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 visceral osteopathic manipulations on low back pain caused by visceral dysfunctions

ALshimaa Mokhtar Darwesh, Zahra Mohamed Hassan Serry, Shawky Abd El-Hamid Fouad, Heba Ahmed Ali Abdeen

ALshimaa Mokhtar Darwesh, Zahra Mohamed Hassan Serry, Shawky Abd El-Hamid Fouad, Heba Ahmed Ali Abdeen – Effect of visceral osteopathic manipulations on low back pain caused by visceral dysfunctions. Fizjoterapia Polska 2021; 21(5); 44-49

Abstract
Purpose. To assess the efficacy of visceral osteopathy for low back pain (LBP) caused by visceral dysfunctions.
Methods. Randomized controlled trial. This research included forty participants ranged in age from 25 to 40 years old who were suffering from LBP due to visceral dysfunctions. They were split into two classes of the same size; Study group (A) received visceral osteopathic manipulations once a_week for three weeks and Control group (B) received analgesic drugs only for three weeks. Visual analogue scale (VAS), Owestry disability index (ODI) and Modified Schober’s test (MST) were evaluated for all participants in both groups before and after treatment.
Results: The comparison between both groups revealed significant decrease in VAS and ODI (p < 0.05) as well as significant increase in MST (p < 0.05) in favor of study group (A) post treatment.
Conclusion: Osteopathy is effective in pain management and functional status improvements in LBP patients.
Key words:
osteopathy, low back pain, visceral dysfunction, visual analogue scale, Owestry disability index, Schober’s test
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Effect of Upper Limb Exercises on Blood Flow in Hemodialysis Patients: A Randomized Controlled Trial

Fatma Mahmoud Taha Mohamed, Nesreen Ghareeb Elnahas, Zahra Mohamed Hassan Serry, Sahier Omar El-Khashab

Fatma Mahmoud Taha Mohamed, Nesreen Ghareeb Elnahas, Zahra Mohamed Hassan Serry, Sahier Omar El-Khashab – Effect of Upper Limb Exercises on Blood Flow in Hemodialysis Patients: A Randomized Controlled Trial. Fizjoterapia Polska 2021; 21(1); 140-146

Abstract
Background. Kidney failure patients exhibit a_considerable decline in blood flow (in diameters, end-diastolic velocity & peak systolic velocity of ulnar, radial, brachial arteries & cephalic vein) & also functional capacity (in data of handgrip strength, heart rate, oxygen saturation) that had profound effects on patients’ basic needed activities during the day. Physical exercises might be effective in slowing the rate or even reversing that decline. Aim. To investigate the exercises effect including the upper limb (Wrist flexion-extension, Elbow flexion-extension, & Hand open-close) on blood flow in those patients receiving hemodialysis treatment. Materials and Methods. Sixty men patients who performing hemodialysis were participated in the existing study, collected from Al-Badrashin central hospital in Giza, the age of the patients ranged from 40 to 50 years, CKD. They were randomly allocated into two groups of equal number. The study & control groups, study group who received medications, hemodialysis & breathing& upper limb exercises three times each week for a duration of six weeks and the other control group who received also medications, hemodialysis but, without training. Assessment of the Patients were done with the aid of by ultrasound machine sonoscape, pulse oximeter & hydraulic hand dynamometer prior & after the study. Results. The results revealed that all evaluated parameters except heart rate were have a_statistical significant that observed as an improvement in the study group if compared to the other control group in terms of oxygen saturation, diameters, end-diastolic velocity & peak systolic velocity of brachial, ulnar, radial arteries & cephalic vein & strength of handgrip (5.87, 11.17, 30.39, 11.11, 19.44, 12.89, 10.14, 16.11, 6.55, 22.32, 10.82, 17.11, 0.75 & 36.32 respectively). There were no observed changes of significant value after treatment between both groups concerning heart rate, the end-diastolic velocity of ulnar& radial arteries. Conclusion. It can be concluded that exercises of upper limb enhance the flow of blood in patients receiving hemodialysis.
Key words:
renal failure, hemodialysis, upper limb exercises, blood flow
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