Comparison of Short-Term Structured Exercise in Non-Over Weight and Overweight Subjects with Polycystic Ovarian Syndrome

Abstract

Polycystic Ovarian Syndrome is one of the most common female endocrinological disorder which is a complex multifaceted heterogeneous disorder affecting approximately 5%-10% of respondents of reproductive age, endocrine and metabolic function. The patients with PCOS have elevated triglyceride and low-density lipoprotein (LPL) cholesterol levels and low high-density lipoprotein (HDL) cholesterol levels. Exercise combined Aerobic and Resistance exercise improves insulin sensitivity and glycaemic control, reduces abdominal fat in women and modified with diet is considered to be preferred as the first-line treatment for PCOS management with the primary goal to normalize serum androgen and to restore reproductive function. The aim of the study was to find the effect of comparison of short-term structured exercise in non-over weight and overweight subjects with Polycystic Ovarian Syndrome. This experimental study design with a total of 30 subjects were taken by simple random sampling method at Outpatient Physiotherapy Department, ACS Medial college and hospital, vellapanchavadi, chennai. The subjects included were those with secondary amenorrhoea, body hair growing on the chest, belly, face and around the nipples, decreased breast size irregular periods, male-like characteristics, enlargement of the clitoris, male-pattern baldness, acne, cysts on the ovaries, Overweight, skin tags, anxiety or depression, hoarseness of voice, dark or thick skin markings and creases around the armpits groin, neck and breasts, dandruff patches on skin on the neck, arm, breasts, thigh, pelvic pain, sleep apnea, age group with 18-25,unmarried women, BMI ranging between 18-25. The subjects excluded were those with diabetes, thyroid, adrenal or pituitary gland dysfunction obese women, undergoing medications, seizures, hypertension ,cardiac patients, psychological problems, fracture, Non co-operative patients, age group(<18 and >25),neurological problems ,low back ache, married women, pelvic inflammatory disease, urinary tract infection, recent abdominal surgery . The outcome measure is measured by (PCOSQ-50) questionnaire and BMI scale. Group-A consisted of Overweight subjects and Group-B consisted of Non-over weight subjects and both the groups received Aerobic and Resistance training along with dietary plans for 56 days with 3 sessions per week on consecutive days. The PCOSQ-50 questionnaire was used. Result On comparing the mean values of Group A and Group B among BMI and PCOSQ-50 Questionnaire Group A shows (23.16) and (100.91) which has the lower mean value of BMI and PCOS Q50 (100.9) is more effective than group B BMI (27.01) and PCOSQ-50 (109.8). Exercise along with dietary plan shows greater improvement among subjects in Group-A (Overweight) with polycystic ovarian syndrome than Group B.