibility equally in a matched trial, both count as balance exercise in the UK osteoporosis consensus, and Pilates improves balance in older adults, though neither has been shown to prevent falls, and one large yoga trial found more falls than seated relaxation. Neither is clearly better for sleep.

Sources 4, 15, 43, 57, 31

Bone and weight: neither on its own

Neither changed bone density, so add strength training and impact for bone, and brisk aerobic activity for weight.

Sources 34, 15, 11

After an injury: Pilates with a physiotherapist or trained teacher

Pilates is widely used in rehabilitation trials, and an expert suggests it for strengthening after injury. Either can work with the right advice.

Sources 16, 14

Leaking: pelvic floor training first

Exercise with deliberate pelvic floor squeezes works better than exercise without them, and one small pilot favoured yoga over Pilates. Do the squeezes, with either class alongside.

Sources 44, 25

How much

Our editorial starting point: two sessions a week of either, which counts toward your strength days. The matched trial used 60 minutes twice a week for 8 weeks.

Sources 12, 4

The verdict

No type of exercise is clearly best for back painStrong evidence

Rankings favour Pilates at low certainty, while other reviews find no strong evidence for one type of exercise over another. The authors of a network meta-analysis of 217 trials advise people with long-lasting back pain to do the exercise they enjoy, so they keep it up. Outside back pain, the claims that one is better rest on single small studies.

Sources 45, 9, 46

Cousin moves, side by side

Read them in pairs, Pilates first: the swan lifts and lowers where the cobra holds, the teaser rolls up where the boat holds, and the advanced pairs (roll-over and plow, rocking and bow) load the neck or lower back, so check each page's cautions.

Try both

Try both in one session, or do the beginner Pilates workout and the beginner yoga flow on different days and see which you look forward to. Sun salutations are the yoga sequence that reaches moderate intensity.

Safety: both low-risk, with the same precautions

Yoga: side effects no more common than with other exerciseEmerging evidence

In 94 yoga trials (8,430 people), side effects were no more common than with usual care or other exercise. Most yoga injuries are sprains and strains, and US emergency department data show the highest injury rate in people aged 65 and over.

Sources 13, 47, 48

Pilates: hardly any dataMixed evidence

Only 2 of 10 trials in the Cochrane back pain review reported side effects, which were minor or absent, and Australia's Pilates association says no Pilates-specific injury statistics are collected there.

Sources 14, 49

The same precautions for both

With osteoporosis, avoid loaded or end-range rounding of the spine in either: case reports link extreme forward-bending yoga poses to spinal fractures. With neck problems, skip moves that put weight on the neck, such as the Pilates roll-over and jack knife and yoga's plow, shoulder stand and headstand.

US health advice is that yoga beginners should avoid extreme practices such as headstands, shoulder stands, the lotus position and forceful breathing.

Sources 15, 1

Pregnancy and hot classes

Later in pregnancy, avoid lying flat on your back for more than a few minutes and avoid moves with a risk of falling. Hot yoga can cause overheating and dehydration. Our Pilates in pregnancy guide covers what to swap.

Sources 50, 1

Yogalates and tai chi

Yogalates: untested against eitherMixed evidence

Classes that mix yoga and Pilates exist, and two small studies have used them: an 8-week web-based yoga-Pilates programme for 60 women with stress leaking, and 12 weeks of yogalates in 36 women after breast cancer surgery. Neither compared the mix with yoga or Pilates on its own.

Sources 51, 52

Tai chiMixed evidence

For low mood in older adults, tai chi ranked first in two network meta-analyses of mind-body exercise, with Pilates and yoga close behind. Our exercise for older adults guide covers tai chi.

Sources 29, 30

Warning signs

Call 999 (911 in the US)

For chest pain that feels tight or like squeezing, or spreads to your arms, neck or jaw; severe difficulty breathing, such as gasping, choking or not being able to get words out; lips or skin that turn pale, blue or grey; or if someone has passed out and isn't responding normally.

Source 53

Back pain: call 999 or go to A&E

If you have pain, tingling, weakness or numbness in both legs, loss of feeling around your genitals or anus, changes in your bladder or bowels or in how sex feels, or back pain that started after a serious accident.

Source 54

Get help from NHS 111 or an urgent GP appointment

If you're suddenly more short of breath than usual, have chest pain with feeling sick or a racing, slow or fluttering heartbeat, or have back pain and feel hot, shivery or generally unwell. In the US, contact your doctor or urgent care.

Sources 53, 54

See a GP before starting

If you're unsure whether the exercises suit your fitness, have a health problem, an injury or symptoms, or you're pregnant or have recently given birth.

Source 55

Stop the move

Stop for sharp or increasing pain, tingling or numbness travelling down an arm or leg, dizziness, or neck strain, and come up slowly from head-down poses if you feel light-headed.

Myths

"Pilates is for strength, yoga is for flexibility"Emerging evidence

In a trial matched for effort, both improved flexibility and balance equally, and in pooled trials Pilates built strength no better than other exercise.

