Effect of whole-body vibration on insulin resistance in females with polycystic ovarian syndrome: A randomized controlled trial

Mai Shehata; Marwa Elhameed; Mariam Grace; Yahia Ahmed; Mariam El Ebrashy

doi:10.5114/areh.2024.140488

ISSN: 1734-4948

Advances in Rehabilitation

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abstract:

Original article

Effect of whole-body vibration on insulin resistance in females with polycystic ovarian syndrome: A randomized controlled trial

Mai Mohamed Ali Shehata

¹

,

Marwa Mahdy Abd Elhameed

²

,

Mariam Omran Grace

³

,

Yahia Ali Ahmed

⁴

,

Mariam Hossam El Ebrashy

⁵

Department of Physical Therapy for Women’s Health, Faculty of Physical Therapy, Cairo University, Giza, Egypt
Department of Physical Therapy for Burn and Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt
Department of Physical Therapy for Basic Science, Faculty of Physical Therapy, Cairo University, Giza, Egypt
Department Obstetrics and Gynecology, Faculty of Medicine, Suez University, Egypt
Department of Physical Therapy for Women’s Health, Faculty of Physical Therapy, Badr University, Cairo, Egypt

Advances in Rehabilitation

DOI: https://doi.org/10.5114/areh.2024.140488

Online publish date: 2024/06/10

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Introduction
Polycystic ovarian syndrome (PCOS) is prevalent in females, impacting their health and their life quality. Therefore, this study aimed to investigate the effect of adding whole-body vibration (WBV) to the traditional treatment of polycystic ovarian syndrome.

Material and methods
Forty-six females diagnosed with PCOS. Their ages 20 to 35 years, with a body mass index (BMI) of 25-29.9 kg/m2; were randomly divided into two equal groups: The study group followed an iso-caloric, low-glycemic diet and performed aerobic exercises in addition to WBV and the control group followed an iso-caloric, low-glycemic diet and performed aerobic exercise only (n = 23 each). Treatment lasted for 8 weeks, sessions per week. BMI, waist-hip ratio (WHR), and LH/FSH ratio were assessed pre- and post- treatment. Insulin resistance was assessed by HOMA-IR (Homeostatic Model Assessment for Insulin Resistance) pre- and post-treatment.

Results
Weight, BMI, HOMA-IR, and LH/FSH ratio showed a statistically significant decrease when comparing before to after-treatment in both groups (p < 0.05). However, WHR showed a statistically significant decrease only in the study group (p < 0.05). Compared to the control group, the study group showed a significant reduction in weight (-8.08 kg vs. – 4.39 kg, p = 0.0009), BMI (-2.99 kg/m² vs. -1.6 kg/m², p = 0.004), WHR (-0.05 vs. -0.018, p = 0.009), HOMA-IR (-1.54 vs. - 0.77, p = 0.03), and LH/FSH ratio (-0.53 vs. -0.5, p = 0.02) after 8 weeks of treatment.

Conclusions
This study reveals the favorable outcomes of adding WBV to aerobic exercise for females with PCOS.

keywords:

Polycystic ovary syndrome, Vibration, Exercise, Insulin

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Effect of whole-body vibration on insulin resistance in females with polycystic ovarian syndrome: A randomized controlled trial

Mai Mohamed Ali Shehata 1 , Marwa Mahdy Abd Elhameed 2 , Mariam Omran Grace 3 , Yahia Ali Ahmed 4 , Mariam Hossam El Ebrashy 5

Polycystic ovary syndrome, Vibration, Exercise, Insulin

Mai Mohamed Ali Shehata

¹

,

Marwa Mahdy Abd Elhameed

²

,

Mariam Omran Grace

³

,

Yahia Ali Ahmed

⁴

,

Mariam Hossam El Ebrashy

⁵