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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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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