الفهرس 
Effect of life style modification on perimenopausal utrine fibroids
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Abstract
This study was designed to investigate the effect of life style modification on perimenopausal uterine fibroids. Forty perimenopausal women suffer from uterine fibroids shared in this study. They were selected randomly from the Out-patient clinic of gynecology department in Damanhour Medical National Institute in Beheira Governorate. heir ages were ranged from 46-50 years old. Their body mass index (BMI) btween24 - 35 kg/m2. They were diagnosed as subserosal and intramural uterine fibroids. Patients with malignant disease, cardiac pacemakers, myomectomy, psychological problems or hormonal replacement therapy are excluded from study. The design of study was pre-test post-test experimental design. They were divided into two equal groups: group A (Control group) consisted of 20 patients treated by moderate restricted Mediterranean diet for six months. group B (Study group) consisted of 20 patients treated by lifestyle intervention program in the form of moderate restricted Mediterranean diet and aerobic exercises (5 times /week) for six months. Body mass index (BMI) was assessed by using standard weight-height scale, Waist circumference (WC) was assessed by tape measurement; severity of symptoms was assessed by symptoms severity scale questionnaire (SSS) for all patients in both groups A and B before and after treatment. Serum Estradiol (E2), total cholesterol (TC) and triglyceride (TG) were assessed for all patients in both groups A and B before and after treatment. Results of this study showed that: pretreatment, there was no statistical significant difference between both groups A and B in the mean values of BMI, waist circumference, symptoms severity scale questionnaire (SSS), serum estradiol (E2), total cholesterol (TC) and triglyceride level (TG)