Integrated Exercise Approach Strength Postural Stability Menstrual Cycle Biomarkers Eumenorrheic Females

NCT ID: NCT05460741

Last Updated: 2024-04-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-03-15

Study Completion Date

2024-03-15

Brief Summary

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The study will determine the effects of integrated exercise approach on strength, postural stability and biomarkers (estrogen, progesterone and testosterone) of menstrual cycle in eumenorrheic females and translation of Unified Balance Scale will be done.

Detailed Description

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In 2021, a study was conducted in which evaluation of the effects of phases of menstrual cycles on the performance of athletes was done. It was concluded that the performance of athletes is effected along with phases of MC with strength and aerobic performance being effected during late luteal phase and anerobic performance was reduced during late follicular phase.

In 2021, another study was conducted. The bidirectional interactions between the menstrual cycle, exercise training and macronutrient intake in women was studied. It was concluded in their study that exercise interventions have an effect on the hormonal level and in turn their physical activity but it varies so much from one women to other that no generalization may be made and need to be investigated more.

In 2020, a systematic review related to effects of menstrual cycle phase on exercise performance in eumenorrhic women was done. It was concluded that exercise performance may get reduced in the early follicular phase so the practitioners working with sportswomen must consider the phases of their menstrual cycle and look for the potential times when their performances may be enhanced that is in all phases except follicular phase to get the optimum results during their games.

In 2020, the study related to the effects of sex steroids on joint position sense during different phases of menstrual cycle was done. It was concluded in this study that in early follicular phase as the levels of sex steroid hormone specifically oestrogen is low, it leads to decrease joint position sense as compared to luteal and ovulatory phases where there is less error in joint position sense. These findings are more pronounced in the hip joint due to greater motor neuron activity of these muscles.

In 2019, study was conducted in which it was documented that when exercise is performed it has certain physiological effects and the phases of menstrual cycle plays an important role in modulating these physiological responses during recovery phase. He postulated that a more robust recovery CK and IL-6 response occur in the MF of the menstrual late cycle when female sex hormones are reduced.

In 2018, the combined effects of strength and endurance training on the biomarkers and physical activity of healthy women were studied. It was hypothesized by this study that even with limited exposure to strengthening and endurance programs the females can get benefit as compared to the sedentary women. Their health biomarkers also showed positive effects.

In 2017, evaluation of muscle strength variations and also the rate of fatigue during various phases of the menstrual cycle in young adults was done. It was hypothesized that cyclical variation in endogenous reproductive hormones increases the muscle strength in follicular phase of the menstrual cycle. Thus provide support for the influence of these hormones in regulation of these parameters in the premenopausal age group.

In 2017, study was conducted to see the effects of menstrual cycle phases on the performance of athletes specifically soccer players. The result of this study was in support of reduction in maximal endurance performance during the mid luteal phase of the menstrual cycle confirming the fact that the phases of menstrual cycle do have effect on the endurance of the athletes so the trainer should consider these fact while training of the female athletes.

In 2015, a systematic review was done to include 40 studies in which different exercises were done including strength exercises, endurance exercises and free style exercises and their effects were then seen on sex hormones. It was concluded by this study that physical activity which ever type it may be induces a decrease in circulating sex hormones and this induces the beneficial effects on women. It also helps in weight loss and overall physical well being.

So it is evident that some work has been done on documenting the effects of exercise on estrogen, progesterone level but little is known about the effects of exercise on testosterone levels. The regulation of both of them is necessary to maintain the effective force production of muscles, joint laxity and balance control. Moreover, there is no single generalized approach which focuses on strength, postural stability and postulated to effects hormones.

Conditions

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Females Menstrual Discomfort

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

there will be 2 groups. one will be given the education related to menstrual cycle and other will be given intervention along with education. then the outcomes will be assessed at multiple times of study.
Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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integrated exercise approach

an integrated exercise will be used which is the exercise plan that will be formulated using strengthening and endurance exercises.

Group Type EXPERIMENTAL

integrated exercise approach

Intervention Type OTHER

Integrated exercise plan will be given for 16 weeks with frequency of 3 times per week, with duration of session to be 50 minutes being 30 minutes of exercise in total and 10 minutes of rest and 10 min of warm up and cool down exercises.

eumenhorreic females

strength, postural stability and biomarkers of menstrual cycle in eumenhorreic females.

Group Type EXPERIMENTAL

educational program

Intervention Type OTHER

educational program related to menstrual cycle will be given to females.

Interventions

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integrated exercise approach

Integrated exercise plan will be given for 16 weeks with frequency of 3 times per week, with duration of session to be 50 minutes being 30 minutes of exercise in total and 10 minutes of rest and 10 min of warm up and cool down exercises.

Intervention Type OTHER

educational program

educational program related to menstrual cycle will be given to females.

Intervention Type OTHER

Other Intervention Names

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educational program

Eligibility Criteria

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Inclusion Criteria

* Females between the ages of 18 to 40 years.
* Females having BMI between 18.5 to 24.9 (normal)
* Females being able to maintain sitting balance independently without using upper limbs or having score of 25 on trunk control test.

Exclusion Criteria

* Females having oral contraceptives.
* Females who are pregnant.
* Females who have any menstruation issues like endometriosis, ovarian cysts etc
* Females who have c section 6 months ago.
* Females who are lactating.
* Females having other co morbidities like cardiac event, seizures, any injury that will affect the study.
* Females having history of fall 6 months ago.
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of Lahore

OTHER

Sponsor Role collaborator

Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rabiya Noor, phd*

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Society

Lahore, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

References

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Rocha-Rodrigues S, Sousa M, Lourenco Reis P, Leao C, Cardoso-Marinho B, Massada M, Afonso J. Bidirectional Interactions between the Menstrual Cycle, Exercise Training, and Macronutrient Intake in Women: A Review. Nutrients. 2021 Jan 29;13(2):438. doi: 10.3390/nu13020438.

Reference Type BACKGROUND
PMID: 33572821 (View on PubMed)

Kitajima Y, Ono Y. Estrogens maintain skeletal muscle and satellite cell functions. J Endocrinol. 2016 Jun;229(3):267-75. doi: 10.1530/JOE-15-0476. Epub 2016 Apr 5.

Reference Type BACKGROUND
PMID: 27048232 (View on PubMed)

Le J, Thomas N, Gurvich C. Cognition, The Menstrual Cycle, and Premenstrual Disorders: A Review. Brain Sci. 2020 Mar 27;10(4):198. doi: 10.3390/brainsci10040198.

Reference Type BACKGROUND
PMID: 32230889 (View on PubMed)

Smith MJ, Adams LF, Schmidt PJ, Rubinow DR, Wassermann EM. Effects of ovarian hormones on human cortical excitability. Ann Neurol. 2002 May;51(5):599-603. doi: 10.1002/ana.10180.

Reference Type BACKGROUND
PMID: 12112106 (View on PubMed)

Shahid W, Noor R. Effects of integrated exercise approach on total testosterone levels in eumenorrheic women: a randomized controlled trial. Sci Rep. 2025 May 5;15(1):15692. doi: 10.1038/s41598-025-00599-x.

Reference Type DERIVED
PMID: 40325081 (View on PubMed)

Shahid W, Noor R. Impact of BRACTS exercises on muscular strength in eumenorrheic women. Sci Rep. 2025 Feb 5;15(1):4430. doi: 10.1038/s41598-025-87352-6.

Reference Type DERIVED
PMID: 39910068 (View on PubMed)

Other Identifiers

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REC/Lhr/22/1101

Identifier Type: -

Identifier Source: org_study_id

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