Telerehabilitation for Overactive Bladder Syndrome in Obese Women

Study Overview
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Brief Summary
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Overactive bladder syndrome(OAB) is a chronic medical condition which has a major influence on the quality of life in a significant amount of the population. The goal of this clinical trial study to identify the effect of telerehabilitation program on overactive bladder symptoms and metabolic health in obese women and to compare between the telerehabilitation group and the control group regarding overactive bladder symptoms and metabolic health in obese women.

Detailed Description
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overactive bladder syndrome occurs globally and affects both genders with studies indicating high prevalence in obese females. Obesity brings with it not only an increased risk of cardiovascular diseases, but also urological dysfunction including overactive bladder. Pilates exercise and diet can be used as ways for controlling overactive bladder symptoms and improving overall health of obese subjects. Integration of telerehabilitation in the clinical practice benefits both providers and patients as well decreasing healthcare costs, so the objective of this study to determine the effect of telerehabilitation on overactive bladder symptoms and metabolic health in obese women through Pilates exercise and Mediterranean diet .

Official Title
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Effect of Telerehabilitation on Overactive Bladder Symptoms and Metabolic Health in Obese Women

Conditions
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Overactive Bladder Syndrome

Intervention / Treatment
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* Other: Pilates exercises
* Behavioral: Mediterranean diet


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: women aged 35-45 years old class I obesity(30-34.9kg/m2) women will be referred by urologist with Presence of overactive bladder symptoms confirmed by overactive bladder questionnaire waist circumference more than 88 cm Exclusion Criteria: history of surgical treatment of urological disease infection of urinary tract oncological and neurological urinary tract disease, refusal to participate in the study

Ages Eligible for Study
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Minimum Age: 35 Years
Maximum Age: 45 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: group 1 telerehabilitation group<br>subjects in this group will receive telerehabilitation sessions through online video programs (including Pilates exercise and diet) 3 times per week for 12 weeks. Outcome measures will be evaluated at baseline and after 12 weeks | Other: Pilates exercises<br>* Pilates is a group of low impact muscle exercises that strengthen abdominal muscles, back, hips and pelvic floor muscles. the exercise consists of 10 min warm up, 40 min exercise and 10 min cooling down. the exercises that will be included: spine twist, double leg stretch, double leg circles, side leg circle, curl up, shoulder bridges and pelvic curl.<br>Behavioral: Mediterranean diet<br>* it is a type of diet used for obesity management based on high vegetable intake, olive oil as a source of fat, the consumption of grains, legumes, and nuts with high amounts of pulp, low-medium consumption of fish, low consumption of red meat.<br>|
| Other: group 2 control group<br>subjects in this group will be informed about the importance of Pilates exercise and diet for one session only. subjects will be asked to apply the exercise at home 3 times per week for 12 weeks and diet. Outcome measures will be evaluated at baseline and after 12 weeks | Other: Pilates exercises<br>* Pilates is a group of low impact muscle exercises that strengthen abdominal muscles, back, hips and pelvic floor muscles. the exercise consists of 10 min warm up, 40 min exercise and 10 min cooling down. the exercises that will be included: spine twist, double leg stretch, double leg circles, side leg circle, curl up, shoulder bridges and pelvic curl.<br>Behavioral: Mediterranean diet<br>* it is a type of diet used for obesity management based on high vegetable intake, olive oil as a source of fat, the consumption of grains, legumes, and nuts with high amounts of pulp, low-medium consumption of fish, low consumption of red meat.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| body mass index | it is calculated by dividing weight in kg on height in m square | at baseline and after 12 weeks of the intervention | 
| waist circumference | it is an indicator of central obesity with waist circumference more than 88 cm is considered central obesity in females | at baseline and after 12 weeks of the intervention | 
| overactive bladder questionnaire short form | is a questionnaire that is divided into two sections : symptoms and quality of life. In symptoms section, the higher the scores the more the symptoms that bother the patients. higher scores in quality of life section indicates better quality of life. | at baseline and after 12 weeks of the intervention | 
| patient perception of intensity of urgency scale | a scale ranges from 0 to 4 that measures the degree of urgency with micturition with higher scores indicate higher perception of urgency | at baseline and after 12 weeks of the intervention | 
| HOMA IR | The homeostatic model assessment (HOMA IR) is a method used to quantify insulin resistance . derived from the product of the insulin and glucose values divided by a constant. | at baseline and after 12 weeks of the intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| telehealth usability questionnaire | a comprehensive questionnaire that covers all usability factors (i.e., usefulness, ease of use, effectiveness, reliability, and satisfaction). It is used with various types of telehealth systems, including the traditional videoconferencing systems, computer-based systems, and the mobile telehealth systems. | after 12 weeks of the intervention |