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ISSN: 1734-4948
Advances in Rehabilitation
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SCImago Journal & Country Rank
1/2024
vol. 38
 
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abstract:
Original article

Comparative effects of aerobic, resistance, and combined exercises on depression and sleep quality in women with controlled hypothyroidism. A randomized controlled trial

Saher Lotfy Elgayar
1
,
Saad Elgendy
2
,
Tarek M Youssef
1

  1. Department of Physiotherapy, Faculty of Allied Medical Sciences, Middle East University, Amman
  2. Department of Physiotherapy, Cairo University Hospitals, Cairo, Egypt
Advances in Rehabilitation, 2024, 38(1), 9–19
Online publish date: 2024/03/12
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Introduction
Exercise has recently gained interest in managing hypothyroidism associated impairments. So, the objective of this research was to assess and contrast the effects of aerobic, resistance and a combination of both exercise regimens on depressive symptoms and sleep quality in women with managed hypothyroidism.

Material and methods
A total of sixty women, ranging in age from 35 to 45, with controlled hypothyroidism associated with depression, and sleep problems were randomly assigned to four equally sized groups: aerobic exercise (AE), resistance exercise (RE), combined AE/RE, and a control group. They engaged in low to moderate intensity workouts, three times each week, during a span of 12 weeks, while also undergoing levothyroxine therapy. Outcome measures included depression assessed through Beck depression inventory II (BDI-II) and the sleep quality evaluated using Pittsburgh sleep quality index (PSQI).

Results
The BDI-II and PSQI showed significant improvements in all exercise groups in comparison to the first measurements and the non-exercising group (p < 0.05). Significantly, The AE/RE group demonstrated greater improvements in both outcomes as compared with the AE and RE groupings (p<0.05).

Conclusions
In well-managed hypothyroid women, AE, RE, and combined AE/RE can improve depression and sleep quality. However, the combined AE/RE can induce the greatest improvements in both measures.

keywords:

Depression, Hypothyroidism, Sleep quality











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