Effect of Visceral vs Total Body Fat Reduction in Obese Female With Stress Urinary Incontinence
- Conditions
- Stress Urinary Incontinence
- Interventions
- Behavioral: low caloric diet, ultrasound cavitation,Kegel exercises
- Registration Number
- NCT05944484
- Lead Sponsor
- Dina Mohamed Tarek Mansour El-kasrawy
- Brief Summary
The aim of this study is to investigate the visceral fat reduction versus total body fat reduction on stress urinary incontinence in obese females.
- Detailed Description
compare the effect of visceral fat reduction versus total body fat reduction on stress urinary incontinence in obese females.
control group: consist of 20 obese women. They will receive Kegel exercises only 3 session/ week for 12 weeks.
Diet group: consist of 20 obese women. They will receive low caloric diet and Kegel exercises 3 session/week for 12 weeks.
Ultrasound cavitation group: consist of 20 obese women. They will receive Kegel exercises 3 session/week and ultrasound cavitation two sessions per week.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 60
- They will be diagnosed with stress urinary incontinence grade≥ 1
- Their age will range from 35-48 years old.
- Their body mass index will exceed 29.9 kg/m².
- Their hip waist ratio will be more than 0.85 cm.
- They will be multipara >1.
-
· Fecal incontinence, urge incontinence, overflow incontinence or functional incontinence or prolapse.
- Diabetes, asthma, cardiovascular, or renal diseases
- Taking medication for stress urinary incontinence or hormonal replacement therapy.
- Gynecological surgeries, or surgeries for obesity.
- Pregnant women.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description kegel exercises low caloric diet, ultrasound cavitation,Kegel exercises Kegel exercise program performed for 12 weeks( 3 sessions /week ) .• "The first step is external observation, with the patient in the lithotomy position.And describe for each woman how to feel her muscle when she stops mid-stream urine. * "The second step is vaginal examination, performed gently with one finger." - The digital exam served a double purpose: first to assess the development of the puboccocygeus muscle and second to verify that the patient was able to identify the correct muscle * The third stage main exercises quick flick : contract muscle as quickly as possible 10-20 times then relax then count 10 for relax then reapeat .( 50 repetitions) slow contraction: tighten the muscle as hard as you can for account of 10 -20 .relax for acount 10 then repeat ( 50 repetitions) sustained contraction: tighten the muscle halfway and hold 60 seconds .relax for account 20 then repeat (10 repetitions) ultrasound cavitation low caloric diet, ultrasound cavitation,Kegel exercises ultrasound cavitation, for 30 minutes on abdomen with continuous emission and frequency of 40 KHz, 3-6 W/cm2, 60W with 10cm2 active surface, twice/ week with 3 days apart for 12 weeks. low caloric diet low caloric diet, ultrasound cavitation,Kegel exercises low caloric diet (800-1200) calories/day . According to each patient, diet should contain (carbohydrate protein, fats, minerals, vitamins),1200 calories in the first month, 1000 calories in the second month, and 800 calories in the third month. Every week, each woman will be allowed to change the types of food to avoid boarding.
- Primary Outcome Measures
Name Time Method stress urinary incontinence 12 weeks evaluate stress urinary incontinence by The International Consultation on Incontinence Questionnaire ranged from (0-21)
Question items:
Frequency or urinary incontinence Amount of leakage Overall impact of urinary incontinence Self-diagnostic item. The ICIQ-UI Short form provides a score ranging from 0-21. With a higher score indicating greater severity of symptoms. The "self-diagnostic" portion of the questionnaire is not given a score
- Secondary Outcome Measures
Name Time Method waist circumference 12 weeks measure waist circumference in centimeter
Measure weight 12 weeks Measure weight in kilogram
Measure body mass index 12 weeks weight and height will be combined to report BMI in kg/m\^2
Trial Locations
- Locations (1)
Faculty of physical therapy
🇪🇬Cairo, Egypt