to compare the effects of virtual reality games, aerobic exercise, and dietary modifications on Quality of Life among adolescent females.
The study will assess whether virtual reality games, aerobic exercise, and dietary modifications lead to significant differences in Quality of Life scores, and perceived exertion as measured by the Borg scale. Additionally, the study will evaluate whether these interventions produce varying impacts on psychological factors such as depression, anxiety, and stress, and on physical measurements like waist circumference (WC) and body fat composition.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
100
aerobic exercises in form of cycle ergometer training (Each girl started session with a 5 min of warm-up. The exercise phase is performed at 65-75% of age-predicted peak heart rate using an orbitrack device for 20 minutes). Finally, a 5 min cool-down period is permitted, the total session that would be applied about 30 min.
Adolescent girls participated in the study receive diet advices based on a balanced low calorie diet (1500 Kcal)
Virtual reality game exercise involves 25 min of exercise where adolescent girl immersed in the game and did physical activities for the upper and lower extremities according to the game's requirements, and finally a 5 min cool-down part to lower the heart rate and end the session with static flexibility routines, the total session that would be applied about 30 min of Virtual reality exercises.
Badr University in Cairo faculty of physical therapy
Cairo, Egypt
El-Mahaba Specialized Charity Polyclinics
Cairo, Egypt
Life clinic (Private Clinic) - Minya Al Qamh - Sharqia Governorate
Zagazig, Egypt
Body mass index
It is the weight (in kilograms) divided by the height (in meter squares)
Time frame: From enrollment to the end of treatment at 8 weeks
Fat Mass
Body fat mass percentage measured by body composition analysis device
Time frame: From enrollment to the end of treatment at 8 weeks
Body Water Content
Total body water content percentage measured by body composition analysis device.
Time frame: From enrollment to the end of treatment at 8 weeks
Muscle mass
Body muscle mass percentage measured by body composition analysis device.
Time frame: From enrollment to the end of treatment at 8 weeks
Waist Circumference
Waist circumference measured in centimeters, where the patient would be in standing position while investigator applied the tape round the abdomen at its narrowest point between the lower rib margin and top of iliac crest at the end of quiet expiration.
Time frame: From enrollment to the end of treatment at 8 weeks
Waist hip ratio
It is the ratio between the waist circumference and the hip circumference. Where the waist circumference should be measured at the midpoint between the lower margin of the last palpable ribs and the top of the iliac crest, using a tape measurement. While, the hip circumference should be measured around the widest portion of the buttocks, with the tape parallel to the floor.
Time frame: From enrollment to the end of treatment at 8 weeks
Borg Scale (rate of perceived exertion)
This is the modified Borg scale (rating from 0 to 10) where 0 means \"no exertion at all\" and 20 means \"maximal exertion.\" When a measurement is taken, a number is chosen from the scale by the participant that best describes their perceived level of exertion during physical activity (Six-Minute walk test)
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Time frame: From enrollment to the end of treatment at 8 weeks
Menstrual pain by Visual Analogue Scale (VAS)
The VAS is a 10-point scale comprising a number from 0 through 10; 0 indicates no pain, and 10 indicates the worst imaginable pain. Adolescent girls participating in the study were instructed to choose a single number from the scale that best indicates their level of menstrual pain
Time frame: From enrollment to the end of treatment at 8 weeks
Pediatric Quality of Life Inventory (PedsQL)
It is a 23-item generic health status instrument that assesses five domains of health (physical functioning, emotional functioning, psychosocial functioning, social functioning, and school functioning) in adolescents. The PedsQL 4.0 has been proposed as a valid and reliable generic pediatric HRQOL measurement that can be used for self-reports in age groups ranging from 2 to 18 years and can also be used in clinical practice, clinical trials, and research, as well as school health settings, and community populations. It is a questionnaire for the child about child's physical, emotional, social, and school functioning in the past one month. On the PedsQL Generic Core Scales, for ease of interpretability, items are reversed scored and linearly transformed to a 0-100 scale, so that higher scores indicate better HRQOL (Health-Related Quality of Life).
Time frame: From enrollment to the end of treatment at 8 weeks
Depression Score
Through the DAAS-21 scale (Depression, Anxiety and Stress scoring and degree) It consists of 21 questions, seven questions for depression, seven for anxiety and seven for stress assessment. The DASS is a quantitative measure of distress along the 3 axes of depression, anxiety and stress.
Time frame: From enrollment to the end of treatment at 8 weeks
Anxiety Score
Through the DAAS-21 scale (Depression, Anxiety and Stress scoring and degree) It consists of 21 questions, seven questions for depression, seven for anxiety and seven for stress assessment. The DASS is a quantitative measure of distress along the 3 axes of depression, anxiety and stress.
Time frame: From enrollment to the end of treatment at 8 weeks
Stress Score
Through the DAAS-21 scale (Depression, Anxiety and Stress scoring and degree) It consists of 21 questions, seven questions for depression, seven for anxiety and seven for stress assessment. The DASS is a quantitative measure of distress along the 3 axes of depression, anxiety and stress.
Time frame: From enrollment to the end of treatment at 8 weeks