Effect of moderate continuous aerobic training versus cryolipolysis on stress hormone and aerobic capacity in central obesity

Samy Kamal Mohamed Elgendy, Zahra Mohamed Hassan Serry, Mervat Gaber Elnany, Rana Hesham Mohamed Elbanna

 


Samy Kamal Mohamed Elgendy, Zahra Mohamed Hassan Serry, Mervat Gaber Elnany, Rana Hesham Mohamed Elbanna – Effect of moderate continuous aerobic training versus cryolipolysis on stress hormone and aerobic capacity in central obesity. Fizjoterapia Polska 2022; 22(4); 32-37

DOI: https://doi.org/10.56984/8ZG1A67jJ

Abstract
Purpose. This is the first comparative study aimed to find out the effect of moderate continuous aerobic exercise versus the widely popular body reshaping intervention, cryolipolysis, on cortisol (stress hormone), aerobic capacity (VO2max), 6-minute walking test (6MWT) in central-obesity (CO) patients.
Methods. Sixty CO patients (30 men and 30 women) were recruited from El Zawia El Hamra One Day Surgery Egyptian Hospital with a body mass index (BMI) ranged from 35–39.9 kg/m2 to be randomly assigned to the aerobic continuous moderate-intensity exercise group (thirty patients who received 30 minutes of treadmill walking, 3 sessions per week) and cryolipolysis group (thirty patients received on-abdomen one session for 60 minutes weekly). Both groups were ordered to reduce their daily diets to 1500–1800 Kcal/day (the diet was revised by a diet specialist every 14 days to consider the inclusion of fat (20–25%), carbohydrate (high complex, 50–60%), and protein components (25–30%). Anthropometry (weight, BMI, and waist circumference), plasma cortisol, VO2max, and 6MWD were assessed before and after 12-week cryolipolysis and exercise.
Results. A significantly improved difference was extracted using paired tests either within-exercise or with-cryolipolysis groups regarding the patients’ weight, BMI, cortisol, VO2max, and 6MWT. In favor of the exercise group, the post-treatment comparison between exercise and cryolipolysis groups showed a more marked significant statistical difference (p < 0.05) regarding the patients’ weight, BMI, VO2max, and 6MWD. In favor of the cryolipolysis group, post-treatment waist circumference showed a more marked significant decrease when compared to its post-treatment level of the exercise group. Regarding post cortisol levels between exercise and cryolipolysis groups, a non-significant difference was reported.
Conclusion: After the addition of aerobic exercise or cryolipolysis to a 12-week supervised DR plan, both therapeutic interventions can improve central fat deposition, weight, cortisol, VO2max, and 6MWT in CO patients.

Keywords
aerobic exercise, cryolipolysis, cortisol, aerobic capacity, six minute walk test, central obesity

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Effect of exercise versus diet on visceral adiposity indicators in obese postmenopausal diabetic women: A comparative study

Doaa A. Osman, Abdullah M. Al-Shenqiti, Hamada Ahmed Hamada, Mohamed Ibrahim Mabrouk


Doaa A. Osman, Abdullah M. Al-Shenqiti, Hamada Ahmed Hamada, Mohamed Ibrahim Mabrouk – Effect of exercise versus diet on visceral adiposity indicators in obese postmenopausal diabetic women: A comparative study. Fizjoterapia Polska 2022; 22(2); 42-48

