AzTrials
AzTrials

Menstrual PainNCT05623085

Yoga and Aerobic Exercise Training in Primary Dysmenorrhea

A study testing Aerobic exercise and Yoga exercise in people with Menstrual Pain and Dysmenorrhea, run by Hacettepe University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The aim of this study is to compare the effects of aerobic exercise and yoga exercises on menstrual pain parameters (pain severity and duration, analgesic usage), uterine artery blood flow, menstrual stress level, physical fitness, anxiety/depressive symptom level, quality of life and sleep quality in individuals with… Read more about this study

Who is it for?
Ages 18 years and older, women onlyHealthy volunteers can take part
Conditions the study is for
Menstrual Pain, Dysmenorrhea
What is being tested?
Aerobic exercise and Yoga exercise
Could I receive a placebo?
No, everyone receives an active treatment
How many people
44 participants
Where
1 siteTurkey (Türkiye)
Study dates
31 Oct 2022to 4 Dec 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Individuals who do not have any known disease (systemic, metabolic, etc.),
  • No complaints of acute or chronic pain other than dysmenorrhea,
  • Meeting the primary dysmenorrhea criteria outlined in the Primary Dysmenorrhea Consensus Guide (onset of menstrual pain 6-24 months after menarche, menstrual pain lasting 8-72 hours, and the most severe pain felt on the 1st or 2nd day of menstruation),
  • Have a regular menstrual cycle (28± 7 days),
  • The severity of menstrual pain in the last 6 months is ≥ 4 cm according to the Visual Analogue Scale,
  • 18 years and over,
  • Nulligravid (unborn)
  • Volunteer female individuals who gave consent to participate in the study

Who cannot join

  • Individuals undergoing pelvic surgery,
  • Having a history and/or finding of secondary dysmenorrhea,
  • Receiving alternative treatment,
  • Using intrauterine contraceptive device or birth control pill,
  • Individuals with situations where exercise is contraindicated (answering yes to any of the 7 questions on the exercise readiness scale),
  • Not complying with the requirements of the research protocol

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Gamze Nalan Çinar

    Ankara, 06100

Other trials in Turkey (Türkiye)

About this study

Official title: Comparison of the Effects of Yoga and Aerobic Exercise Training in Primary Dysmenorrhea

The aim of this study is to compare the effects of aerobic exercise and yoga exercises on menstrual pain parameters (pain severity and duration, analgesic usage), uterine artery blood flow, menstrual stress level, physical fitness, anxiety/depressive symptom level, quality of life and sleep quality in individuals with primary dysmenorrhea. This study is a prospective, parallel group, randomized study. Three days a week for eight weeks, the participants in this study will receive individualized yoga and aerobic exercise.

In the literature, there are no studies comparing the effectiveness of aerobic exercise and yoga in the management of PD, which is a public health problem that seriously affects women's lives. Especially when aerobic exercise and yoga exercises are considered, there is no study on how much the features such as uterine artery blood flow and physical fitness sub-parameters have changed with these two commonly used exercise types separately in the management of PD.

Read the detailed description

The aim of this study is to compare the effects of aerobic exercise and yoga exercises on menstrual pain parameters (pain severity and duration, analgesic usage), uterine artery blood flow, menstrual stress level, physical fitness, anxiety/depressive symptom level, quality of life and sleep quality in individuals with primary dysmenorrhea. This study is a prospective, parallel group, randomized study.

It was planned to enroll 44 individuals with Primary Dysmenorrhea in this randomized study. A physical therapist is responsible for all assessments.

Participants were included in one of two treatment groups (G1: Aerobic exercise; G2: Yoga exercise).

In the literature, there are no studies comparing the effectiveness of aerobic exercise and yoga in the management of PD, which is a public health problem that seriously affects women's lives. Especially when aerobic exercise and yoga exercises are considered, there is no study on how much the features such as uterine artery blood flow and physical fitness sub-parameters have changed with these two commonly used exercise types separately in the management of PD.

