Abstract
Purpose Aerobic exercises may improve quality of life (QoL) in women with polycystic ovary syndrome (PCOS). However, there is no data on the effect of resistance exercise training (RET) programs on the QoL of women with PCOS. Thus, this study aimed to assess the effect of a 16-week RET program on QoL in PCOS women. Methods This 16-week case-control study enrolled 43 women with PCOS (PCOS group, PCOSG) and 51 healthy pre-menopausal controls aged 18 to 37 years (control group, CG). All women underwent a supervised RET program for 16 weeks, and were evaluated in two different occasions: week-0 (baseline), and week-16 (after RET). Quality of life was assessed using the 36-Item Short Form Health Survey (SF-36). Results Testosterone reduced significantly in both groups after RET (p < 0.01). The PCOSG had improvements in functional capacity at week-16 relative to week-0 (p = 0.02). The CG had significant improvements in vitality, social aspects, and mental health at week-16 relative to week-0 (p ≤ 0.01). There was a weak correlation between social aspects of the SF-36 domain and testosterone levels in PCOS women. Conclusion A 16-week RET program modestly improved QoL in women with PCOS.
Highlights
At week-16, the Polycystic ovary syndrome (PCOS) group had no significant changes in body weight or body mass index (BMI), but did have a significant decrease in waist circumference (80.59 Æ 11.87 versus 79.35 Æ 10.54 cm; OR 1⁄4 0.84, 95%CI 1⁄4 0.35 to 1.32, p < 0.01) (►Table 2)
The present study showed that the PCOS group had improved quality of life (QoL) in all domains analyzed by the 36-Item Short Form Health Survey (SF-36), only the score for the functional capacity domain reached statistical significance
Women with PCOS benefited from resistance exercise training (RET), with improvement of some SF-36 domains, after 16 weeks of the supervised exercise program
Summary
Polycystic ovary syndrome (PCOS) affects $ 5 to 10% of females who are of reproductive age. Typical PCOS women show acanthosis nigricans, raising the possibility that they were insulin resistant. Hyperandrogenism occurs in $ 80 to 85% of patients with PCOS, and manifests as hirsutism, obesity, acne, seborrhea, alopecia, and virilization. These clinical manifestations can lower self-esteem and reduce quality of life (QoL). Patients are often depressed or have other affective disorders, and this is a frequent cause of reduced mental well-being and poor QoL.5,6A change in lifestyle is considered the first line of treatment for obese women with PCOS as a nonpharmacological treatment. programs that require drastic changes in lifestyle with rapid weight reduction are rarely sustained; sustained weight reduction is best achieved in a gradual and continuous manner. Physical exercise leads to greater social participation, resulting in better biopsychophysical well-being and improved QoL. Physical activity is associated with lower depression in women with PCOS, and is likely to be beneficial to their mental health. A controlled randomized study used a program of diet only, diet and aerobic exercise, or diet and combined aerobic-resistance exercise for 20 weeks of intervention for overweight and obese women with PCOS and showed that dietary restriction alone and combined with exercise had similar benefits to improve depression and QOL. in women with PCOS, the practice of resistance exercise increases the basal metabolism and promotes an increase in lean mass, improves insulin sensitivity, and promotes a decrease in lipid levels, as well as a reduction in blood pressure and an improvement in glucose metabolism. In women with. Hyperandrogenism occurs in $ 80 to 85% of patients with PCOS, and manifests as hirsutism, obesity, acne, seborrhea, alopecia, and virilization.. Hyperandrogenism occurs in $ 80 to 85% of patients with PCOS, and manifests as hirsutism, obesity, acne, seborrhea, alopecia, and virilization.3 These clinical manifestations can lower self-esteem and reduce quality of life (QoL).. Patients are often depressed or have other affective disorders, and this is a frequent cause of reduced mental well-being and poor QoL.. A controlled randomized study used a program of diet only, diet and aerobic exercise, or diet and combined aerobic-resistance exercise for 20 weeks of intervention for overweight and obese women with PCOS and showed that dietary restriction alone and combined with exercise had similar benefits to improve depression and QOL..
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