ABSTRACT
Background: The objective was to assess the effectiveness of circuit interval training and physiotherapy health education on anthropometric measurements and quality of life (QOL) among obese women with PCOS.Methods: The study is a parallel group randomised controlled trial among 40 obese women diagnosed with PCOS based on Rotterdam criteria and conducted in obstetrics and gynaecology Physiotherapy centre, IGMC&RI, Puducherry. Allocation of participants to group A and group B done using permutated block randomization by an independent physiotherapist. Group A(n=20) received the conventional treatment and Group B (n=20) received the circuit interval training for 6 weeks.Results: The outcome values obtained were calculated by the software SPSS 26. The power of the study is 80%. P<0.05 was considered a significant difference and 95% confidence. There was a significant improvement in the pre and post-test values of anthropometric measurements (BMI and WHR) within the experimental group. The minimal clinically important difference (MCID) of 1.03 points in BMI, 0.019 in WHR, and 0.018 in WHtR, which was higher than the MCID of the control group was observed between the groups. The results show that circuit interval training is effective in improving the anthropometric measurements and quality of life obesity was found to have a negative correlation with the quality of life, implying that increased weight reduces the quality of life in PCOS women.Conclusions: Circuit interval training along with physiotherapy health education, has a positive impact on improving anthropometric measurements such as BMI, waist circumference, and metabolic parameters over time.
ABSTRACT
Background: Depression during pregnancy is a recognized global health issue which can lead to wide range of maternal and neonatal complications to extremes like maternal suicide to infanticide. This study was done to estimate the magnitude of depression during pregnancy and its risk factors among pregnant women attending a tertiary care hospital in Puducherry.Methods: A descriptive cross sectional study was done among 220 pregnant women attending routine antenatal checkup in outpatient department of a tertiary care hospital in Puducherry, using a systematic random sampling technique. A semi structured questionnaire using Patient Health Questionnaire-9 was used to screen the mothers for antenatal depression.Results: 220 pregnant women were evaluated for antenatal depression. Mean age of the study participants was 25.02±3.13 years. Using PHQ-9 authors found that 19.5% pregnant women were having risk for antenatal depression, of which the mild, moderate and moderately severe levels of depression were 16.4%, 1.4% and 1.8% respectively. The risk of antenatal depression was statistically significant among the women age more than 30 years, husband’s educational status as higher secondary and below, residence in rural area, multigravida, having a male child, strained relationship, no support during pregnancy and pressure for a male child. Logistic regression analysis revealed age ≥30 years (aOR 3.03, 95% CI 1.04-8.82), and no support during pregnancy (aOR 3.30, 95% CI 1.10-9.90) were the significant factors.Conclusions: Since the risk for antepartum depression is huge in this region, there is a need for screening for antepartum depression as a routine antenatal checkup in the out patient department. Reinforcing the importance of appropriate for conception and support for the mother during pregnancy plays a vital role in reducing the magnitude of this depression.