Effect of whole-body vibration on insulin resistance in 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 paper

Effect of whole-body vibration on insulin resistance in 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, 2024, 38(2), 1–10

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 among women, impacting health and quality of life. The present study aimed to investigate the effect of adding whole-body vibration (WBV) to the traditional treatment of PCOS.

Material and methods
Forty-six women diagnosed with PCOS, aged 20 to 35 years, with BMI 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 eight weeks, three 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
Significant decreases in weight, BMI, HOMA-IR, and LH/FSH ratio were noted between the two time points (before and after-treatment) in both groups (p < 0.05). However, WHR only showed a significant decrease 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 eight weeks of treatment.

Conclusions
Adding WBV to aerobic exercise appears to have favourable outcomes for patients with PCOS.

keywords:

exercise, insulin, polycystic ovary syndrome, vibration

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3 days to initial verification (Median)

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Effect of whole-body vibration on insulin resistance in 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

exercise, insulin, polycystic ovary syndrome, vibration

Mai Mohamed Ali Shehata

¹

,

Marwa Mahdy Abd Elhameed

²

,

Mariam Omran Grace

³

,

Yahia Ali Ahmed

⁴

,

Mariam Hossam El Ebrashy

⁵