Purpose: To investigate the effects of a supervised aerobic exercise training intervention on health-related quality of life (HRQL), cardiorespiratory fitness, cardiometabolic profile, and affective response in overweight/obese women with polycystic ovary syndrome (PCOS). Methods: Twenty-seven overweight/obese inactive women with PCOS (body mass index, Q 25 kgIm j2 ; age 18 to 34 yr) were allocated into an exercise group (n = 14) and a control group (n = 13). Progressive aerobic exercise training was performed three times per week (~150 minIwk j1 ) over 16 wk. Cardiorespiratory fitness, HRQL, and cardiometabolic profile were evaluated before and after the intervention. Affective response (i.e., feeling of pleasure/displeasure) was evaluated during the exercise sessions. Results: The exercise group improved 21% T 12% of cardiorespiratory fitness (P G 0.001) and HRQL in the following domains: physical functioning, general health, and mental health (P G 0.05). Moreover, the exercise group decreased body mass index, waist circumference, systolic and diastolic blood pressure, and total cholesterol level (P G 0.05). The affective response varied from ''good'' to ''fairly good'' (i.e., positive affective response) in an exercise intensity-dependent manner during the exercise training sessions. Conclusions: Progressive aerobic exercise training improved HRQL, cardiorespiratory fitness, and cardiometabolic profile of overweight/obese women with PCOS. Moreover, the participants reported the exercise training sessions as pleasant over the intervention. These results reinforce the importance of supervised exercise training as a therapeutic approach for overweight/obese women with PCOS.
IntroduçãoRelatos de estudos prévios sobre a relação entre a idade materna e os resultados perinatais são extremamente controversos. No grupo de gestantes adolescentes, vários autores têm relatado maior incidência de complicações obstétricas e perinatais, tais como baixo peso ao nascer, parto pré-termo, amniorrexe prematura, pré-eclâmpsia e diabetes gestacional [1][2][3][4] . Estudos mais recentes, entretanto, têm sugerido que os resultados adversos descritos nesta população traduzem mais claramente as condições sociais e de saúde às quais acha-se submetida, que propriamente o
Resultados: observamos uma maior incidência de parto pré-termo no Grupo I (4,3 %), em comparação ao Grupo II (3,7%) (p = 0,0028). A taxa de cesariana foi menor nos Grupos I e III, em comparação ao Grupo II (p<0,0001). Evidenciamos freqüência significativamente maior de recém-nascidos de baixo peso nos Grupos I (8,4%) e III (8,3%), quando comparados ao Grupo II (6,5%) (p<0,0001
The WHtR showed to be the most accurate anthropometric indicator for the prediction of CVRF. In this sense, we propose the inclusion of this easily-measured parameter in the clinical assessment for the screening of women with PCOS and CVRF.
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