Document Type : Original Article
                            
                        
                                                    Authors
                            
                                                            
                                                                            1
                                                                        Department of Woman’s Health, Faculty of physical therapy, Cairo University, Egypt                                
                                                            
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                                                                        Department of women's health faculty of physical therapy Cairo university                                
                                                            
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                                                                        Department of Physical Therapy for Women’s Health, Faculty of Physical Therapy, Cairo University,Egypt.                                
                                                            
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                                                                        Obstetrics and Gynecology,Faculty of Medicine,Elazhar university,Cairo,Egypt                                
                            
                                                                            
                        
                        
                            Abstract
                            Background: postmenopausal obesity leads to many serious health risks such as cardiovascular disease, diabetes, and psychological disorder. 
 Purpose: This study aimed to determine the effect of ketogenic diet and exercise on lipid profile in obese postmenopausal women.
 Subjects: Forty obese postmenopausal women participated in this study, aged from 50-55 years, with body mass index (BMI) of 30-35 kg/m2, were selected from the outpatient clinic of El-Mahalla General Hospital, El Mahalla El Kobra city, El Gharbia Governorate, Egypt. They received a very low carbohydrate ketogenic diet for 4 weeks and aerobic exercises in form of walking on the treadmill for 30 min, three times per week for 4 weeks.
 Material and method: anthropometric measures (body weight, BMI and waist, and hip circumference), and lipid profile were assessed pre and post-treatment program. 
 Result: comparing pre and post-treatment results, there was a significant improvement in body weight, body mass index, waist-hip ratio, total cholesterol, triglyceride, low-density lipoprotein cholesterol, and high-density lipoprotein cholesterol after the treatment program than pre-treatment values. 
 Conclusion: combined therapy of ketogenic diet and aerobic exercise is an effective method in improving lipid profile and body weight in obese postmenopausal women
 Keywords: Postmenopausal women, Obesity, Ketogenic diet, Aerobic exercise, Lipid profile.
                        
                        
                        
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