Tag: cortisol

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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Influence of visuo-motor integration on cortisol levels and gait performance in diabetic polyneuropathy patients: A randomized controlled trial

Mohamed Soliman El-Tamawy, Moshera Hassan Darwish, Shereen Saad Eldin Mohamed

Mohamed Soliman El-Tamawy, Moshera Hassan Darwish, Shereen Saad Eldin Mohamed – Influence of visuo-motor integration on cortisol levels and gait performance in diabetic polyneuropathy patients: A randomized controlled trial . Fizjoterapia Polska 2020; 20(5);  58-64

Abstract

High morning cortisol levels are associated with cognitive decline in diabetic polyneuropathy (DPN) patients. Cognitive decline is the fourth diabetic microvascular complication which has an effect on gait parameters in DPN patients. Objective. Our aim was to investigate influence of cognitive therapy (CT) on the cortisol levels and the spatiotemporal gait parameters during three different gait conditions (walking without cognitive task, walking with verbal fluency & walking with arithmetic task) in DPN patients. Materials and methods. Forty patients with type II diabetes mellitus (DM) with moderate polyneuropathy participated in this study. The patients group were assigned into two equal groups; study group (G1) treated by visuo-motor integration program via Rehacom system in addition to a selected physical therapy program for DPN patients, control group (G2) treated by the same selected physical therapy program. Rehacom procedure was used to assess cognitive function for all the patients and make CT for the study group (G1). Treatment was conducted three times per week for eight weeks. The cortisol level test was used to measure cortisol levels. The glycated hemoglobin (Hb1AC) test was used to detect the glycated Hb level. Different variables of spatiotemporal gait parameters (cadence, velocity & stride length) for all the patients were assessed using two dimension (2D) video-based motion analysis during the three different gait conditions. Results. The results showed significant reduction in cortisol levels post-treatment in (G1) compared to (G2) (P < 0.05). There was a significant improvement in all cognitive domains in (G1) compared to (G2) post-treatment (P < 0.05). Significant increase in all spatiotemporal gait parameters post-treatment in (G1) compared to (G2) during the three different gait conditions (P < 0.05). Conclusion. Visuo-motor integration activities have a positive effect on reducing serum cortisol levels and consequently improving cognitive function and gait parameters especially during dual task conditions while walking with verbal fluency task and walking with arithmetic task in DPN patients.

Key words:
diabetic polyneuropathy, figural memory, cortisol, hypothalamic-pituitary-adrenal axis, visuo-motor integration
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