Τίτλος:
Effect of Reflexology on Lipoproteins in Women with Type 2 Diabetes Mellitus

Δημοσιεύτηκε:
Med. J. Cairo Univ., Vol. 85, No. 2, March: 509-513, 2017 (Medical Journal of Cairo University)

Συγγραφείς:
RANA M. TAWFIK, M.Sc.*; ZAHRA HASSAN, Ph.D.*; NESREEN EL-NAHAS, Ph.D.* and AYMAN SOLIMAN, M.D.**
The Department of Physical Therapy for Cardiovascular/Respiratory Disorder & Geriatrics, Faculty of Physical Therapy, Cairo University* and the Department of Physiology, Faculty of Medicine, Beni-Suef University**

Background:
Lipoproteins level increases in non-insulin dependent patients especially in obese patients. Objective of this study was to determine the effect of reflexology on lipoproteins level in women with type 2 diabetes mellitus. Purpose of the Study: To investigate effect of reflexology on lipoproteins in women with type 2 diabetes mellitus.

Methods:
Thirty obese diabetic women participated in this study chosen from Dar El-Salam Public Hospital. The patients were assigned into two equal groups. Each group included 15 patients. The patients in both groups were matched in age ranged from (45-55 years old) and body mass index ranged from (30 to 34.9Kg/m2 ), and blood glucose level (>200 mg/dl) with measuring lipoproteins level pre and post-treatment for both groups.
For both groups the patients received medications according to their physicians, while Group A received a program of foot reflexology for 4 weeks with frequency 3 times/week with their medications.

Results:
The data revealed a statistically decrease in lipoproteins level in Group A than in Group B after treatment (p<0.05), total cholesterol decreased by 5.99% in Group A while Group B decreased by 1.69%.

Table 2: Total Cholesterol after Reflexology

Statistical analysis for total cholesterol for both groups: As presented in (Table 2), unpaired t-test was used to show the difference between the two groups as regards the total cholesterol variable. Before assessment, there was no statistical significant difference between the mean value of total choles-terol of Group (A) (242.7±9.85) and Group (B) (253.3±9.26) with t-test=0.507 and p-value=0.606. After assessment, there was a statistical significant difference in the mean value of total cholesterol of Group (A) (228.15±9.99) when compared with its corresponding in Group (B) (249.13±8.79) with t-test=5.780 and p-value=0.001.

Low density lipoproteins in Group A decreased by 7.37%, Group B decreased by 2.46%. High density lipoproteins decreased by 0.61% in Group A, and decreased by 1.8% in Group B. Triglycerides in Group A decreased by 12.95% while Group B decreased by 3.77%

Table 3: LDL cholesterol after Reflexology

Statistical analysis for LDL cholesterol for both groups: As presented in (Table 3), unpaired t-test was used to show the difference between the two groups as regards the LDL cholesterol variable. Before assessment, there was no statistical significant difference between the mean value of LDL choles-terol of Group (A) (160.06±8.87) and Group (B) (172.07±9.08) with t-test=1.112 and p-value=0.455. After assessment, there was a statistical significant difference in the mean value of LDL cholesterol of Group (A) (148.26±9.98) when compared with its corresponding in Group (B) (1 67.83±7.92) with t-test=3.876 and p-value=0.001**.

Conclusion:
Foot reflexology had valuable effect on lipoproteins level in patients with type 2 diabetes mellitus except for high density lipoproteins.

Key Words:
Reflexology – Lipoproteins level – Diabetic.