BENEFITS OF PHYSICAL ACTIVITY ON REPRODUCTIVE HEALTH FUNCTIONS IN WOMEN POLYCYSTIC OVARY SYNDROME: SYSTEMATIC REVIEW
Abstract
Polycystic ovary syndrome (PCOS) is a predominant endocrine disorder in women of reproductive age. The prevalence of PCOS is estimated to be around 8-13% of women of childbearing age and up to 70% of cases are undiagnosed. This systematic review aims to synthesize evidence on the impact of physical activity on reproductive health function in PCOS women. Conducted using electronic data base from journals that have been published in PubMed, Science Direct and Wiley. This study investigated physical activity interventions with intensity and volume and measured reproductive function as well as hormonal and menstrual improvements. The inclusion of physical activity alone or combined with other therapeutic interventions improved reproductive outcomes. Reproductive function of women with PCOS can be improved by physical activity. Physical activity can also reduce infertility and social and psychological stress in women.
References
Lauritsen, M. P., Svendsen, P. F., & Andersen, A. N. (2019). Diagnostic criteria for polycystic ovary syndrome. Ugeskrift for Laeger, 181(15), 671–679. https://doi.org/10.1016/S1701-2163(16)32915-2.Diagnostic
Christ, J. P., & Cedars, M. I. (2023). Current Guidelines for Diagnosing PCOS. Diagnostics, 13(6). https://doi.org/10.3390/diagnostics13061113
Singh, S., Pal, N., Shubham, S., Sarma, D. K., Verma, V., Marotta, F., & Kumar, M. (2023). Polycystic Ovary Syndrome: Etiology, Current Management, and Future Therapeutics. Journal of Clinical Medicine, 12(4). https://doi.org/10.3390/jcm12041454
Cowan, S., Lim, S., Alycia, C., Pirotta, S., Thomson, R., Gibson-Helm, M., Blackmore, R., Naderpoor, N., Bennett, C., Ee, C., Rao, V., Mousa, A., Alesi, S., & Moran, L. (2023). Lifestyle management in polycystic ovary syndrome – beyond diet and physical activity. BMC Endocrine Disorders, 23(1), 1–33. https://doi.org/10.1186/s12902-022-01208-y
Lim, S. S., Norman, R. J., Davies, M. J., & Moran, L. J. (2013). The effect of obesity on polycystic ovary syndrome: A systematic review and meta-analysis. Obesity Reviews, 14(2), 95–109. https://doi.org/10.1111/j.1467-789X.2012.01053.x
Teede, H. J., Misso, M. L., Costello, M. F., Dokras, A., Laven, J., Moran, L., Piltonen, T., Health, N., Public, M., Health, M., Wales, N. S., Endocrinology, R., & Centre, M. (2018). Recomendaciones de la guía internacional basada en la evidencia para la evaluación y el tratamiento del síndrome de ovario poliquístico. Health and Human Service, 110(3), 364–379. https://doi.org/10.1016/j.fertnstert.2018.05.004.Recommendations
Greenwood, E. A., Noel, M. W., Kao, C. N., Shinkai, K., Pasch, L. A., Cedars, M. I., & Huddleston, H. G. (2016). Vigorous exercise is associated with superior metabolic profiles in polycystic ovary syndrome independent of total exercise expenditure. Fertility and Sterility, 105(2), 486–493. https://doi.org/10.1016/j.fertnstert.2015.10.020
Jurczewska, J., Ostrowska, J., Chełchowska, M., Panczyk, M., Rudnicka, E., Kucharski, M., Smolarczyk, R., & Szostak-Węgierek, D. (2023). Physical Activity, Rather Than Diet, Is Linked to Lower Insulin Resistance in PCOS Women—A Case-Control Study. Nutrients, 15(9), 1–16. https://doi.org/10.3390/nu15092111
Dewailly, D., Gronier, H., Poncelet, E., Robin, G., Leroy, M., Pigny, P., Duhamel, A., & Catteau-Jonard, S. (2011). Diagnosis of polycystic ovary syndrome (PCOS): Revisiting the threshold values of follicle count on ultrasound and of the serum AMH level for the definition of polycystic ovaries. Human Reproduction, 26(11), 3123–3129. https://doi.org/10.1093/humrep/der297
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., Antes, G., Atkins, D., Barbour, V., Barrowman, N., Berlin, J. A., Clark, J., Clarke, M., Cook, D., D’Amico, R., Deeks, J. J., Devereaux, P. J., Dickersin, K., Egger, M., Ernst, E., Gøtzsche, P. C., … Tugwell, P. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine, 6(7). https://doi.org/10.1371/journal.pmed.1000097
Dos Santos, I. K., de Lima Nunes, R., Soares, G. M., de Oliveira Maranhão, T. M., & Dantas, P. M. S. (2017). Exercise and reproductive function in polycystic ovary syndrome: Protocol of a systematic review. Systematic Reviews, 6(1), 4–7. https://doi.org/10.1186/s13643-017-0666-5
Palomba, S., Falbo, A., Giallauria, F., Russo, T., Rocca, M., Tolino, A., Zullo, F., & Orio, F. (2010). Six weeks of structured exercise training and hypocaloric diet increases the probability of ovulation after clomiphene citrate in overweight and obese patients with polycystic ovary syndrome: A randomized controlled trial. Human Reproduction, 25(11), 2783–2791. https://doi.org/10.1093/humrep/deq254
