Effect of ketogenic diet and aerobic exercise on glucose level in prediabetes female with normal weight: A randomized controlled trial

Mona Mohamed Abdelkhalek, Hend Reda Sakr, Hanaa Mohsen Abd -Elfattah, Fairouz Hatem Ameen

Mona Mohamed Abdelkhalek, Hend Reda Sakr, Hanaa Mohsen Abd -Elfattah, Fairouz Hatem Ameen – Effect of ketogenic diet and aerobic exercise on glucose level in prediabetes female with normal weight: A randomized controlled trial. Fizjoterapia Polska 2021; 21(3); 206-211

Abstract
Objectives. It is well known that Individuals with prediabetes have a high risk of developing type 2 diabetes. This study aimed to compare the effect of combination of ketogenic diet and aerobic exercise interventions versus ketogenic diet alone on the glucose level in prediabetes female with normal weight. Methods. A total of sixty volunteer prediabetes females with normal body mass index (BMI) from 20-25 kg/m2 their age ranged from 40-60 years old, randomly divided into two equal groups and were recruited for a three-month trial. Group (I) (n = 30) treated by continuous aerobic exercise in form of treadmill 5 sessions per week and ketogenic diet. Group (II) (n = 30) treated by ketogenic diet alone. The primary outcome was the fasting plasma glucose and glycated hemoglobin while the secondary outcome was   body mass index and waist circumference. The outcome measures were measured before and after intervention for both groups. Results. Comparing both groups post-treatment revealed that there was significant improvement in fasting plasma glucose and glycated hemoglobin in favor of Group (I). Conclusion. combined continuous aerobic exercise and ketogenic diet improve glucose level in prediabetes female through decrease fasting plasma glucose and glycated hemoglobin.
Key words:
Prediabetes, Ketogenic diet, Aerobic exercise, Fasting plasma glucose, Glycated hemoglobin
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Effect of Acupuncture and diet modification on amenorrhea in female athlete triad: A single blind Randomized Controlled Trial

Hala Mohamed Emara, Azza Barmoud Kassab, Amr Hazim Abbassy, Hend Reda Sakr

Hala Mohamed Emara, Azza Barmoud Kassab, Amr Hazim Abbassy, Hend Reda Sakr – Effect of Acupuncture and diet modification on amenorrhea in female athlete triad: A single blind Randomized Controlled Trial. Fizjoterapia Polska 2019; 19(3); 62-67

Abstract
Purpose. Determination of the effect of acupuncture and diet modification using soy products on amenorrhea in female athlete triad.
Methods. Sixty female athletes were selected from Sports Medicine Specialized Center in Nasr City. The range of their ages is from 17 to 25 years, and the index of their body mass < 20 Kg/m2, they were all gymnastics players. They were randomly allocated into three equal number groups, Group A: Twenty patients undergone sessions of acupuncture 30 minutes, 3 times weekly for 12 weeks. Group B: Twenty patients took soy diet from organic origin (phytoestrogen) daily for twelve weeks as 100 milliliter soy milk and 100-gram soy bean. Group C: Twenty patients received both acupuncture therapy and soy in diet for twelve weeks. Assessment of all participants prior and after the treatment program through hormonal analysis was done to show the levels of Estradiol 2 (E2), FSH and LH for the three groups.
Results. The statistical analysis revealed E2, FSH & LH showed a significant increase post treatment in Group C rather than Group B.
Conclusion. Acupuncture and phytoestrogen as soy products seems to be a successful, safe, and effective alternative manner to treat amenorrhea in female athlete triad.

Key words:
Acupuncture, soy products, phytoestrogen, amenorrhea, female athlete triad

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