Tag: Fahima M Okeel

多囊卵巢综合症女性激素水平对内脏操纵影响的随机试验

Eman E. Kamel, Hamada A. Hamada, Amel M. Yousef, Fahima M. Okeel, Mohamed Hassan, Hatem M. Hassan

Eman E. Kamel, Hamada A. Hamada, Amel M. Yousef, Fahima M. Okeel, Mohamed Hassan, Hatem M. Hassan – Influence of visceral manipulation on hormonal profile in women with polycystic ovarian syndrome: A randomized trial –  Fizjoterapia Polska 2024; 24(1); 279-284

DOI: https://doi.org/10.56984/8ZG2EF8860

摘要
背景。多囊卵巢综合症（PCOS）是生育年龄女性中最常见的内分泌疾病，并被认为是心脏代谢疾病的一个风险因素。根据所采用的诊断标准，大约10-15%的生育年龄女性受到PCOS的影响。目的。研究内脏操纵如何影响多囊卵巢综合症女性的激素水平。设计。前瞻性随机单盲对照试验。环境。萨达特综合医院的门诊部。方法。招募了30名多囊卵巢综合症女性患者，并将她们随机分为两个等组：对照组接受了12周低热量地中海饮食指导治疗，而研究组在接受同样的对照组干预措施外，还额外进行了内脏操纵（VM）。生化分析（FSH和LH）和BMI是主要结果。所有变量在干预前和干预后12周时测量。结果。通过配对t检验进行统计分析，显示两组均有显著改善。因此，使用混合设计的MANOVA和多重成对比较测试（事后测试）对治疗后的BMI和LH/FSH比率进行了分析，结果显示，与A组相比，B组的LH/FSH比率显著降低（p=0.007），两组之间的BMI没有显著差异（p=0.443），显示VM组（B）在生化分析上比组（A）更有效（p<0.05）。结论。结合使用内脏操纵和标准的低热量地中海饮食计划对多囊卵巢综合症女性的激素水平有更多益处。
关键词
多囊卵巢综合症，内脏操纵，低热量饮食，黄体生成激素，促卵泡激素
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Impact of different types of anaesthesia for cesarean delivery on subacute low back pain intensity and disability: A retrospective cohort study

Mohamed G. Ali, Mohammed A. Soliman, Amel M. Yousef, Fahima M. Okeel, Mohammed A.M. Sarhan


Mohamed G. Ali, Mohammed A. Soliman, Amel M. Yousef, Fahima M. Okeel, Mohammed A.M. Sarhan – Impact of different types of anaesthesia for cesarean delivery on subacute low back pain intensity and disability: A retrospective cohort study. Fizjoterapia Polska 2022; 22(3); 116-121

Abstract
Background. Low back pain (LBP) is common after cesarean delivery. So, this study was conducted to assess and compare the intensity of subacute LBP and disability among women who underwent cesarean delivery with different anaesthetic types.
Methodology. This retrospective cohort study was conducted to 38 women “26 of them underwent cesarean delivery, assessed after 6 to 12 weeks from delivery, they were classified into: [epidural anaesthetic group (Group A) n = 6, spinal anaesthetic group (Group B) n = 13, general anaesthetic group (Group C) n = 7], they were either primiparous or multiparous who did not receive anaesthesia for at least one year prior to the last delivery, the other 12 women were the control group (Group D) who didn’t experience pregnancy or anaesthesia”.
Results. The mean values of visual analogue scale (VAS) in Group A, Group B, Group C, and Group D were 5.00 ± 1.67, 4.62 ± 1.12, 5.14 ± 1.21, and 2.17 ± 0.71, respectively. The ANOVA test revealed a significant difference in VAS (P = 0.0001; P < 0.05) among the four groups. while the post-hoc test revealed non-significant differences (P = 1.000; P > 0.05) between the three anaesthetic groups. Also, the mean values of Oswestry Disability Index (ODI) in the same four groups were 26.00 ± 16.68, 27.00 ± 11.72, 30.00 ± 6.87, and 25.00 ± 9.33, respectively. The ANOVA test revealed non-significant difference in ODI (P = 0.838; P < 0.05) among the four groups.
Conclusion. Epidural, spinal and general anaesthesia for cesarean delivery are associated with increased intensity of subacute LBP, but without significant differences between these anaesthetic types. However, they do not increase the disability.

Key words:
neuraxial anaesthesia, general anaesthesia, cesarean delivery, subacute period, low back pain

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Effect of whole body vibration versus high intensity interval training on interleukin-6 in obese post-menopausal women

Fayka E Ali, Fahima M Okeel, Amir A Gabr, Amel M Yousef, Abdullah M. Al-Shenqiti, Mohamed Ahmed Elbedewy


Fayka E Ali, Fahima M Okeel, Amir A Gabr, Amel M Yousef, Abdullah M. Al-Shenqiti, Mohamed Ahmed Elbedewy – Effect of whole body vibration versus high intensity interval training on interleukin-6 in obese post-menopausal women. Fizjoterapia Polska 2022; 22(2); 144-149

Abstract
Background. Menopause and aging affect the health of obese women, provoking accumulation of visceral adipose tissue (VAT) and inflammation. Obesity leads to major health problems, which increase the risk of debilitating diseases that lead to death. Thus, loss of weight and VAT are primary goals of treatment through modifications of dietary habits and exercise. Purpose of the study. This study was conducted to determine which is more effective on interleukin- 6 (IL-6) levels for obese post-menopausal women, whole body vibration training (WBVT) or high intensity interval training (HIIT). Subjects and methods. 45 post-menopausal obese women diagnosed with higher level of IL-6, their body mass index (BMI) > 30 kg/m2 and waist/hip ratio (W/H ratio) > 0.8 participated at this study. Women were divided randomly into 3 equal groups in numbers; Group (A) followed low caloric diet (1200 Cal), Group (B) received WBVT and Group (C) received HIIT. Both groups (B & C) followed the same low caloric diet as group (A). Evaluation was done before and after 3 months of treatment, through measuring weight, BMI, waist as well as hip circumferences, W/H ratio and IL-6 levels. Results. The three groups revealed statistically significant improvements (P < 0.05) in all parameters after treatment compared to baseline. Also, there were statistically differences between the 3 groups after treatment, with the group (B) more favorable than groups (A & C). Conclusion. WBVT is more effective than HIIT on reducing inflammation via reducing IL-6 level in obese post-menopausal women.
Key words:
obesity, menopause, whole body vibration exercise, high intensity interval training, interleukin-6
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