ORC ID , Ramin Shabani1 ORC ID , Hamid Saeidi Saedi2, Shadi Dehghanzadeh3">
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ORIGINAL ARTICLE
Year : 2021  |  Volume : 8  |  Issue : 2  |  Page : 85-91

The effect of combined Pilates and yoga training on insulin and leptin level in breast cancer survivors: A randomized clinical trial


1 Department of Exercise Physiology, Physical Education and Sport Sciences, Humanities Faculty, Rasht Branch, Islamic Azad University, Rasht, Iran
2 Departement of Radiotherapy, Guilan University of Medical Sciences, Rasht, Iran
3 Department of Nursing, Nursing and Midwifery Faculty, Rasht Branch, Islamic Azad University, Rasht, Iran

Correspondence Address:
Prof. Ramin Shabani
Department of Exercise Physiology, Physical Education and Sport Sciences, Humanities Faculty, Rasht Branch, Islamic Azad University, Rasht
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JNMS.JNMS_98_20

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Context: Elevated levels of insulin and leptin can be associated with poor prognosis in breast cancer patients. A safe and effective exercise protocol seems necessary as an adjuvant therapy in breast cancer patients. Aims: This study aimed to assess the effect of concurrent yoga and Pilates training on insulin and leptin in breast cancer survivors. Setting and Design: This study was a randomized clinical trial research with control group in a selected oncology and radiotherapy center in Rasht, Iran, in 2019. Materials and Methods: This clinical trial was performed on thirty breast cancer survivors. The participants were allocated in exercise group (n = 15) and control group (n = 15) by simple randomly. Exercise group underwent 12 weeks of concurrent yoga and Pilates training, 3 sessions/week and 75 min of workout in each session. Every participant completed the demographic questionnaire. Weight, insulin, leptin, carcinoembryonic antigen (CEA), and cancer antigen 15-3 (CA 15-3) levels were measured before and after 12 weeks of exercise in both groups. Statistical Analysis Used: Data were analyzed using descriptive statistics, one-way ANCOVA, and paired t-test and Wilcoxon. Results: Mean score of weight in the exercise group decreased from 73.03 ± 16.75 to 69.92 ± 15.46 (P = 0.01), but in control group, there was no significant improvement (from 85.54 ± 11.7 to 85.27 ± 9.71). There was a significant decrease in leptin levels (from 33.70 ± 15.93 to 21.21 ± 15.37) in exercise group (P = 0.02). However, there was no significant effect on insulin (from 7.66 ± 2.96 to 10.67 ± 4.51), CEA, and CA 15-3 (P > 0.05). Conclusion: Twelve weeks of concurrent yoga and Pilates training have positive effects on leptin levels in breast cancer survivors.


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