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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
TRIPLE
Enrollment
60
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.
20 minutes walking on the treadmill at moderate intensity (70% of the maximal heart rate).
AlZahraa University Hospital
Cairo, Al Zahraa University Hospital, Egypt
AlZahraa University Hospital
Cairo, Al Zahraa University Hospital, Egypt
Vitamin D serum level
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
Time frame: At baseline, and Immediately post-intervention
Ionized calcium serum level
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
Time frame: At baseline, and Immediately post-intervention
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