Effect of foot reflexology on perimenopausal mild hypertension

Hala M Hanfy, Mohamed A. Awad, Hossam El Dien H Kamel, Nermeen K Eid

Hala M Hanfy, Mohamed A. Awad, Hossam El Dien H Kamel, Nermeen K Eid – Effect of foot reflexology on perimenopausal mild hypertension. Fizjoterapia Polska 2022; 22(1); 44-50

Abstract
Purpose. to investigate the effect of foot reflexology on perimenopausal mild hypertension. Methods. Fifty perimenopausal women suffering from mild hypertension were selected randomly from the outpatient clinic of the gynecology department in Sayed Galal University Hospital in Cairo, Al Azhar University, shared in this study. Their ages were ranged from 48 to 50 years old. Their body mass index (BMI) did not exceed 30kg/m. The physician diagnosed them as mild hypertensive patients (stage 1). Patients with bronchial asthma, history of hypertension before the 4th decade, diabetes mellitus and mental health problems such as depression and anxiety are excluded from the study. The design of the study was an experimental study (two groups pre-test post-test design). The patients were divided randomly into two equal groups (A&B): Group A (Control group); consisted of twenty-five patients. They performed aerobic exercises only three times per week for 8 weeks. Group B (Study group); consisted of twenty-five patients. They performed aerobic exercises and received foot reflexology three times per week for 8 weeks. Body mass index was assessed using a standard weight and height scale. Blood pressure was assessed using a mercury sphygmomanometer, blood analysis for TC, TG, LDL and HDL for both groups A and B before and after treatment.
Results. showed that, within groups, there was a significant decrease in systolic blood pressure, diastolic blood pressure, cholesterol, triglyceride, LDL and a significant increase in HDL in both groups A and B post-treatment in comparison with pre-treatment values. Between groups, pre-treatment there was no significant difference in systolic blood pressure, diastolic blood pressure, cholesterol, triglyceride, LDL and HDL. While, post-treatment there was a significant difference between groups A and B in systolic blood pressure, diastolic blood pressure, cholesterol, triglyceride, LDL (more decrease in group B) and HDL (more increase in group B).
Conclusion. Foot reflexology is an effective method in treating perimenopausal mild hypertension through decreasing SBP, DBP, cholesterol, TG, LDL and increasing HDL.
Key words:
foot reflexology, perimenopausal, hypertension
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Effect of Life Style Modification on Premenopausal Uterine Fibroids: A randomized controlled trial

Hala M Hanfy, Mohamed A. Awad, Abd El-Hamid Abd El-Maksod Abd El-Aaty, Hoda H El dahesh

Hala M Hanfy, Mohamed A. Awad, Abd El-Hamid Abd El-Maksod Abd El-Aaty, Hoda H El dahesh – Effect of Life Style Modification on Premenopausal Uterine Fibroids: A randomized controlled trial. Fizjoterapia Polska 2021; 21(4); 18-24

Abstract
Purpose. This study was designed to investigate the effect of life style modification on premenopausal uterine fibroids. Materials and methods. Forty pre-menopausal women diagnosed as uterine fibroids shared in this study. They were selected randomly from the Out-patient clinic of gynecology department in Damanhour Medical National Institute in Damanhour. Their ages were ranged from 36-47 years old. Their body mass index (BMI) didn’t exceed 35 kg/m2. They were diagnosed as subserosal and intramural uterine fibroids. Pregnant women, patients with malignant disease, cardiac pacemakers, myomectomy, psychological problems, postmenopausal patients or hormonal replacement therapy are excluded from study. The design of study was pre-test post-test experimental design. They were divided into two equal groups: Group A (Control group) consisted of 20 patients who received moderate restricted Mediterranean diet for six months. Group B (Study group) consisted of 20 patients who treated by lifestyle intervention program in the form of moderate restricted Mediterranean diet and aerobic exercises (5 times /week) for six months. Each patient in both groups was asked to take 3-4 teabag of Lipton green tea per day. Body mass index (BMI) was assessed by using standard weight-height scale, waist circumference (WC) was assessed by tape measurement; severity of symptoms was assessed by symptoms severity scale questionnaire (SSS) for all patients in both groups A and B before and after treatment. Serum Estradiol (E2), total cholesterol (TC) and triglyceride (TG) were assessed for all patients in both groups A and B before and after treatment. Results. pretreatment, there was no statistical significant difference between both groups A and B in the mean values of BMI, waist circumference, symptoms severity subscale (SSS), serum estradiol (E2), total cholesterol (TC) and triglyceride level (TG). While post treatment, there was statistical significant difference between both groups A and B in the mean values of BMI, waist circumference, symptoms severity subscale (SSS), serum estradiol (E2), total cholesterol (TC) and triglyceride level (TG) (more decrease in group B). Conclusion. Life style modification through aerobic exercise and Mediterranean diet is effective in reducing severity of symptoms and improve quality of life in premenopausal uterine fibroids patients.
Key words:
Life style, Premenopausal, Uterine fibroid, Exercise
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