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Effect of swimming exercise on premenstrual syndrome



To study the effectiveness of performing swimming on the severity of symptoms of premenstrual syndrome (PMS).

Materials and methods

A randomized controlled trial that was conducted on 70 women diagnosed with PMS divided randomly into two equal groups: Group I included women who engaged into exercise and group II controls. Daily Symptoms Report was filled at the start and at end of the study.


At the posttreatment evaluation, there was a highly significant difference between the study and control groups regarding anxiety (0 vs. 5), depression (3 vs. 12), tension (3 vs. 12), mood changes (0 vs. 7), feeling out of control (0 vs. 7), weak coordination (0 vs. 10), confusion (2 vs. 9), headache (3 vs. 15), tiredness (4 vs. 12), pains (5 vs. 11), tenderness of the breast (2 vs. 8), and cramps (6 vs. 17) (P < 0.001), but no such difference was found regarding irritability, insomnia, crying, swelling, or food craving. Regarding the percentage of symptoms changes, there was a highly significant difference between the study and control groups regarding anxiety (− 33.3 vs. 0), depression (− 79.29 vs. 15.56), tension (− 81.18 vs. − 6.79), mood changes (− 33.33 vs. 0), feeling out of control (− 91.67 vs. 0), weak coordination (− 100 vs. − 9.55), sleeplessness (− 71.43 vs. 0), confusion (− 84.17 vs. − 9.55), headache (− 77.78 vs. − 6.94), fatigue (− 65.69 vs. 0), pains (− 65.83 vs. − 8.93), breast tenderness (− 87.87 vs. 4.55), cramps (− 60.77 vs. 4.55), and swellings (− 55.05 vs. − 8.33), but no such difference was found regarding irritability, crying, or food craving.


There is beneficial effect of swimming on most of the physical and psychological symptoms of PMS.

Clinical trial registry no.


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Authors and Affiliations



MMA: data analysis and manuscript writing/editing. AHA: protocol/project development and manuscript revision. HRSS: protocol/project development and manuscript writing/editing. HE protocol/project development. HW: protocol/project development. AIO: data collection. AK: manuscript writing/editing.

Corresponding author

Correspondence to Ahmed Mohamed Maged.

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Conflict of interest

All authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Maged, A.M., Abbassy, A.H., Sakr, H.R.S. et al. Effect of swimming exercise on premenstrual syndrome. Arch Gynecol Obstet 297, 951–959 (2018).

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  • Swimming
  • Aerobic exercise
  • Premenstrual syndrome