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Home > Archives > Volume 20, No 8 (2022) > Article

DOI: 10.14704/nq.2022.20.8.NQ22973

Effectiveness of cinnamon, exercise and counselling on hyper androgenic symptoms and level of anxiety among young girls with Polycystic Ovarian Syndrome

Niranjani.S,Dr.G. Bhuvaneswari, Dr.M. Hemamalini, Dr.R. Vijiyaraghavan

Abstract

Background: Polycystic ovarian syndrome (PCOS) is anendocrine metabolic, multifaceted disorder commonly diagnosed among young girls and adult women. Girls with polycystic ovarian syndromeoften exhibit hyper androgenic symptoms like hirsutism, acne, alopecia and obesity. Young girls who are overweight &obese are very concerned about their physical appearance, which in turnreflectin their Psychological wellbeing too. So it is very relevant to assess the level of anxiety related to body image disturbance among young girls with polycystic ovarian syndrome.Girls with polycystic ovarian syndrome canmodify their lifestyle - including dietary adjustments, exercise, and behavioural alteration, which can ease the metabolic dysfunction. On the other hand, lifestyle modification has now been recognized as the first-line management for PCOS. Aim:To determine the effectiveness of cinnamon, exercise and counselling in reducing hyper androgenic symptoms, BMI, waist circumference and anxiety level among young girls with PCOS Methods:Quasiexperimentalpre and posttest design was used in this study.A total of 824 young girls from different colleges in Chennai were screened based on Rotterdam criteria and among that 150 study participants were selected who met the inclusion criteria.self-administered questionnaire was used to collect the baseline data. Modified Ferriman Gallwey scale, Ludwig visual score, Global acne grading scale were used to assess the hyper androgenic symptoms like hirsutism, alopecia and acne respectively.Other markers like BMI, Waist circumference and level of anxiety using Hamilton anxiety scale were also assessed. Participants were partitioned into three groups, 50 in each group – Non interventional group (only education regarding PCOS), Group A with all three interventions (cinnamon tea, exercise program and anxiety reduction counselling), group B with selected interventions (exercise program and anxiety reduction counselling). Interventions are planned for 6 months.Post-test I, II were conducted after 3rdand 6 thmonth respectively. Non probability Purposive sampling technique was used. Prior permissions were obtained from all institutional heads. consent was acquired from every one of the study participants. Results:The present study unveiledthe following results.In Modified Ferriman Gallwey scale (Hirsutism), the non – interventional group from Pre-test to Post-test 2 had shown no improvement in the score, whereas Group A and Group B shown 1 score decrease. In Ludwig visual score (alopecia), the non – interventional group from Pre-test to Post-test 2 had shown no improvement in the score, whereas Group A shown 2 scores decrease and Group B shown 1 score decrease. In Global acne grading scale (acne), the non – interventional group from Pre-test to Post-test 2 shown 1 score increase, whereas Group A and Group B shown 2 scores decrease. This shows that there is reduction in hyper androgenic symptoms like hirsutism, alopecia and acne in experimental groups. In anxiety scale, the non – interventional group from Pre-test to Post-test 2 had no improvement, whereas Group A and Group B shown 2 score decrease and this shows that there is reduction in the level of anxiety among experimental groups.For all these four scales, Kruskal Wallis one-way ANOVA on ranks shown significance (P < 0.001). Tukey’s multiple comparison test was carried out and both the experimental groups shown significant decrease. This shows that the Group A and Group B are better than the non – interventional group. This study also revealed that in BMI, the non-interventional group from Pre-test to Post-test 2,shown 1.7% increase in BMI, while in group A and group B, 4.4% and 3.02 % reduction in BMI was observed. This clearly shows that the group A is superior to group B and noninterventional group.In waist circumference the non-interventional group from Pre-test to Post-test 2, 0.3% increase in waist circumferencewas observed, while in group A and group B, 1.6% and 0.6 % reduction was observed. Hence it revealed that group A and group B are better than the Non interventional group. The Group A is superior togroup B. Conclusion:This study spotlighted the beneficial role of cinnamon tea, exercise program and anxiety reduction counsellingin reducing the hyper androgenic symptoms like hirsutism, acne, alopecia, BMI, waist circumference and also the level of anxietyamong young girls with Polycystic ovarian syndrome.Hence, the study suggeststhis multi intervention package which cost effective and less time consuming for young girls with PCOS.

Keywords

ffectiveness, cinnamon, exercise, counselling,hyper androgenic symptoms, psychological markers, Polycystic ovarian syndrome, young girls.

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