الفهرس 
Title : The effect of combined respiratory muscle training and ketogenic diet on obesity hypoventilation syndrome risk
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Abstract
Background: Obesity hypoventilation syndrome (OHS) is de{uFB01}ned as a combination of obesity, daytime hypercapnia and sleep disordered breathing. Aim of the study :was to investigate the effect of combined Respiratory muscle training and Ketogenic diet on obesity hypoventilation syndrome risk. Methods: Forty five obese patients from both sexes (20 males& 25 females)at risk to develop obesity hypoventilation syndrome aged from 30-40 years old and recruited from out patients clinic in Ain Shams Hospital. They were assigned into three groups: group A :included 15 patients who practiced respiratory muscle training by using threshold inspiratory muscle training( IMT) combined with ketogenic diet for 12 weeks. group B: included 15 patients who followed ketogenic diet only for 12 weeks. group C:included 15 patients who followed low caloric diet for 12 weeks .They were assessed by BIA device ,Acid base analyzer ,BMI and WHR . Results: group (A), showed a statistical significant improvement in ABG parameters (increase in PH & Pao2 (0.82%&36.6%), decrease in Paco2 (14.52%) and showed decrease in (WHR and BMI) (17.2%,14.12%) respectively, more than the improvement in group (B) and group (C), for group B PH & Pao2 (0.41%, 21.2%) and paco2 (5.22%), and WHR & BMI (14.8%,11.52%) respectively. And for group C PH & Pao2 (0.54%,15.7%) Paco2 (3.37%) and WHR & BMI (8.13%,5.8%)