Conservative treatment options for polycystic ovary syndrome: the importance of exercise

Česká verzia

Authors: D. Líška ¹; J. Záhumenský ²
Authors place of work: Univerzita Mateja Bela, Filozofická fakulta, Katedra telesnej výchovy a športu, Banská Bystrica, vedúci, katedry Mgr. J. Kremnický, PhD. ¹; II. gynekologicko pôrodnícka klinika LF UK a UNB, Bratislava, prednosta doc. MUDr. J. Záhumenský, PhD. ²
Published in the journal: Ceska Gynekol 2020; 85(6): 430-435
Category: Review Article

Summary

Aim: The main aim of the article is inform about benefits of rehabilitation in the treatment of polycystic ovary syndrome (PCOS).

Study type: Review article.

Methods: Search for meta-analyzes and systematic review in Pubmed, Medline, Scopus databases.

Results: Insulin resistance plays a potential role in the pathogenesis of PCOS. Lifestyle modification (including physical activity and diet) may help alleviate the symptoms of PCOS, as lifestyle factors may reduce insulin resistance and improve metabolism and reproductive function. The benefit of exercise in women with PCOS is also associated with other significant benefits such as improved anxiety, metabolic syndrome and improved regularity of the menstrual cycle.

Conclusion: Rehabilitation is an important part of therapy in patients with PCOS. Aerobic, strength and interval exercises has a significant benefit in the treatment of polycystic ovary syndrome.

Keywords:

Polycystic ovary syndrome – rehabilitation – Strength training – Aerobic exercise – interval exercise – insulin resistance

Zdroje

1. Lim, SS., Davies, MJ., Norman, RJ., Moran, LJ. Overweight, obesity and central obesity in women with polycystic ovary syndrome: a systematic review and meta-analysis. Hum Reprod Update, 2012, 18(6), p. 618–637.

2. Lim, SS., Norman, RJ., Davies, MJ., Moran, LJ. The effect of obesity on polycystic ovary syndrome: a systematic review and meta-analysis. Obes Rev Off J Int Assoc Study Obes, 2013, 14(2), p. 95–109.

3. Štolc, L. Possible influence of increased frequency by manual treatment of ligamentum pubovesicale. Rehabil Fyzikalni Lek, 2018, 25(3), p. 91–8.

4. Vosečková, A., Truhlářová, Z. Assessment of selected health moderators within context of physical activity. Mil Med Sci Lett Vojen Zdr Listy, 2018, 87(4), p. 148–157.

5. Šorfová, M., Tlapáková, E., Matějková, A. Influence of breathing on activity of pelvic floor muscles in relation to body position. Rehabil Fyzikalni Lek, 2018, 25(4), p. 171–177.

6. Holaňová, R., Hegedüsová, K., Gärtner, M., Krhut, J. Efficacy comparison of individual and group physiotherapy in patients with urinary incontinence. Rehabil Fyzikalni Lek, 2015, 22(1), p. 22–25.

7. Hagovská, M., Urdzík, P., Švihra, J. A randomized interventional parallel study to evaluate the effect of pelvic floor muscle training with stabilization exercises of high and low intensity in women with stress urinary incontinence: The PELSTAB study. Medicine (Baltimore). 2020, 99(29), p. e21264.

8. Hagovská, M., Urdzík, P., Svihra, J. Possibilities of objectivization of pelvic floor muscle exercises in patients with urine leakage after delivery. Čes Gynekol, 2020, 85(2), p. 94–102.

9. Sprung, VS., Cuthbertson, DJ., Pugh, CJA., et al. Nitric oxide-mediated cutaneous microvascular function is impaired in polycystic ovary sydrome but can be improved by exercise training. J Physiol, 2013, 591(6), p. 1475–1487.

10. Poděbradská, R., Šarmírová, M. Functional disorders of the musculoskeletal system. Prakt Lek, 2017, 97(5), p. 198–201.

11. Poděbradská, R., Šarmírová, M., Procházka, M. Musculoskeletal system functional disorders in pregnancy. Čes Gynek, 2018, 83(2), p. 138–144.

12. Poděbradská, R., Šarmírová, M., Janura, M., et al. The effect of physiotherapy intervention on the load of the foot and low back pain in pregnancy. Čes Gynek, 2019, 84(6), p. 450–457.

13. Petríková Rosinová, I., Shtin Banarpvá, P., Korcová, J. Nordic walking als geeignete Heilaktivität bei den Patienten mit der Diagnose Diabetes Mellitus. Rehabilitacia, 2018, 55(2), p. 128–133.

14. Čelko, J., Kováčová, K. Increased brain oxygen level stimulates gnostic functions in healthy people and in people with Alzheimer’ s disease. Zdrav Listy, 2019, 7(3), p. 6–10.

15. Labunová, E., Mikuľáková, W., Kendrová, L., Demetrová, P. Health benefits of motion activity of elderly. Rehabilitacia, 2016, 53(2), p. 132–140.

16. Michalicka, V., Pohnan, R. Brain energetic demands during cognitive activities in relation to aerobic load. Mil Med Sci Lett Vojen Zdrav Listy, 2019, 88(4), p. 159–165.

17. Novák, J. The importance of gait as the most natural physical activity in the human life style. Prakt Lek, 2018, 98(4), p. 158–165.

18. Hiklová, P., Gába, A. Effect of aerobics on weight and fat mass loss in adult women: Systematic review and meta-analysis. Acta Gymnica, 2019, 49(3), p. 144–152.