Abstract
Objective. To evaluate the effect of aerobic exercise versus dietary modification on visceral adiposity indicators in obese postmenopausal diabetic women. Design. A prospective, randomized, controlled comparative study.
Methods. Thirty-six obese postmenopausal women, suffering from type 2 diabetes (T2D), participated in this study. They were randomized into two equal groups. The exercise group received aerobic exercise program for 8 weeks (n = 18), whereas the diet group received dietary modification for 8 weeks (n = 18). The anthropometric parameters, fasting blood glucose (FBG), triglyceride (TG), high density lipoprotein (HDL) and visceral adiposity indicators were evaluated for all women in the two groups before and following 8 weeks of treatment.
Results. All outcome measures showed statistically significant improvements within both groups (p < 0.05), with statistically non-significant differences between both groups after treatment (p > 0.05).
Conclusion. Aerobic exercise and dietary modification have similar positive effects on visceral adiposity indicators in obese postmenopausal diabetic women.
Key words:
aerobic exercise, dietary modification, visceral adiposity indicators, postmenopausal women, diabetes, obesity
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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 aerobic exercise on functional capacity and interleukin-6 level post allogeneic hematopoietic stem cell transplantation: A randomized controlled trial

Mohamed Rafat Borham, Azza Abdelaziz Abdelhady, Gamaleldin Mohamed Fathy, Emad Mohamed Ibrahim

Mohamed Rafat Borham, Azza Abdelaziz Abdelhady, Gamaleldin Mohamed Fathy, Emad Mohamed Ibrahim – Effect of aerobic exercise on functional capacity and interleukin-6 level post allogeneic hematopoietic stem cell transplantation: A randomized controlled trial. Fizjoterapia Polska 2022; 22(1); 100-107

Abstract
Background. Transplantation of hemopoietic stem cells has been extensively used as a curative modality to treat blood malignancies and cases of bone marrow failure. Objective. To examine the effect of aerobic exercises on functional capacity and interleukin-6 levels on patients post allogeneic hematopoietic stem cell transplantation (HSCT). Design. A quasi-experimental, randomized, single-blind design. Setting. Nasser Institute’s out-patient clinic for bone marrow transplant and Belqas central hospital. Methods. Forty women having chronic Graft versus Host Disease post hemopoietic stem cell allotransplant, with an age range of 20 to 30 years and body mass index between 18.5 and 24.9 kg/m2, were randomly designated into two equal groups (n = 20) (A and B). The study group (A) participated in a supervised aerobic exercise program of moderate intensity, with a score of 12-14 on the Borg scale for ‎perceived exertion, together with a specific medication routine, whereas the control group (B) was only given their medication routine. The exercise program consisted of 40 minutes on the stationary bicycle, with a warm-up and a cool-down period of 5 minutes each and 30 minutes as an active phase, 3 times per week for 3 months Both functional capacity, measured by a 6-minute walk test (6 MWT), and interleukin-6 blood level were assessed before starting the aerobic training and medical routine and after 3 months of the intervention. Results. The analysis showed a significant increase (P < .001) in the distance walked and assessed by 6 MWT in the group (A) compared to the control group (B), while there is a decrease in interleukin- 6 levels in the group (A) than in the group (B) without a statistical significance (P = 0.52). Conclusion: Aerobic training can be beneficial in increasing functional capacity.
Key words:
stem cell transplantation, graft vs host disease, aerobic exercise, interleukin-6, six-minute walk test
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Resistance versus aerobic exercises on cancer related fatigue and immunity in breast cancer patients undergoing adjuvant chemotherapy: A randomized controlled study

Lamiaa Said Tolb, Amal Mohammed Abd El Baky, Hany Mohamed Elgohary, Yasser Mostafa El Kerm

Lamiaa Said Tolb, Amal Mohammed Abd El Baky, Hany Mohamed Elgohary, Yasser Mostafa El Kerm – Resistance versus aerobic exercises on cancer related fatigue and immunity in breast cancer patients undergoing adjuvant chemotherapy: A randomized controlled study. Fizjoterapia Polska 2021; 21(5); 220-225