Orio, F., Muscogiuri, G., Giallauria, F., Savastano, S., Bottiglieri, P., Tafuri, D., Predotti, P., Colarieti, G., Colao, A., & Palomba, S. (2016). Oral contraceptives versus physical exercise on cardiovascular and metabolic risk factors in women with polycystic ovary syndrome: a randomized controlled trial. Clinical Endocrinology, 85(5), 764–771. https://doi.org/10.1111/cen.13112
Tiwari, N., Pasrija, S., & Jain, S. (2019). Randomised controlled trial to study the efficacy of exercise with and without metformin on women with polycystic ovary syndrome. European Journal of Obstetrics and Gynecology and Reproductive Biology, 234, 149–154. https://doi.org/10.1016/j.ejogrb.2018.12.021
Thompson, P. D., Arena, R., Riebe, D., & Pescatello, L. S. (2013). ACSM’s new preparticipation health screening recommendations from ACSM’s guidelines for exercise testing and prescription, ninth edition. Current Sports Medicine Reports, 12(4), 215–217. https://doi.org/10.1249/JSR.0b013e31829a68cf
Kogure, G. S., Lopes, I. P., Ribeiro, V. B., Mendes, M. C., Kodato, S., Furtado, C. L. M., Silva de Sá, M. F., Ferriani, R. A., Lara, L. A. da S., & Reis, R. M. dos. (2020). The effects of aerobic physical exercises on body image among women with polycystic ovary syndrome. Journal of Affective Disorders, 262(July), 350–358. https://doi.org/10.1016/j.jad.2019.11.025
Nybacka, Å., Carlström, K., Fabri, F., Hellström, P. M., & Hirschberg, A. L. (2013). Serum antimüllerian hormone in response to dietary management and/or physical exercise in overweight/obese women with polycystic ovary syndrome: Secondary analysis of a randomized controlled trial. Fertility and Sterility, 100(4), 1096–1102. https://doi.org/10.1016/j.fertnstert.2013.06.030
Tonello, L., Oliveira-Silva, I., Medeiros, A. R., Donato, A. N. A., Schuch, F. B., Donath, L., & Boullosa, D. (2019). Prediction of depression scores from aerobic fitness, body fatness, physical activity, and vagal indices in non-exercising, female workers. Frontiers in Psychiatry, 10(APR), 1–9. https://doi.org/10.3389/fpsyt.2019.00192
Al-Qahtani, A. M., Shaikh, M. A. K., & Shaikh, I. A. (2018). Exercise as a treatment modality for depression: A narrative review. Alexandria Journal of Medicine, 54(4), 429–435. https://doi.org/10.1016/j.ajme.2018.05.004
Lopes, I. P., Ribeiro, V. B., Reis, R. M., Silva, R. C., Dutra de Souza, H. C., Kogure, G. S., Ferriani, R. A., & Silva Lara, L. A. da. (2018). Comparison of the Effect of Intermittent and Continuous Aerobic Physical Training on Sexual Function of Women With Polycystic Ovary Syndrome: Randomized Controlled Trial. Journal of Sexual Medicine, 15(11), 1609–1619. https://doi.org/10.1016/j.jsxm.2018.09.002
Moran, L. J., Pasquali, R., Teede, H. J., Hoeger, K. M., & Norman, R. J. (2009). Treatment of obesity in polycystic ovary syndrome: a position statement of the Androgen Excess and Polycystic Ovary Syndrome Society. Fertility and Sterility, 92(6), 1966–1982. https://doi.org/10.1016/j.fertnstert.2008.09.018
Thomson, R. L., Buckley, J. D., & Brinkworth, G. D. (2011). Exercise for the treatment and management of overweight women with polycystic ovary syndrome: A review of the literature. Obesity Reviews, 12(5). https://doi.org/10.1111/j.1467-789X.2010.00758.x
Harrison, C. L., Lombard, C. B., Moran, L. J., & Teede, H. J. (2011). Exercise therapy in polycystic ovary syndrome: A systematic review. Human Reproduction Update, 17(2), 171–183. https://doi.org/10.1093/humupd/dmq045
Jiskoot, G., Benneheij, S. H., Beerthuizen, A., De Niet, J. E., De Klerk, C., Timman, R., Busschbach, J. J., & Laven, J. S. E. (2017). A three-component cognitive behavioural lifestyle program for preconceptional weight-loss in women with polycystic ovary syndrome (PCOS): A protocol for a randomized controlled trial. Reproductive Health, 14(1), 1–12. https://doi.org/10.1186/s12978-017-0295-4
Kaczmarek, C., Haller, D. M., & Yaron, M. (2016). Health-Related Quality of Life in Adolescents and Young Adults with Polycystic Ovary Syndrome: A Systematic Review. Journal of Pediatric and Adolescent Gynecology, 29(6), 551–557. https://doi.org/10.1016/j.jpag.2016.05.006
Conte, F., Banting, L., Teede, H. J., & Stepto, N. K. (2015). Mental Health and Physical Activity in Women with Polycystic Ovary Syndrome: A Brief Review. Sports Medicine, 45(4), 497–504. https://doi.org/10.1007/s40279-014-0291-6
Butt, M. S., Saleem, J., Zakar, R., Aiman, S., Khan, M. Z., & Fischer, F. (2023). Benefits of physical activity on reproductive health functions among polycystic ovarian syndrome women: a systematic review. BMC Public Health, 23(1), 1–9. https://doi.org/10.1186/s12889-023-15730-8
DOI: https://doi.org/10.30591/siklus.v14i1.7794
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