Sources 4, 56

"One of them is clearly better for back pain"Mixed evidence

Pilates ranks a little higher in network meta-analyses, at low certainty, and both help about as much as other exercise.

Sources 7, 8, 14

"Yoga and Pilates aren't real exercise"Strong evidence

The NHS lists both as muscle-strengthening activities. They don't replace aerobic activity, though.

Source 12

"Yoga burns far more calories than Pilates, or far fewer"Strong evidence

Both are mostly light: Pilates 1.8 to 2.8 METs, most yoga 2.3 to 2.7. Power yoga (4.0, an estimate) and sun salutations (3.5) are the exceptions.

Source 11

"Pilates is yoga without the spiritual side"

They have separate origins: yoga is rooted in Indian philosophy, and Pilates is a 20th-century conditioning method its founder called Contrology.

Sources 1, 3, 2

"Joseph Pilates was an anatomist who created Pilates for war veterans in 1926"

The history published by the Pilates Method Alliance describes a self-taught trainer interned on the Isle of Man during the First World War, and doesn't support the anatomist story, which some yoga versus Pilates pages still repeat.

Sources 3, 16

Questions people ask

What's the difference between Pilates and yoga?

Yoga is rooted in Indian philosophy and usually combines postures, breathing techniques and meditation. Pilates is a 20th-century method focused on strength, trunk control, flexibility and breathing, done on a mat or on spring equipment. Pilates usually moves through repetitions, while yoga often holds poses with the breath.

Which is better for beginners, Pilates or yoga?

Either. Both have beginner classes and easy versions of every move, and both are mostly light intensity. Start with the one you'll enjoy, or try both in our 25-minute workout.

Is Pilates or yoga better for back pain?

Pilates ranks a little higher for pain in several network meta-analyses, but the trials are small and certainty is low, and both help about as much as other exercise. Choose the one you'll keep doing.

Is Pilates or yoga better for weight loss?

Neither burns much: both are mostly light intensity, about a slow walk, apart from power yoga and sun salutations. For weight loss, pair either with brisk activity and changes to what you eat.

Is Pilates or yoga better for flexibility?

In a trial that matched them for effort, both improved flexibility by the same amount over 8 weeks. In pooled trials, Pilates did no better than other exercise.

Is Pilates or yoga better for core strength?

Pilates is built around trunk control and improves abdominal endurance against no exercise. Yoga's core poses, such as boat pose, work the same muscles, and no trial has compared core strength between them.

Is Pilates or yoga better for stress and anxiety?

Both improved stress-related measures equally in a trial matched for effort. For depression, yoga has far more trials behind it.

Is yoga or Pilates safer?

Both are low-risk. In 94 yoga trials, side effects were no more common than with usual care or other exercise, and Pilates trials rarely report side effects at all. Both need the same care with osteoporosis, neck problems and pregnancy.

Can I do both yoga and Pilates?

Yes. Both count toward the twice-weekly strength guideline, and many moves are cousins, such as the swan and cobra, or the teaser and boat. Our try-both workout pairs them in one session.

What is yogalates?

A class that mixes yoga and Pilates. Two small studies have used it, but none has compared it with yoga or Pilates on its own.

Pilates, yoga or tai chi?

For low mood in older adults, tai chi ranked first in two analyses of mind-body exercise, with Pilates and yoga close behind. All three count as balance exercise in UK osteoporosis advice, so pick the one you'll keep doing.