Abstract
Purpose. To compare the effects of resistance and aerobic exercises on cancer related fatigue and immunity in breast cancer patients undergoing adjuvant chemotherapy.
Methods. sixty female patients with ages ranged from 30 to 60 years, diagnosed as breast cancer undergoing adjuvant chemotherapy, complaining of cancer related fatigue and decreased immunity, were recruited from oncology department at Medical Research Institute in Alexandria and divided randomly into two equal groups in number; Group (A), received resistance exercises for 3 months, Group (B), received aerobic exercises for 3 months. Pretreatment, after 6 weeks and after 3 months of treatment assessment was done using Fatigue assessment scale (FAS), Hemoglobin (Hb) level test for fatigue and White blood cells count (WBCS)for immunity were done for all patients.
Results. The comparison between both groups post-treatment revealed statistically significant reductions in FAS, as well as improvement in Hb and WBCS count (p = 0.0001) in favor of group (B).
Conclusion. Aerobic exercise is more effective than resistance exercises in cancer related fatigue and immunity in breast cancer patients undergoing adjuvant chemotherapy.
Key words:
cancer-related fatigue, immunity, aerobic exercise, resistance exercises, adjuvant chemotherapy
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Effect of aerobic versus resisted exercise on blood coagulation in chronic kidney disease patient

Walaa Mohammed Mohammed Mohammed, Ehab Fawzy Abd EL Aziz, Heba Ali Abd ELgafar

Walaa Mohammed Mohammed Mohammed, Ehab Fawzy Abd EL Aziz, Heba Ali Abd ELgafar – Effect of aerobic versus resisted exercise on blood coagulation in chronic kidney disease patient. Fizjoterapia Polska 2021; 21(5); 196-202

Abstract
Purpose. To compare the effects of aerobic and resistive activity on blood coagulation in chronic kidney disease (CKD). Methods. Randomized controlled trial. Sixty male patients with CKD (stages 2 & 3) participated in study; their age ranged from 40 to 50 years old. They were randomly assigned into equal two groups (A & B). Group A received aerobic exercise for 16 weeks (n = 30), while group B received resisted exercise for 16 weeks (n = 30). Pre- and post-treatment measurements included body weight, blood coagulation parameters (platelet count and fibrinogen concentration) and 6- minute walk test (6 MWT). Results. There were significant improvements in weight, blood coagulation parameters and 6 MWT within both groups (p < 0.05), while there were no significant differences (p > 0.05) between the two groups after treatment. Conclusion. Aerobic and resisted conditioning exercises both increase blood coagulation parameters and efficiency in CKD patients. Following therapy, there was little disparity between the two classes.
Key words:
chronic kidney disease, aerobic exercise, resisted exercise, blood coagulation
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Effect of aerobic exercise on inflammation and sex hormones in obese polycystic ovarian syndrome women: A randomized controlled study

Doaa A. Abd El Aziz, Fahima M. Oqeel, Magid M. Labib, Amel M. Yousef

Doaa A. Abd El Aziz, Fahima M. Oqeel, Magid M. Labib, Amel M. Yousef – Effect of aerobic exercise on inflammation and sex hormones in obese polycystic ovarian syndrome women: A randomized controlled study. Fizjoterapia Polska 2021; 21(4); 204-209

Abstract
Purpose. This study aimed to investigate the effect of aerobic exercise on inflammation and female sex hormones in obese PCOS women. Materials and methods. Forty volunteer obese PCOS women were participated in this study, their ages ranged from 20 to 35 years and body mass index (BMI) ranged from 30 to 34.9 kg/m2, they randomly divided into two equal groups in numbers; group A, followed diet control therapy and group B, participated in an aerobic exercise three times per week and followed the same diet control therapy as group A. Both groups were evaluated before and after therapy (12weeks) through measuring their BMI, C-reactive protein (CRP), luteinizing hormone (LH), follicular stimulating hormone (FSH), LH/FSH ratio and modified Ferryman–Gallwey (mFG) scoring system for hirsutism Results. showed that there was a statistically significant difference (P < 0.05) in both groups (A&B) in BMI, LH, FSH, LH/FSH ratio, CRP and mFG in favor to group (B) after therapy (12 weeks). Conclusions. revealed that aerobic exercises are effective in decreasing weight and inflammation which lead to improve fertility by improving female sex hormonal variables.
Key words:
Polycystic ovarian syndrome, Aerobic exercise, Follicular stimulating hormone, luteinizing hormone, C-reactive protein
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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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The Effect of Aerobic Versus Interval Resistive Exercises on Blood Coagulation in Type 2 Diabetic Patients

