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Not yet recruitingNCT07708766Updated Jul 16, 2026

Effect of High Intensity Interval Training on Insulin Resistance in Polycystic Ovarian Syndrome

An interventional study of Intermittent fasting diet group and High intensity interval training in Polycystic Ovary Syndrome, sponsored by Cairo University. Not yet recruiting at 1 site in Egypt. Open to female participants aged 20 Years to 35 Years. Per ClinicalTrials.gov, last updated 2026-07-16.

Sponsored by Cairo University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
20 Years to 35 Years
Sex
Female
01

Study summary

This study will be conducted to investigate the effect of high- intensity interval training on insulin resistance in polycystic ovarian syndrome.

Read the detailed description

Women with polycystic ovarian syndrome (PCOS) are at increased risk for glucose intolerance, dyslipidemia, subfertility, obstetric complications and psychosexual disorders.

The prevalence of insulin resistance in PCOS can range from 44% to 70%. Studies have indicated that worsening of insulin resistance over time in obese women with PCOS is associated with early development of diabetes mellitus type 2.

Interventions like oral contraceptive pills give the higher risk of endometrial cancer for women with PCOS. However, lifestyle correction appears to be the sustainable therapy of PCOS.

High-intensity interval training (HIIT) consists of short periods of intense exercise (80% of maximal heart rate) alternated with periods of active recovery or rest. It is a relatively time-efficient training strategy to improve metabolic health and has been considered more enjoyable than moderate-to-vigorous intensity continuous training HIIT increases skeletal muscle oxidative capacity and appears to be effective in improving insulin sensitivity, particularly in those at increased risk type 2 diabetes mellitus.

Intermittent fasting had a powerful effect on improvement of glucose metabolism by lowering insulin resistance, improvement of systemic inflammatory diseases and even expansion of life span.

So, this study will be conducted to provide new evidences and information about the efficacy of high intensity interval training on insulin resistance in women suffering from PCOS, to manage this problem upon them and add new information to the field of physical therapy.

02

Conditions studied

  • Polycystic Ovary Syndrome
03

In context

Polycystic Ovary Syndrome

944 studies on the registry are indexed under Polycystic Ovary Syndrome; 174 are open to participants now.

This study's planned enrollment of 50 is below the median of 70 across 685 interventional studies indexed under Polycystic Ovary Syndrome.

Browse Polycystic Ovary Syndrome studies →

Lead sponsor

Cairo University is the lead sponsor of 4,780 studies on the registry; 1,427 are open to participants now.

Of its 36 completed or terminated interventional studies of FDA-regulated products, 5 (14%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years to 35 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Obese women with polycystic Ovarian Syndrome (PCOS) as clinically diagnosed by the gynecologist.
  • Their ages will be ranged from 20 to 35 years old.
  • Their body mass index will be ranged from 30-40 kg/m2.
  • Their waist/hip ratio will be > 0.8.
  • All of them should have at least two criteria of the Rotterdam diagnostic criteria of PCOS.

Exclusion criteria

Exclusion Criteria:

  • Cushing syndrome, diabetes mellitus.
  • Thyroid dysfunction.
  • Hypothalamic amenorrhea, ovarian hyperplasia.
  • Respiratory, renal and liver dysfunction.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
50 participants (estimated)

Study arms

  • Active comparator
    Intermittent fasting diet group

    The participants will follow intermittent fasting diet only for 12 weeks

    Other: Intermittent fasting diet group

  • Experimental
    High Intensity Interval Training and intermittent fasting diet group

    The participants will receive High Intensity Interval Training program for 40 min, 3 sessions per week, in addition to intermittent fasting diet for 12 weeks,

    Other: Intermittent fasting diet group · Other: High intensity interval training

Interventions

  • OtherIntermittent fasting diet group

    Fasting for 14 hours and eating window for 10 hours (1400 kcal) as prescribed by nutrition specialist. Intermittent fasting is an approach of eating that focuses on when you eat rather than on what you eat. * During fasting hours (fasting window) the participants are allowed to drink water, tea, coffee and drinks without sugar. * During eating hours (eating window) the participants will follow 1400 kcal diet. * The diet targets recommended with respect to high intake of vegetables (3-4 serve daily), fruits (1-2 serve daily), fish, lean meats and poultry (3-4 serve daily), fat free and low fat dairy products (2-3 serve daily), and legumes, nuts and seeds (4-5 serves per week), carbohydrates (3-4 serve daily).