Sources

  1. NCCIH 2023 · Yoga: effectiveness and safety (US National Center for Complementary and Integrative Health)
  2. Wells 2012 · Defining Pilates exercise: a systematic review of 119 papers (Complement Ther Med)
  3. Pilates Method Alliance · History of Pilates
  4. Song 2026 · 8 weeks of Pilates or yoga in adults with stress (trial, Phys Act Nutr)
  5. Uluğ 2018 · Pilates and yoga for chronic neck pain: an ultrasound study (trial, J Rehabil Med)
  6. Dunleavy 2016 · Pilates and yoga group exercise for chronic neck pain (quasi-randomised controlled study, Physiotherapy)
  7. Owen 2020 · Which modes of exercise training are most effective for low back pain? (network meta-analysis, BJSM)
  8. Shi 2022 · The best mind-body exercise for chronic non-specific low back pain (network meta-analysis, Front Neurosci)
  9. Verville 2023 · Structured exercise for chronic primary low back pain: a review to inform a WHO guideline (systematic review, J Occup Rehabil)
  10. Noetel 2024 · Exercise for depression (systematic review and network meta-analysis of 218 RCTs, BMJ)
  11. Compendium of Physical Activities 2024 · Conditioning exercise table, including Pilates and yoga
  12. NHS · Physical activity guidelines for adults aged 19 to 64
  13. Cramer 2015 · The safety of yoga (systematic review and meta-analysis of 94 RCTs, Am J Epidemiol)
  14. Yamato 2015 · Pilates for low back pain (Cochrane review)
  15. Brooke-Wavell 2022 · Strong, steady and straight: UK consensus statement on physical activity and exercise for osteoporosis (BJSM)
  16. Cleveland Clinic 2024 · Yoga vs. Pilates: the differences between two great exercises
  17. Pilatesology · Classical Pilates exercise orders for the mat and apparatus
  18. STOTT PILATES (Merrithew) · Exam FAQs: the five basic principles and reformer exam requirements
  19. Pilates Method Alliance · Beginner's guide to Pilates equipment, from reformer to Cadillac and beyond
  20. Campos 2016 · The Pilates method and physical conditioning in healthy people (systematic review and meta-analysis, J Sports Med Phys Fitness)
  21. Najafi 2023 · Online Pilates and online yoga in women with multiple sclerosis (trial, J Clin Med)
  22. Lim 2024 · Pilates and yoga for balance and movement in fencers (trial, Life)
  23. Juzer 2025 · Pilates and yoga for period pain in school students (trial, Indian J Community Med)
  24. Abasıyanık 2021 · Yoga and clinical Pilates in multiple sclerosis (quasi-experimental study, Explore)
  25. Kannan 2022 · Yoga and Pilates compared with pelvic floor training for incontinence in older women (pilot RCT, Complement Ther Clin Pract)
  26. Tian 2026 · Mind-body exercise compared for low back pain (network meta-analysis, Complement Ther Med)
  27. de Zoete 2020 · Exercise for chronic non-specific neck pain compared (network meta-analysis of 40 RCTs, BJSM)
  28. Gao 2024 · Mind-body exercise for chronic non-specific neck pain (network meta-analysis, Curr Pain Headache Rep)
  29. Dong 2024 · Mind-body exercise for anxiety and depression in older adults (network meta-analysis, Front Psychiatry)
  30. Wang 2026 · Mind-body exercise for depressive symptoms in older adults (network meta-analysis, Front Public Health)
  31. Wang 2025 · The best types and doses of exercise for sleep quality (network meta-analysis, BMC Public Health)
  32. Xie 2024 · The best exercise for sleep quality in adults (network meta-analysis, Prev Med)
  33. Hasan 2022 · Exercise and sleep quality in older adults (network meta-analysis, Sleep Med Rev)
  34. Fernández-Rodríguez 2021 · Pilates and yoga for bone density in adult women (systematic review and meta-analysis, PLoS One)
  35. Gao 2025 · Mind-body exercise for knee osteoarthritis (network meta-analysis, J Orthop Surg Res)
  36. Hao 2022 · Exercise therapies for balance and walking in multiple sclerosis (network meta-analysis of RCTs, Int J Environ Res Public Health)
  37. Wu 2023 · Mind-body exercise for blood sugar and lipids in type 2 diabetes (network meta-analysis, Complement Ther Clin Pract)
  38. Herrmann 2024 · 2024 Adult Compendium of Physical Activities: third update of the energy costs of human activities (J Sport Health Sci)
  39. Larson-Meyer 2016 · The energy cost and metabolic intensity of yoga (systematic review, Med Sci Sports Exerc)
  40. Vitor 2026 · Metabolic intensity and energy cost of Pilates exercises (systematic review and meta-analysis of 6 studies, Syst Rev)
  41. Miyamoto 2018 · Different doses of Pilates-based exercise therapy for chronic low back pain (RCT, BJSM)
  42. Tsartsapakis 2026 · Pilates, mental health, well-being and quality of life (systematic review and meta-analysis of 32 trials, Sports)
  43. Fernández-Rodríguez 2021 · Pilates, physical performance and risk of falls in older adults (systematic review and meta-analysis, Physiotherapy)
  44. Hay-Smith 2024 · Approaches to pelvic floor muscle training for urinary incontinence in women (Cochrane review)
  45. Wong 2023 · Pilates compared with other exercise for chronic non-specific low back pain (systematic review and meta-analysis, Musculoskeletal Care)
  46. Hayden 2021 · Some types of exercise are more effective than others in chronic low back pain (network meta-analysis, J Physiother)
  47. Cramer 2018 · Injuries and other adverse events with yoga practice (systematic review of observational studies, J Sci Med Sport)
  48. Swain 2016 · Yoga-related injuries in the United States, 2001 to 2014 (emergency department data, Orthop J Sports Med)
  49. Pilates Association Australia 2026 · How safe is Pilates?
  50. NHS · Exercise in pregnancy
  51. Cramer 2023 · Web-based yoga-Pilates for stress urinary incontinence (prospective cohort study, Urogynecology)
  52. Liu 2024 · Yogalates rehabilitation after breast cancer surgery (trial, Explore)
  53. NHS · Heart attack: symptoms
  54. NHS · Back pain
  55. NHS · Pilates for beginners
  56. Pinto 2022 · Is Pilates better than other exercises at increasing muscle strength? (systematic review, Heliyon)
  57. Oliveira 2025 · Iyengar-based yoga or seated relaxation and falls in 700 people aged 60 and over: the SAGE trial (RCT, Lancet Healthy Longev)

Exercise education, not a personal prescription, and clinical review of these guides is pending. If you are pregnant, have a health condition or have had recent surgery, check with a doctor, midwife or physiotherapist before starting, and stop for sharp or increasing pain. Health disclaimer.