Effect of Upper Limb Ergometer on the AIP in Post Menopausal Obese Women.

Control group (A):

• Each participant will sign a consent form after receiving a detailed explanation about the procedure.
• A blood sample will been taken by a nurse in a heparinized tube and delivered to lab within six hours.
• BMI will been measured body weight(Kg) and height (m2)

a. BMI= body weight (Kg)/ height (m2).

• Waist circumference will be measured.
• After one month blood analysis evaluation will be done to record the response to the routine medication.

Training Procedure for group (B):

• Each participant will sign a consent form after receiving a detailed explanation about the procedure.
• A blood sample will been taken by a nurse in a heparinized tube and delivered to lab within six hours.
• BMI will been measured body weight(Kg) and height (m2)

a. BMI= body weight (Kg)/ height (m2).

• Waist circumference will be measured.
• The maximum heart rate will be determined from Tanaka formula (208- 0.7 *age of the participant)

• Then the exercise load will be determined according heart rate reserve of the participants ( maximum heart rate - resting heart rate).
• Start with sitting resting without any effort for 5 min then Start at a low speed and intensity for 5 minutes to warm up the body.
• Increase the speed and intensity for 10-30 seconds before dropping it back for 2-5 minutes and Repeat according to the intensity.
• Finally, a five minutes of cooling down with no resistance had performed.
• After one month blood analysis evaluation will be done to record the response to the routine medication.

Inclusion criteria

• female aged 45-60 years old.
• class 1 and 2 obesity.
• post menopausal.
• diagnosed as controlled diabetic.
• diagnosed as controlled hypertensive.

Exclusion criteria

• uncontrolled diabetic.
• uncontrolled hypertensive.
• class 3 and morbid obesity.
• mentally unstable person.
• Any shoulder, hand and elbow orthopedic or neural disorders.