Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Gynecology and Obstatrics

The objective of this study was to compare between the effect of resistance exercise and aerobic exercise versus aerobic exercise and diet on insulin resistance in obese pre-menopausal women. Forty pre - menopausal obese women diagnosed as having insulin resistance and their age ranged from 30 to 40 years had been divided into two groups equal in number. Group (A) received resistive and aerobic exercise three times weekly for two months (2minuts resistive followed by 2minutes aerobic exercise ); group (B) participated in aerobic exercise in the form of walking on treadmill for 20 minutes, 3 times / week at moderate intensity (60 - 75% of maximum heart rate with diet for two months. Body mass index, fasting insulin, fasting glucose and skin fold for abdomin and waist circumference assessment-insulin resistance (HOMA - IR) were used to assess all participants of both groups before and after the study. The results revealed that both resistance exercise and aerobic are effective in reducing the insulin resistance (measured by HOMA - IR); however the percentage of change in HOMA - IR in group (B) aerobic with diet is more than that of group (A) resistance with aerobic. Both resistance with aerobic exercise and aerobic with diet are effective in reducing insulin resistance in obese pre - menopausal women but aerobic with diet exercise is more effective

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