The results of our study show that norm values can be established by evaluating uterine arterial blood flow and physical fitness, instead of focusing on pharmacological treatment and classical nonpharmacological approaches (warm application, transcutaneous electrical nerve stimulation (TENS), acupuncture, etc.) in individuals with PD. It is aimed to develop new exercise protocols that can be done easily. It is expected that our results, which we will obtain in the light of the original values of our research, will contribute to the literature and guide future studies.

Being tested
Aerobic exercise, Yoga exercise
Keywords
Menstrual Pain, Uterine Bleeding, Yoga exercise, Aerobic exercise, Dysmenorrhea
Medical subject headings
Dysmenorrhea, Uterine Hemorrhage

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Aerobic exerciseOther

    Individuals in this group will be given 8-week individualized exercise according to the Karvonen protocol (heart rate reserve percentage-% HR). Exercise training will be 30 minutes at 50% of HR between weeks 0-2, 45 minutes at 50% of HR between weeks 2-4, 45 minutes at 60% of HR between weeks 4-6 and 6-8 weeks It will be done on the treadmill 3 days a week, for 60 minutes at 60% of HR between weeks. The treadmill speed will be adjusted during exercise to maintain the set target heart rate level.

  • Yoga exerciseOther

    Individuals in this group will be given 8-week individualized yoga exercise including stretching, relaxing, strength training. Exercise training will be done 3 days a week. The duration of the exercise will be adjusted to be the same as the aerobic exercise group.

Study groups in NCT05623085
Study groupRoleWhat they receive
Aerobic ExerciseExperimentalAerobic exercise group with 8 weeks of individualized exercise according to the Karvonen protocol (heart rate reserve percentage-% HR). Exercise training will be 30 minutes at 50% of HR between weeks 0-2, 45 minutes at 50% of HR between weeks 2-4, 45 minutes at 60% of HR between weeks 4-6 and 6-8 weeks It will be done on the treadmill 3 days a week, for 60 minutes at 60% of HR between weeks. The treadmill speed will be adjusted during exercise to maintain the set target heart rate level.
Receives: Other: Aerobic exercise
Yoga ExerciseActive comparatorYoga exercise group with 8 weeks of individualized exercise program. Exercise training will be done 3 days a week. The duration of the exercise will be adjusted to be the same as the aerobic exercise group.
Receives: Other: Yoga exercise

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Menstrual pain severity

    As primary outcome measures, the highest menstrual pain severity perceived by the participants in their last menstruation and the average of the pain severity in the first 3 days of their menstruation will be evaluated. A 10-cm VAS from zero (no pain at all) to 10 (the worst pain I have ever felt) will be used to determine the severity of menstrual pain. Individuals will be asked to mark the severity of pain they felt in the first 3 days of their last menstruation on 3 separate VAS lines.

    Measured: Change in severity of menstrual pain from baseline up to end of 8th week, 3rd month, and 6th month.

Secondary outcomes (17)
  1. Uterine artery blood flow

    Determination of uterine artery blood flow changes will be made with Doppler US imaging device. Uterine arterial blood flow will be determined by recording the systole / diastole ratios (S / D), pulsatility indices (PI) and resistance indices (RI) values in the first 3 days of the menstrual cycle of individuals.

    Measured: Change in uterine artery blood flow from baseline up to end of 8th week.

  2. Body mass index

    Evaluation of body mass index will be done by weighing scale. Results will be presented in kg/m2.

    Measured: Change in body mass index from baseline up to end of 8th week, 3rd month, and 6th month.

  3. body fat percentage

    Evaluation of body fat percentage will be done by weighing scale. Results will be presented in %.

    Measured: Change in body fat percentage from baseline up to end of 8th week, 3rd month, and 6th month.

  4. body fat amount

    Evaluation of body fat amount will be done by weighing scale. Results will be presented in kg.

