Abdominal Muscle Exercises on Nocturia and Sleep Quality in Women With Type 2 Diabetes

Study Overview
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Brief Summary
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Nocturia is the leading cause of sleep disruption with its subsequent negative impact on general health and QoL for a large proportion of the adult population. Nocturia is prevalent in men and women of all ages but may be particularly bothersome in younger adults, in whom the consequences of sleep disturbance may be more detrimental for daytime functioning and possibly for health and mortality.The underlying causes of nocturia obviously influence the efficacy of different treatment options. Because a major cause of nocturia is overproduction of urine at night, nocturia may not respond to treatments designed to reduce urgency and increase bladder capacity or increase urine flow, such as agents for the management of bladder outlet obstruction.

Detailed Description
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Nocturia may be more than simply a patient inconvenience, in view of its association with increased risk of morbidity and mortality. Clinicians often underestimate the consequences of nocturia, however, and thus fail to perform a thorough evaluation of the condition and its causes. Patients with nocturia deserve full consultation and implementation of an appropriate management strategy to ensure that the specific underlying medical conditions associated with nighttime voiding are addressed. Investigators should help women with nocturia as to improve their sleep. Participants will strengthen their pelvic floor muscles and abdominal muscles to control voiding so their sleep will not disturb to decrease their sufferance.

Official Title
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Effect of Pelvic Floor Versus Abdominal Muscle Exercises on Nocturia and Sleep Quality in Women With Type 2 Diabetes

Conditions
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Nocturia, Sleep Deprivation

Intervention / Treatment
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* Behavioral: pelvic floor exercise
* Behavioral: Abdominal muscles exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Female Patients have had type II diabetes mellitus for more than 5years. HbA1c value from 6.5% to7.5%. Sleep deprivation for more than one month. Medically stable patients Blood glucose level from 130 to 150 Patients are not pregnant Body mass index is 25 to 29.9 kg / m Exclusion Criteria: Unstable medical condition. On antidepressors or anxiety treatment. With ant musculoskeletal or neurological conditions that might interfere with the execution or the assessment of the exercise. Cushing's disease (hypercortisolism) or Addison's disease (hypocortisolism).

Ages Eligible for Study
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Minimum Age: 45 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Pelvic floor group<br>pelvic floor exercises (intervention) will be applied for patients with nocturia and type 2 DM for 6 weeks, 3 times/week | Behavioral: pelvic floor exercise<br>* pelvic floor exercises(intervention) will be applied for patients with nocturia and type 2 DM for 6 weeks, 3 times/week<br>|
| Active Comparator: Abdominal group<br>Abdominal exercises (intervention) will be applied for patients with nocturia and type 2 DM for 6 weeks, 3 times/week | Behavioral: Abdominal muscles exercise<br>* abdominal exercises (intervention) will be applied for patients with nocturia and type 2 DM for 6 weeks, 3 times/week<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of voids | Number of times that the patient go for toilet per night for urination | 6 weeks | 
| Sleep quality (0 is best, 3 is worst) | data about sleep from Pittsburgh sleep quality index questionnaire | 6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Abdominal and pelvic floor muscle electrical activity | Data described by the electromyograph (EMG) | 6 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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nocturia, sleep deprivation, sleep quality, type 2 diabetes mellitus