IJPR.2017.216

Type of Article:  Original Research

Volume 5; Issue 5 (October 2017)

Page No.: 2399-2404

DOI: https://dx.doi.org/10.16965/ijpr.2017.216

IMPACT OF AEROBIC EXERCISES ON IRON DEFICIENCY ANEMIA IN GIRLS

Engy M. El Nahas *1, Amir A. Gabr 2.

*1 Department of physical therapy for Women’s health, Faculty of Physical Therapy, Cairo University, Egypt.

2 Department of Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Egypt.

Corresponding Author: Engy M. El Nahas, PhD, Department of Physical Therapy for Woman’s Health, Faculty of Physical Therapy, Cairo University, 7 Ahmed Elzayat, Dokki, Giza 12613, Egypt; Tel: +201005733192;

E-Mail: dr_engy@hotmail.com

Abstract

Background: Iron deficiency anemia has recently been ranked as the third leading cause worldwide of loss of disability-adjusted life years for women aged from 15 to 44 years.

Objectives: This study was conducted to determine the effect of aerobic exercises on anemia in girls.

Participants and methods: Thirty girls participated in this study, their age ranged from 17 to 22 years. They were divided randomly into two groups equal in number: Study group (group A) performed aerobic exercises in form of bicycling (60-70% of HR max), 30 minutes for each treatment session, for 3 sessions per week, for 12 weeks in addition to iron supplement (Ferro-6) and Control group (group B) received only iron supplement (Ferro-6) for 12 weeks.  All participants in both groups (A and B) were assessed pre- and post-treatment through measuring hemoglobin level by blood analysis and scores of total symptoms of anemia by self-administered questionnaire.

Results: The results showed that there was a non-statistical significant difference of Hb level between both groups (A and B) post-treatment, where the p values were (>0.05). Although, the percentage of improvement of Hb level was higher in group (A) (8.58%) than in group (B) (5.23%).There was highly statistical significant decrease in scores of total symptoms of anemia and scores of fatigue in group (A) post-treatment when compared with group (B) where the p values were (< 0.01). Also, the percentage of improvement in the total symptoms of anemia was higher in group (A) (42.9%) than in group (B) (16.7%). The percentage of improvement in scores of fatigue was higher in group (A) (50%).

Conclusion: It could be concluded that adding aerobic exercises to medication has better effect on Hb level and scores of total symptoms of anemia than medication only.

Key words: aerobic exercises, iron deficiency anemia, girls.

REFERENCES

  1. Abbaspour N, Hurrell R, Kelishadi R. ‘Review on iron and its importance for human health. J Res Med Sci. 2014;19:164-174.
  2. Fernández-Gaxiola A, De-Regil L. Intermittent iron supplementation for reducing anemia and its associated impairments in menstruating women. Cochrane Database of Systematic Reviews. 2011; (12): 1-22.
  3. Coad J, Conlon C. Iron deficiency in women: assessment, causes and consequences. Current Opinion in Clinical Nutrition and Metabolic Care. 2011;14:625–634.
  4. Moschonis G, Papandreou D, Mavrogianni C, Giannopoulou A, Damianidi L, Malindretos P, Lionis C, Chrousos G, Manios Y. Association of iron depletion with menstruation and dietary intake indices in pubertal girls: The healthy growth study. BioMed Research International. 2013;1-8.
  5. Ofojekwu M, Ogbonnaya N, Charles O, Odewumi L, Ikechukwu L, Moses L. Hemoglobin and serum iron concentrations in menstruating nulliparous women in Jos, Nigeria. 2013;44(2):121-124.
  6. Leenstra T, Kariuki S, Kurtis J, Oloo A, Kager P, Ter Kuile F. Prevalence and severity of anemia and iron deficiency: cross-sectional studies in adolescent school girls in western Kenya. European Journal of Clinical Nutrition. 2004;58:681–691.
  7. Plowman S, Smith D.’Exercise physiology for health fitness and performance, Lippincott Williams & Wilkins, Philadelphia. 2007;61.
  8. Plowman S, Smith D. Exercise physiology for health fitness and performance, 3rd, Lippincott Williams & Wilkins, Philadelphia, 2011;401-407.
  9. Hu M, Lin W. Effects of Exercise Training on Red Blood Cell Production: Implications for Anemia, Acta Hematol. 2012;127(3):156–164.
  10. Drouin J, Young T, Beeler J, Byrne K, Birk T, Hryniuk W, Hryniuk L. Random control clinical trial on the effects of aerobic exercise training on erythrocyte levels during radiation treatment for breast cancer. Cancer. 2006;107:2490–2495.
  11. Kratz A, Wood M, Siegel A. Effects of marathon running on platelet activation markers: Direct evidence for in vivo platelet activation. Am J Clin Pathol. 2006;125:1- 5.
  12. Wasserman K, Hansen J, Sue D, Stringer W, Whipp B. Principles of Exercise Testing and Interpretation. 4th, Philadelphia, 2004;368–376.
  13. Weert E,  May A, Irene  I,  Post W, Schans C, Borne B,  Mesters I, Ros W, Josette  Cancer-related fatigue and rehabilitation: A randomized controlled multicenter trial comparing physical training combined with cognitive-behavioral therapy with physical training only and with no intervention. Physical Therapy. 2010;90(10):1413-1425.
  14. Eastwood A, Bourdon P, Withers R, Gore C. Longitudinal changes in hemoglobin mass and (VO2max) in adolescents. Eur J Appl Physiol. 2009;105(5):715–721.
  15. Garssen M, Bussmann J, Schmitz P, Bergen A, Welter T, Merkies I, Stam H, Doorn P. Physical training and fatigue, fitness, and quality of life in Guillain–Barré syndrome and CIDP. Neurology. 2004;63(12):2393-2395.
  16. Mostert S, Kesselring J. Effects of a short-term exercise training program on aerobic fitness, fatigue, health perception and activity level of subjects with multiple sclerosis. Mult Scler. 2002;8(2):161-168.
  17. Eastwood A, Bourdon P, Norton K, Lewis N, Snowden K, Gore C. No change in hemoglobin mass after 40 days of physical activity in previously untrained adults. Scand J Med Sci Sports. 2012;22:722–728.
  18. Ramizanpour M, Kazemi M. Effects of aerobic training along with iron supplementation on the  hemoglobin, red blood cells, hematocrit, serum ferritin, transferrin and iron  in young girls [persian]. Koomesh. 2012;13(2):233-239.
  19. Mousavizadeh M, Ebrahim K, Nikbakht H. Effect of one period of selective aerobic training on hematological indexes of girls. Sci J Iran Blood Transfus Org. 2009;6(3):227-231.
  20. Schumacher Y, Schmid A, Konig D, Berg A. Effects of exercise on soluble transferring receptor and other variables of the iron status.Brit J of sport Med. 2002;36:195-200.
  21. Mairbaurl H. Red blood cells in sports: effects of exercise and training on oxygen supply by red blood cells. Front Physiol. 2013;4:332-337.
  22. Schmidt W, Prommer N. Effects of various training modalities on blood volume. Scand J  Med Sci Sports. 2008;18(1):57-69.
  23. Pashaei M, Zadeh K, Haghighi K. The effects of physical activity on the amounts of blood factors on a group of Iranian adolescent students.  International Journal of Biosciences. 2012;10(1):101-109.

Cite this article: Engy M. El Nahas, Amir A. Gabr. IMPACT OF AEROBIC EXERCISES ON IRON DEFICIENCY ANEMIA IN GIRLS. Int J Physiother Res 2017;5(5):2399-2404. DOI: 10.16965/ijpr.2017.216