    Measured: Change in body fat amount from baseline up to end of 8th week, 3rd month, and 6th month.

  5. lean body weight ratio

    Evaluation of lean body weight ratio will be done by weighing scale. Results will be presented in %.

    Measured: Change in lean body weight ratio from baseline up to end of 8th week, 3rd month, and 6th month.

  6. Lean body weight

    Evaluation of lean body weight ratio will be done by weighing scale. Results will be presented in kg.

    Measured: Change in lean body weight ratio from baseline up to end of 8th week, 3rd month, and 6th month.

  7. Cardiovascular fitness

    Cardiovascular fitness will be evaluated with the "6-minute walk test". For this test, which evaluates functional performance; Marking will be made at both starting points of a distance of 30 meters in the corridor. Individuals will be asked to walk for 6 minutes at the highest speed without running, and at the end of 6 minutes, the distance they walked will be recorded in meters. During the exercise test, vital signs such as blood pressure, heart rate, fatigue, shortness of breath, oxygen saturation of all individuals will be recorded before and immediately after the test.

    Measured: Change in cardiovascular fitness from baseline up to end of 8th week, 3rd month, and 6th month.

  8. Muscular static endurance

    For the abdominal static endurance test, a board will be used to position the patient in 60º flexion. The subjects will be positioned with the trunk at 60°, the hips and knees flexed at 90°, and the hands on the opposite shoulders, leaning against the board. The board will be pulled back 10 cm and the patient will be asked to keep his isometric position as much as possible by contracting his abdominal muscles. As soon as the subject's body touches the board, the test will be terminated and the time to hold the position will be recorded in seconds. The test is continued for a maximum of 120 seconds and after 120 seconds the test will be stopped.

    Measured: Change in muscular static endurance from baseline up to end of 8th week, 3rd month, and 6th month.

  9. Muscular dynamic endurance

    30 seconds sit-up test will be used for dynamic endurance. In the 30-second sit-up test, individuals will be asked to stand up to the level of the lower angle of the scapula and return to the starting position, with the knees flexed at 90 degrees, the hands on the back of the neck and the soles of the feet on the ground, with the command to start in the supine position to evaluate the dynamic endurance of the abdominal muscles. The exact and correct number of starts during 30 seconds will be recorded as the test score.

    Measured: Change in muscular dynamic endurance from baseline up to end of 8th week, 3rd month, and 6th month.

  10. Muscle strength (for lower extremity)

    Dominant side knee extension strength for the lower extremity will be measured with the Nicholas Manual Muscle Tester.

    Measured: Change in muscular strength from baseline up to end of 8th week, 3rd month, and 6th month.

  11. Muscle strength (for upper extremity)

    For upper extremity muscle strength, the grip strength of the dominant hand will be measured with a Hand grip dynamometer.

    Measured: Change in muscular strength from baseline up to end of 8th week, 3rd month, and 6th month.

  12. Flexibility

    It will be evaluated with the sit-reach test. Individuals will be asked to perform maximum trunk flexion with both hands on top of each other in a long sitting position with legs straight. The distance between the tip of the hand and the board against the soles of the feet will be measured. The distance will be recorded in +/- centimeters (cm).

    Measured: Change in flexibility from baseline up to end of 8th week, 3rd month, and 6th month.

  13. Menstrual stress level

    The complaints of individuals in the menstrual, premenstrual and intermenstrual periods will be evaluated in the Menstrual Distress Complaint List.

    Measured: Change in menstrual stress level from baseline up to end of 8th week, 3rd month, and 6th month.

  14. Anxiety/depressive symptom level

    Anxiety and depressive symptom levels of individuals will be evaluated with the Depression Anxiety Stress Scale.

    Measured: Change in anxiety/depressive symptom level from baseline up to end of 8th week, 3rd month, and 6th month.

