Postnatal Women, Vitamin D
Conditions
Brief summary
Vitamin D and calcium levels are negatively affected during postpartum period, making postnatal woman more vulnerable to health issues and consequently lowering her quality of life. Twelve-weeks of Pilates training have improved serum 25-hydroxy vitamin D levels and changed anthropometry in inactive overweight women. It is well-known globally that aerobic exercise is low to moderate-intensity physical activity.
Detailed description
This study will be conducted to determine the difference between the effect of Pilates and aerobic exercises on serum levels of vitamin D, ionized calcium and osteocalcin in postnatal women. The practical aspect of the study will be conducted at the Out Patient Clinic of Al-Zahraa University Hospital, Al Azahar University, Cairo, Egypt. Sixty postnatal women will participate in this study. Their ages range will be from 18 to 40 and their BMI range will be from 25-35 kg/ m². All women will be postnatal period by 6-12 weeks, as well healthy primipara or multipara. The participants will be randomly assign into two equal groups by using a sealed envelope method; group A (Pilates exercises group) will include thirty postnatal women, whom will perform Pilates exercises for 12 weeks, and group (B), (Aerobic exercises group)will include thirty postnatal women, whom will perform aerobic exercises program for 12 weeks. Will assess vitamin D, Ionized calcium and osteocalcin for all participants at the start and after the treatment program, then will statistically analyze the data.
Interventions
Pilates exercises program will include twelve movements: Bridging, Roll Up, Pilates Hundred, One Leg Circle (both ways), Single Straight Leg Stretch, Double Leg Stretch, Spine Stretch Forward Single Leg Kick, Side Kick up and down, Side Kick circles, Curling.
Sponsors
Study design
Masking description
Each participant will have one identification number that will be used to assign participants into two equal groups in number (n=30), sequentially numbered index cards will be secured in opaque envelopes. The researcher will open the sealed envelope, then will allocate the participants according to their groups.
Intervention model description
Prospective, clinical randomized study
Eligibility
Inclusion criteria
1. Their ages were ranged from 18-40 years old. 2. Their body mass index (BMI) was ranged from 25-35 kg/ m². 3. They were postnatal period by 6-12 weeks. 4. They were primipara or multipara. 5. They were healthy postpartum women.
Exclusion criteria
1. High risk pregnant history. 2. Sever postpartum complications. 3. Cardiovascular diseases i.e., utilizing pace maker. 4. Skeletal deformity. 5. Participation at any other exercise training program during this study. 6. Malignant conditions. 7. History of acute infection 8. Neurological problem; epileptic fits…etc. 9. Mental problem to prevent evaluation and cooperation. 10. Renal, liver or endocrinal disorders. 11. Pulmonary disorders.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Vitamin D serum level | At baseline, and Immediately post-intervention | High-performance liquid chromatography (Shimadzu, Japan) was used to assess 25(OH)D serum levels before and after the study program in both groups, using 25-OH vitamin D ELISA. Kits (Life Sciences Inc. USA). Values of 25(OH)D \< 20 ng/ml are considered deficient, values ranged 21 to 29 ng/ml are considered insufficient, and 30 ng/ml is considered ideal |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ionized calcium serum level | At baseline, and Immediately post-intervention | serum ionized calcium levels measured before and after the intervention, using Easy Lyte Ca analyzer (USA) which utilizes ISE (Ion Selective Electrode) technology in order to measure electrolyte. The manufacturer's instructions were followed at all times. In adults (18-60 years), the reference value of serum calcium is 1.05-1.3 mmol/L |
Countries
Egypt
Contacts
Cairo University
AlZahraaUniversity