Comparison of home-based and outdoor pilates training on vitamin D, intensity of fatigue and quality of life in women with multiple sclerosis

Document Type : Original Article

Authors

1 Department of Sports Physiology, Hakim Sabzevari University, Sabzevar, Iran

2 Charité–Universitätsmedizin Berlin, Germany

3 Professor, Neurologist and Scientific Director of the Experimental and Clinical Research Center (ECRC), Charité – Universitätsmedizin Berlin, Germany

Abstract

Background and Objective: Multiple Sclerosis (MS) is an autoimmune disease in which muscle weakness and fatigue reduce the quality of life. Therefore, the aim of this study was to investigate the effect of two types of Pilates exercises at home and outdoors on fatigue and quality of life in MS patients.
Materials and Methods: Among the women, 44 women with MS were randomly selected and divided into three groups: home-based training, out-door training and control group. The exercise groups performed Pilates exercises for 8 weeks individually (via DVD) at home and under the sun exposure between 8 and 10 am, but the control group did not do any exercise during this time. Fatigue severity, quality of life and vitamin D levels of patients were measured before and after exercise and data were analyzed using covariance statistical method.
Results: The results showed that after eight weeks of training, there was a significant difference between the indicators of fatigue, quality of life and vitamin D serum in women with MS in all three groups (P≤0.05). The results of post-test post hoc test showed that there was a significant difference between the two training groups in all three indices (P≤0.05). Also, eight weeks of outdoor training compared to home training caused a greater increase in serum vitamin D (78.43%). And quality of life (50.26%) and further reduction in the severity of patients' fatigue (41.76%) (P≤0.05).
Conclusion: Pilates training is recommended for people with MS due to its low cost, availability, and significant effects on quality of life and vitamin D and fatigue.

