Effect of aerobic exercise and ketogenic diet on type II diabetic obese pre-menopausal women

Hala M. Hanafy, Mohamed Hassan Mostafa, Nora M. Ramadan


Hala M. Hanafy, Mohamed Hassan Mostafa, Nora M. Ramadan – Effect of aerobic exercise and ketogenic diet on type II diabetic obese pre-menopausal women. Fizjoterapia Polska 2022; 22(1); 160-164

Abstract
Purpose. To investigate the effect of aerobic exercise and ketogenic diet on type 2 diabetic obese pre-menopausal women.
Methods. Thirty premenopausal obese women diagnosed as having type2 diabetic mellitus. They were selected from outpatient clinic of gynecology in t AL Kasr AL Ainy hospital Cairo University.. Their BMI was between 30 and 35 kg/m2 and their ages ranged from 45 to 48. They were divided into two groups equal in number, the study group (A) was treated by aerobic exercise, ketogenic diet and oral hypoglycemic drugs prescribed by physician, while control group (B) was treated by oral hypoglycemic drugs prescribed by physician. Blood glucose levels were evaluated by fasting blood glucose test and body mass index was evaluated by weight and height scale before and after performing study for 4 weeks.
Results. The obtained results showed a statistically significant decrease in weight, BMI and fasting blood glucose level post treatment in the study group compared with pre treatment (p < 0.001) while there was a significant decrease in fasting blood glucose in the control group post treatment (p < 0.001) and no significant changes in weight and BMI of the control group (p > 0.05). There was significant decrease in fasting blood glucose, weight and BMI of the study group compared with that of the control group (p < 0.001).
Conclusion. Ketogenic diet and Aerobic exercise have a significant effect in decreasing Weight, BMI and Fasting blood glucose level in Type-2 Diabetes Mellitus, obese pre-menopausal women.
Key words:
type II diabetes mellitus, ketogenic diet, aerobic exercise, fasting blood glucose level
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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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