19. Shabani, R., Izaddoust, F. Effects of aerobic training, resistance training, or both on circulating irisin and myostatin in untrained women. Acta Gymnica.,2018, 48(2), p. 47–55.

20. Mrosková, S., Schlosserová, A., Žultáková, S. Anxiety of pregnant women – importance, risk factors, consequences. Prakt Lek, 2020, 100(2), p. 55–58.

21. Jiskoot, G., Dietz de Loos, A., Beerthuizen, A., et al. Long-term effects of a three-component lifestyle intervention on emotional well-being in women with Polycystic Ovary Syndrome (PCOS): A secondary analysis of a randomized controlled trial. PLoS ONE [Internet]. 01. jún 2020 [cit 15. august 2020], 15(6). Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263605/.

22. Giallauria, F., Palomba, S., Maresca, L., et al. Exercise training improves autonomic function and inflammatory pattern in women with polycystic ovary syndrome (PCOS). Clin Endocrinol (Oxf), 2008, 69(5), p. 792–798.

23. Lopes, IP., Ribeiro, VB., Reis, RM., et al. Comparison of the effect of intermittent and continuous aerobic physical training on sexual function of women with polycystic ovary syndrome: randomized controlled trial. J Sex Med, 2018, 15(11), p. 1609–1619.

24. Donà, S., Bacchi, E., Moghetti, P. Is cardiorespiratory fitness impaired in PCOS women? A review of the literature. J Endocrinol Invest, 2017, 40(5), p. 463–469.

25. Thomson, RL., Buckley, JD., Moran, LJ., et al. Comparison of aerobic exercise capacity and muscle strength in overweight women with and without polycystic ovary syndrome. BJOG Int J Obstet Gynaecol, 2009, 116(9), p. 1242–1250.

26. Costa, EC., De Sá, JCF., Stepto, NK., et al. Aerobic training improves quality of life in women with polycystic ovary syndrome. Med Sci Sports Exerc, 2018, 50(7), p. 1357–1366.

27. Thomson, RL., Buckley, JD., Noakes, M., et al. The effect of a hypocaloric diet with and without exercise training on body composition, cardiometabolic risk profile, and reproductive function in overweight and obese women with polycystic ovary syndrome. J Clin Endocrinol Metab, 2008, 93(9), p. 3373–3380.

28. Woodward, A., Broom, D., Harrop, D., et al. The effects of physical exercise on cardiometabolic outcomes in women with polycystic ovary syndrome not taking the oral contraceptive pill: a systematic review and meta-analysis. J Diabetes Metab Disord, 2019, 18(2), p. 597–612.

29. Patten, RK., Boyle, RA., Moholdt, T., et al. Exercise interventions in polycystic ovary syndrome: a systematic review and meta- analysis. Front Physiol, 2020 [cit 15. august 2020], 11. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7358428/.

30. Benham, JL., Yamamoto, JM., Friedenreich, CM., et al. Role of exercise training in polycystic ovary syndrome: a systematic review and meta-analysis. Clin Obes, 2018, 8(4), p. 275–84.

31. Abdolahian, S., Tehrani, FR., Amiri, M., et al. Effect of lifestyle modifications on anthropometric, clinical, and biochemical parameters in adolescent girls with polycystic ovary syndrome: a systematic review and meta-analysis. BMC Endocr Disord, 2020, 20(1), p. 71.

32. Ramos, FKP., Lara, LA. da S., Kogure, GS., et al. Quality of life in women with polycystic ovary syndrome after a program of resistance exercise training. Rev Bras Ginecol Obstet Rev Fed Bras Soc Ginecol Obstet, 2016, 38(7), p. 340–347.

33. Kogure, GS., Miranda-Furtado, CL., Silva, RC., et al. Resistance exercise impacts lean muscle mass in women with polycystic ovary syndrome. Med Sci Sports Exerc, 2016, 48(4), p. 589–598.

34. Miranda-Furtado, CL., Ramos, FKP., Kogure, GS., et al. A nonrandomized trial of progressive resistance training intervention in women with polycystic ovary syndrome and its implications in telomere content. Reprod Sci Thousand Oaks Calif, 2016, 23(5), p. 644–654.

35. Almenning, I., Rieber-Mohn, A., Lundgren, KM., et al. Effects of high intensity interval training and strength training on metabolic, cardiovascular and hormonal outcomes in women with polycystic ovary syndrome: a pilot study. PLoS ONE, 2015 [cit 15. august 2020], 10(9). Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4583183/.

36. Naderpoor, N., Shorakae, S., de Courten, B., et al. Metformin and lifestyle modification in polycystic ovary syndrome: systematic review and meta-analysis. Hum Reprod Update, 2015, 21(5), p. 560–574.

37. Moran, LJ., Hutchison, SK., Norman, RJ., Teede, HJ. Lifestyle changes in women with polycystic ovary syndrome. Cochrane Database Syst Rev, 2011(2):CD007506.

38. Lim, SS., Hutchison, SK., Van Ryswyk, E., et al. Lifestyle changes in women with polycystic ovary syndrome. Cochrane Database Syst Rev, 28 2019, 3:CD007506.

39. Domecq, JP., Prutsky, G., Mullan, RJ., et al. Lifestyle modification programs in polycystic ovary syndrome: systematic review and meta-analysis. J Clin Endocrinol Metab, 2013, 98(12), p. 4655–4663.