  15. Quality of life level

    The quality of life of individuals will be evaluated with the World Health Organization Quality of Life Scale-Short Form. In the scale consisting of 5 subsections, each section score varies between 4 and 20. Higher scores indicate higher quality of life.

    Measured: Change in quality of life level from baseline up to end of 8th week, 3rd month, and 6th month.

  16. Sleep quality

    Sleep quality of individuals will be evaluated with the Women's Health Initiative Insomnia Scale. The higher the score, the higher the degree of insomnia.

    Measured: Change in sleep quality level from baseline up to end of 8th week, 3rd month, and 6th month.

  17. Perception of improvement

    A 3-point Likert-type scale will be used to evaluate the subjective perception of improvement of individuals. An increase in the score indicates that the perception of improvement increases.

    Measured: Change in perception of improvement from baseline up to end of 8th week, 3rd month, and 6th month..

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Nov 2022
  2. Study start31 Oct 2022
  3. Primary completion1 Sep 2023
  4. Study completion4 Dec 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
44 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05623085
Sponsor's protocol ID
KA- 21091
Status last verified
Nov 2024
First submitted
31 Oct 2022
Last updated
15 Nov 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Wickstrom K, Edelstam G. Minimal clinically important difference for pain on the VAS scale and the relation to quality of life in women with endometriosis. Sex Reprod Healthc. 2017 Oct;13:35-40. doi: 10.1016/j.srhc.2017.05.004. Epub 2017 May 25.

    PubMed 28844356
  • Enright PL. The six-minute walk test. Respir Care. 2003 Aug;48(8):783-5.

    PubMed 12890299
  • Guimaraes AC, Vaz MA, De Campos MI, Marantes R. The contribution of the rectus abdominis and rectus femoris in twelve selected abdominal exercises. An electromyographic study. J Sports Med Phys Fitness. 1991 Jun;31(2):222-30.

    PubMed 1836517
  • Bianco A, Lupo C, Alesi M, Spina S, Raccuglia M, Thomas E, Paoli A, Palma A. The sit up test to exhaustion as a test for muscular endurance evaluation. Springerplus. 2015 Jul 2;4:309. doi: 10.1186/s40064-015-1023-6. eCollection 2015.

    PubMed 26155448
  • Arnold CM, Warkentin KD, Chilibeck PD, Magnus CR. The reliability and validity of handheld dynamometry for the measurement of lower-extremity muscle strength in older adults. J Strength Cond Res. 2010 Mar;24(3):815-24. doi: 10.1519/JSC.0b013e3181aa36b8.

    PubMed 19661831
  • Moos RH. The development of a menstrual distress questionnaire. Psychosom Med. 1968 Nov-Dec;30(6):853-67. doi: 10.1097/00006842-196811000-00006. No abstract available.

    PubMed 5749738
  • Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995 Mar;33(3):335-43. doi: 10.1016/0005-7967(94)00075-u.

    PubMed 7726811
  • Levine DW, Kripke DF, Kaplan RM, Lewis MA, Naughton MJ, Bowen DJ, Shumaker SA. Reliability and validity of the Women's Health Initiative Insomnia Rating Scale. Psychol Assess. 2003 Jun;15(2):137-48. doi: 10.1037/1040-3590.15.2.137.

    PubMed 12847774
  • Jaeschke R, Singer J, Guyatt GH. Measurement of health status. Ascertaining the minimal clinically important difference. Control Clin Trials. 1989 Dec;10(4):407-15. doi: 10.1016/0197-2456(89)90005-6.

    PubMed 2691207

Questions about this trial

What is this clinical trial studying?

A study testing Aerobic exercise and Yoga exercise in people with Menstrual Pain and Dysmenorrhea, run by Hacettepe University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 15 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Menstrual pain severity (time frame: Change in severity of menstrual pain from baseline up to end of 8th week, 3rd month, and 6th month.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05623085, which also lists 9 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Nov 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in