  • OtherHigh intensity interval training

    All participants will receive High intensity interval training program in the form of walking on the electronic treadmill for 40 min through 3 phases: Warm-up phase: included walking on the treadmill with light intensity (50% of maximal heart rate (MHR)) for 10 min, Actual phase: included walking on the treadmill with high intensity intervals (80-85% of MHR) repeated for 4 times, with 3-min active recovery at (70% of MHR) between intervals then Cool-downs phase: included walking on the treadmill with light intensity (50% of MHR) for 5 min for 12 weeks.

06

What researchers measure

Primary outcomes

  1. Body weight

    Body weight will be measured by using weight and height scale before and after treatment program.

    Time frame: 12 weeks

  2. Body mass index

    It will be calculated by dividing weight in kilograms divided by height meter square.

    Time frame: 12 weeks

  3. Waist circumference

    The waist circumference will be measured by tape measure from the narrowest point between the lower border of the ribcage and the iliac crest at the end of normal expiration.

    Time frame: 12 weeks

  4. Hip circumference

    Hip circumference will be measured at the widest part of the hip using the tape measurement.

    Time frame: 12 weeks

  5. Waist/ hip ratio

    Waist /hip ratio will be calculated by dividing waist circumference by hip circumference.

    Time frame: 12 weeks

  6. Oral glucose tolerance test

    Venous blood sample will be collected from each participant to determine level of oral glucose tolerance test. The 2-hour plasma glucose level \<140 mg/dL (7.8 MMOL/L) is considered normal. A blood glucose level between 140 and 199 mg/dL (7.8 and 11 MMOL/L) is considered impaired glucose tolerance, or pre- diabetes.

    Time frame: 12 weeks

  7. Fasting plasma insulin

    Venous blood sample will be collected from each participant to determine level of fasting plasma insulin level at least 8 hours of fasting. Normal insulin level is 3-8µIU/ml, mild insulin resistance is 8-10µIU/ml, moderate insulin resistance is 10-12µIU/ml and severe insulin resistance is \>12 µIU/ml.

    Time frame: 12 weeks

  8. Glucose /insulin ratio

    A glucose /insulin ratio of less than 4.5 has been shown to be sensitive and specific for insulin resistance in a group of women with polycystic Ovarian Syndrome.

    Time frame: 12 weeks

  9. Homeostasis Model Assessment (HOMA IR)

    Venous blood sample will be collected from each participant to determine level of homeostasis Model Assessment (HOMA IR). It will be calculated for all participants before and after the end of the treatment according to the following equation: HOMA.IR = insulin (MU/L) × glucose (mmol/L)/22.5. HOMA\_IR ≥2.5 should be considered a reasonable indicator of insulin resistance.

    Time frame: 12 weeks

Secondary outcomes

  1. Assessment of quality of life

    Polycystic Ovary Syndrome Quality of Life scale (PCOSQ) will be used. It is composed of 26 items categorized into five sections: emotions (8 items), body hair (5 items), weight concerns (5 items), infertility concerns (4 items), and menstrual irregularities (4 items). Each item is scored with a seven-point. Like rating system where seven represents the best situation and 1 represents the worst situation. The sum of the total points in each item per domain will be evaluated. Ultimately, the first interval values (from 1 to \< 3 points) represent marked effects on health related quality of life (HRQOL); second interval values (from 3 to \< 4 points) represent the marginal effect on HRQOL; third interval values (from 4 to \< 5 points) represent the minimal effect on HRQOL; fourth interval (5 points) represents no effect on HRQOL.

    Time frame: 12 weeks

07

Study locations

1 site
  • Hager Tharwat Mohamed
    Cairo, Egypt
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07708766
Lead sponsor
Cairo University
Responsible party
Hager Tharwat Mohamed (Principal investigator, Cairo University) — Principal investigator
First posted
Jul 16, 2026
Start date
Jul 20, 2026 (estimated)
Primary completion
Jan 15, 2027 (estimated)
Completion
Jan 25, 2027 (estimated)
Last update
Jul 16, 2026

Study contacts

Hagar Mohamed
Contact
hagertharwat20172018@gmail.com
01141667742
Mohamed Abo Eleinien, Professor
Contact
Drfawzygyna61@gmail.com
01001414404
Azza Nashed, Professor
study chair · Cairo University

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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