Keywords

References

  1. Jangra J, Khan T. Review on multiple sclerosis. Research and Reviews: Journal of Medical and Health Science 2016;5:1-9.
  2. Sirbu CA, Dantes E, Plesa CF, Docu Axelerad A, Ghinescu MC. Active Pulmonary Tuberculosis Triggered by Interferon Beta-1b Therapy of Multiple Sclerosis: Four Case Reports and a Literature Review. Medicina Kaunas, Lithuania 2020;56(4):E202.
  3. Multiple Sclerosis: Facts, Statistics, and You [Internet]. [cited 2022 Mar 24]. Available from: https://www.healthline.com/health/multiple-sclerosis/facts-statistics-infographic.
  4. Campbell JD, Ghushchyan V, Brett McQueen R, Cahoon-Metzger S, Livingston T, Vollmer T, et al. Burden of multiple sclerosis on direct, indirect costs and quality of life: National US estimates. Multiple Sclerosis and Related Disorders 2014;3(2):227–36.
  5. Aktas O, Renner A, Huss A, Filser M, Baetge S, Stute N, et al. Serum neurofilament light chain: No clear relation to cognition and neuropsychiatric symptoms in stable MS. Neurol Neuroimmunol Neuroinflammation 2020;7(6):e885.
  6. Thomas PW, Thomas S, Kersten P, Jones R, Slingsby V, Nock A, et al. One year follow-up of a pragmatic multi-centre randomised controlled trial of a group-based fatigue management programme (FACETS) for people with multiple sclerosis. BMC Neurology 2014;14(1):1–6.
  7. Stroe ZA, Docu-Axelerad S, Docu-Axelerad D. Melotherapy-a complementary approach in the symptomatology of multiple sclerosis patients. Journal of Complementary Medicine Research. 2020 10;11(1):164-9.
  8. Pierrot-Deseilligny C, Souberbielle J-C. Vitamin D and multiple sclerosis: an update. Multiple Sclerosis and Related Disorders 2017;14:35–45.
  9. Ostkamp P, Salmen A, Pignolet B, Görlich D, Andlauer TF, Schulte-Mecklenbeck A, et al. Sunlight exposure exerts immunomodulatory effects to reduce multiple sclerosis severity. Proceedings of the National Academy of Sciences 2021;118(1).
  10. Mehta A, Soni VK, Sharma K, Ratre YK, Shukla D, Singh AK, et al. Finding Horcrux of psychiatric symptoms in COVID-19: deficiencies of amino acids and vitamin D. Asian Journal of Psychiatry 2021;55:102523.
  11. MS EDLM, MD SAM, MD LPR. Merritt’s Neurology. Thirteenth edition. Philadelphia: LWW; 2015.
  12. Bagherian S, Mardaniyan Ghahfarrokhi M, Banitalebi E. Effect of the COVID-19 pandemic on interest in home-based exercise: an application of digital epidemiology. International Journal of Epidemiologic Research 2021;8(1):47–53.
  13. Bahmani E, Hoseini R, Amiri E. Effect of Home-Based Aerobic Training and Vitamin D Supplementation on Fatigue and Quality of Life in Patients with Multiple Sclerosis During COVID-19 Outbreak 2021.
  14. Herring MP, Hallgren M, Campbell MJ. Acute exercise effects on worry, state anxiety, and feelings of energy and fatigue among young women with probable generalized anxiety disorder: a pilot study. Journal of Sport and Exercise Psychology 2017;33:31–6.
  15. Fleming KM, Coote SB, Herring MP. An eight-week randomised controlled trial of home-based Pilates for symptoms of anxiety, depression, and fatigue among people with MS with minimal-to-mild mobility disability: Study Protocol. Mental Health and Physical Activity 2020;19:100341.
  16. Shahvarughi Farahani A, Azimian M, Fallahpour M, Karimlu M. Investigate the Persian version Reliability of Fatigue Severity Measurement Scale in people with multiple sclerosis. Journal of Modern Rehabilitation. 2009;10(4):46–51.
  17. Ghaem H, Haghighi AB, Jafari P, Nikseresht AR. Validity and reliability of the Persian version of the multiple sclerosis quality of life questionnaire. Neurol India 2007;55(4):369.
  18. Khodaveisi M, Ashtarani F, Mahjub H. Correlations between Severity of Disease and Quality of Life in Patients with Multiple Sclerosis in Hamadan. Jundishapur Journal of Chronic Disease Care 2018;7:e67005.
  19. Beckmann Y, Türe S, Duman SU. Vitamin D deficiency and its association with fatigue and quality of life in multiple sclerosis patients. EPMA Journal 2020;11(1):65–72.
  20. Ibrahim MH, Alloush TK, Rahim MKA. Vitamin D Level in Multiple Sclerosis Patients. Could Vitamin D Level Be Routine Investigation for Multiple Sclerosis Patients?. Neuroscience and Medicine 2014;5(5):201–4.
  21. Frühauf A, Niedermeier M, Elliott LR, Ledochowski L, Marksteiner J, Kopp M. Acute effects of outdoor physical activity on affect and psychological well-being in depressed patients – A preliminary study. Mental Health and Physical Activity 2016;10:4–9.
  22. Thompson Coon J, Boddy K, Stein K, Whear R, Barton J, Depledge MH. Does participating in physical activity in outdoor natural environments have a greater effect on physical and mental wellbeing than physical activity indoors? A systematic review. Environmental Science & Technology 2011;45(5):1761–72.
  23. Bulguroglu I, Guclu-Gunduz A, Yazici G, Ozkul C, Irkec C, Nazliel B, et al. The effects of Mat Pilates and Reformer Pilates in patients with Multiple Sclerosis: A randomized controlled study. NeuroRehabilitation 2017;41(2):413–22.
  24. Carmen EV, Zorina SA, Silviu DA, Andrei P, Daniel DA, Any DA. pilates as an instrument in improving the quality of life in multiple sclerosis patients. Ovidius University Annals, Series Physical Education And Sport/Science, Movement And Health 2020;20:227-33.
  25. Kierkegaard M, Lundberg IE, Olsson T, Johansson S, Ygberg S, Opava C, et al. High-intensity resistance training in multiple sclerosis—An exploratory study of effects on immune markers in blood and cerebrospinal fluid, and on mood, fatigue, health-related quality of life, muscle strength, walking and cognition. Journal of the Neurological Sciences 2016; 362:251–7.
  26. Pazokian M, Shaban M, Zakerimoghdam M, Mehran A, Sangelagi B. A comparison between the effect of stretching with aerobic and aerobic exercises on fatigue level in multiple sclerosis patients. Qom University of Medical Sciences Journal 2013;7(1):50–6.
  27. De Groot MH, Phillips SJ, Eskes GA. Fatigue associated with stroke and other neurologic conditions: Implications for stroke rehabilitation. Archives of Physical Medicine and Rehabilitation 2003;84(11):1714–20.
  28. Fayazi B, Parnow A, Ahsan B. Effect aerobic exercises on fatigue and quality of life in women with multiple sclerosis. Journal of Holistic Nursing And Midwifery 2016;26(1):30–40.
  29. Cramer H, Lauche R, Azizi H, Dobos G, Langhorst J. Yoga for multiple sclerosis: a systematic review and meta-analysis. PLoS One 2014;9(11): e112414.
  30. Kileff J, Ashburn A. A pilot study of the effect of aerobic exercise on people with moderate disability multiple sclerosis. Clinical Rehabilitation 2005;19(2):165–9.
Daneshvar Medicine
Volume 30, Issue 5 - Serial Number 162
November and December 2022
Pages 37-48

Files

Share

How to cite

Statistics