Waleed Elsayed Hussein Ahmed Arafat, Nagwa Mohammed Badr, Emad Mohamed Ibrahim, Mahmoud Abdou Ashour

Waleed Elsayed Hussein Ahmed Arafat, Nagwa Mohammed Badr, Emad Mohamed Ibrahim, Mahmoud Abdou Ashour – The Effect of Aerobic Versus Interval Resistive Exercises on Blood Coagulation in Type 2 Diabetic Patients. Fizjoterapia Polska 2021; 21(1); 20-24

Abstract
Purpose. To investigate the effect of aerobic exercise versus interval resistive exercise on blood coagulation in type 2 diabetic patients.
Methods. Randomized controlled trial. Sixty type 2 diabetic patients, aged from 45 to 65 years old, were randomly divided into two equal groups. Group (A) received a low caloric diet plus aerobic exercise for 12 weeks, while group (B) received the same low caloric diet plus interval resistive exercise for 12 weeks. All participants in both groups were evaluated, for glycosylated hemoglobin (HbA1c) and fibrinogen levels, pre and post treatment.
Results. Comparing both groups post treatment revealed statistically significant reductions in HbA1c and fibrinogen levels (p < 0.05) in favour of group (B).
Conclusion. Interval resistive exercise is more effective than aerobic exercise in improving HbA1c and fibrinogen levels in patients with type 2 diabetes.

Key words:
aerobic exercise, interval resistive exercise, blood coagulation, type 2 diabetes

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Exergaming versus Aerobic Training Exercise on Natural Killer Cells in Normal Weight and Obese Children

Sahar Mahmoud Mohamed El Sayed, Mohsen Mohamed ElSayyad, Omaima M Kattabei, Soheir Shehata Rezkallah, Zainab Ali El-Saadany

Sahar Mahmoud Mohamed El Sayed, Mohsen Mohamed ElSayyad, Omaima M Kattabei, Soheir Shehata Rezkallah, Zainab Ali El-Saadany – Exergaming versus Aerobic Training Exercise on Natural Killer Cells in Normal Weight and Obese Children. Fizjoterapia Polska 2020; 20(5); 192-197

Abstract
Objectives. To compare the effect of exergaming versus aerobic exercise on natural killer (NK) cells in normal weight and obese children. Methods. Sixty children of both sexes were divided into four equal groups: exergaming normal weight group (A), exergaming obese group (B), aerobic normal weight group (C), and aerobic obese group (D). Both (A) & (B) groups played exergaming on Nintendo Wii. (C) & (D) groups performed moderate aerobic exercise. All groups practiced 3 sessions per week, for 4 weeks. The NK cell count and its subsets (CD56dim and CD56bright) in blood were evaluated pre- and post-exergame and aerobic exercise practice. Results. Wilcoxon test and Kruskal-Wallis test revealed that the NK cell count and CD56dim showed significant reductions within group (B) (p < 0.05), while they showed significant increases within group (D) post-treatment compared to pre-treatment(p < 0.05). However, CD56bright showed significant reductions within the four groups post-treatment compared to pre-treatment (p < 0.05). Between group comparison, pre- and post-treatment, revealed non-significant differences in NK cell count and its subsets (CD56dim and CD56bright) (p > 0.05). Conclusions. Exergaming has a significant suppressive effect in obese and not in normal weight children, while aerobic exercise has a significant boosting effect in obese and not in normal weight children. However, there were no significant differences between exergaming and aerobic exercise in NK cell count in normal weight and obese children. Exergaming may be considered a novel tool for a more active and healthy lifestyle, but it may not exert the same as more as traditional physical activity.
Key words:
Exergaming, aerobic exercise, natural killer cells, CD56dim, CD56bright
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