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Comparing the influence of foot reflexology and fasting mimicking diet on quality of life and sleep quality in obesity hypoventilation syndrome

  • Rana Hesham Mohamed Elbanna ORCID logo EMAIL logo , Sherif Osama Abdelsalam Elabd ORCID logo and Salma Ibrahim Abdelmohsen Alghitany ORCID logo
Published/Copyright: September 30, 2022

Abstract

Objectives

Obesity hypoventilation syndrome is one of the most serious outcomes of obesity-related respiratory difficulties, resulting in higher healthcare costs as well as increased cardio-respiratory morbidity and mortality.

Methods

Sixty-two males who had a high risk of obstructive sleep apnea according to the STOP-BANG Sleep Apnea Questionnaire were enrolled in the study. Their age is 50–60 years old, and they have a BMI of 35–40 kg/m2, daytime hypercapnia, and sleep breathing problems. The patients were divided into two equal groups at random reflexology fasting-mimicking diet groups. Weight, height, waist, and neck circumference were assessed at the beginning of the study and after two months of the intervention. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI), which is used to evaluate sleep quality. The Maugeri Obstructive Sleep Apnea Syndrome (MOSAS) questionnaire was used to assess a patient’s quality of life.

Results

There was a significant change in the MOSAS and PSQI questionnaires for both groups post-intervention, as the p-value was less than 0.05. The percentage change in the MOSAS questionnaire score and PSQI questionnaire was higher in the mimic diet group than in the reflexology group. Also, the mimic diet group’s weight and neck circumference were considerably reduced after the intervention, with no change in the reflexology group.

Conclusions

Reflexology and a fasting-mimicking diet were found to have a substantial impact on enhancing the quality of life and sleep in people with obesity hypoventilation syndrome.


Corresponding author: Rana Hesham Mohamed Elbanna, PhD, Lecturer at Cardiovascular, Respiratory disorder and Geriatrics Department, Faculty of Physical Therapy, Cairo University, Giza, Egypt, Phone: +201062070686, E-mail:

  1. Research funding: Our research received no particular financing from funding sources in the public, commercial, or otherwise sectors.

  2. Author contributions: Every one of the authors had already accepted total accountability for the work’s contents and provided their consent for its submission.

  3. Conflict of interest: The researchers state that they have no potential conflicts of interest, financial interest, or benefits from this research.

  4. Ethical approval: The Cairo University Faculty of Physical Therapy’s Research Ethical Committee provided written informed consent (P.T.REC/012/003,423). Each patient was given a thorough description of the study’s goals and methods before signing an informed consent form.

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Received: 2022-04-27
Accepted: 2022-08-16
Published Online: 2022-09-30

© 2022 Walter de Gruyter GmbH, Berlin/Boston

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