Exercise Recommendations for Women with Polycystic Ovary Syndrome: Is the Evidence Enough?

Stepto, Nigel K.; Patten, Rhiannon K.; Tassone, Eliza C.; Misso, Marie; Brennan, Leah; Boyle, Jacqueline; Boyle, Russell A.; Harrison, Cheryce L.; Hirschberg, Angelica Lindén; Marsh, Kate; Moreno-Asso, Alba; Redman, Leanne M.; Thondan, Mala; Wijeyaratne, Chandrika; Teede, Helena; Moran, Lisa J.

doi:10.1007/s40279-019-01133-6

Cited by 38 publications

(41 citation statements)

References 76 publications

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“…This systematic evaluation of exercise interventions align with identified knowledge gaps in current international evidence-based guidelines (Teede et al, 2018a ; Stepto et al, 2019 ) and meta-analyses (Benham et al, 2018 ; Kite et al, 2019 ) recently undertaken in this population of women. There is substantial evidence that supports the effectiveness of aerobic exercise training for improving some health outcomes in women with PCOS.…”

Section: Discussionsupporting

confidence: 63%

“…There is substantial evidence that supports the effectiveness of aerobic exercise training for improving some health outcomes in women with PCOS. In particular, aerobic exercise of various intensities has consistently been found to result in improvements in VO 2peak in women with PCOS (Haqq et al, 2015 ; Kite et al, 2019 ; Stepto et al, 2019 ). VO 2peak is a measure of cardiorespiratory fitness and is an important indicator of health and mortality (Blair et al, 1989 ).…”

Section: Discussionmentioning

confidence: 99%

“…Exercise is well-established as a therapy for preventing and managing chronic diseases in the general population (Booth et al, 2000 ; Roberts and Barnard, 2005 ), and in women with PCOS (Wild et al, 2010 ; Teede et al, 2018a ; Stepto et al, 2019 ). The beneficial effects of exercise in women with PCOS have been summarised in several recent systematic reviews and meta-analyses (Benham et al, 2018 ; Kite et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

“…In addition, the international evidence-based guidelines for the management of PCOS recommend lifestyle intervention, including exercise training and diet, as the first line of therapy to improve general health, hormonal outcomes, and quality of life (Teede et al, 2018a ). However, the studies utilised in the development of the guidelines were limited to a small number of randomised controlled trials (RCTs), resulting in a general consensus recommendation of exercise rather than a clear exercise prescription for the management of PCOS (Teede et al, 2018b ; Stepto et al, 2019 ). In particular, there is uncertainty about suitable intensity, duration, and modality of exercise, and the interaction between exercise and diet.…”

Section: Introductionmentioning

confidence: 99%

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Exercise Interventions in Polycystic Ovary Syndrome: A Systematic Review and Meta-Analysis

et al. 2020

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Background: Polycystic ovary syndrome (PCOS) is a common and complex endocrinopathy with reproductive and metabolic manifestations. Exercise training has consistently been found to result in improved clinical outcomes in women with PCOS, but shortfalls with exercise prescription are evident. The aim of this systematic review and meta-analysis was to identify exercise intervention characteristics that provide favourable outcomes in women with PCOS. Methods: A systematic review of published literature was conducted using EBSCOhost and Ovid Medline up to May 2019. The review adheres to the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines as per our PROSPERO protocol (CRD42018088367). Randomised controlled trials, non-randomised controlled trials, and uncontrolled trials that evaluated an exercise intervention of at least moderate intensity in women with PCOS were included. Meta-analyses were performed using general linear mixed modelling and Bayesian inferences about effect magnitudes. Results: Thirty-three articles were identified for systematic review of which 19 were meta-analysed. Intervention duration ranged from 6 to 26 weeks. A total number of 777 women were included in the meta-analysis. The meta-analysis found that improvements in health outcomes are more dependent on exercise intensity rather than dose. Fixed effects analysis reported a moderate increase in VO 2peak (24.2%; 90% CL, 18.5-30.1), and small reductions in HOMA-IR (−36.2%; 90% CL, −55.3 to −9.0), and waist circumference (−4.2%; 90% CL −6.0 to −2.3) as a result of vigorous intensity exercise. These results are confirmed in the predicted analysis which reported the greatest improvements in VO 2peak , BMI, and waist circumference after vigorous intensity exercise alone or when combined with diet, particularly for women with clinically adverse baseline values. Conclusions: Exercise training in the management of PCOS is becoming more common. Results from our analysis support the use of exercise and suggest that vigorous intensity exercise may have the greatest impact on cardiorespiratory fitness, Patten et al. Exercise Interventions in PCOS body composition, and insulin resistance. Our results indicate that, a minimum of 120 min of vigorous intensity per week is needed to provide favourable health outcomes for women with PCOS with studies of longer duration required to evaluate outcomes with sustained exercise.

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Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Exercise Interventions in Polycystic Ovary Syndrome: A Systematic Review and Meta-Analysis

et al. 2020

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“…All participants will be referred to the GHS, and one group will be allocated to receive only the GHS. The intervention consists of a minimum of four and up to 13 individually tailored telephone calls exploring healthy eating, physical activity, and achieving and maintaining a healthy weight consistent with national guidelines, which are also recommended by international evidence-based PCOS guidelines [4,47]. The frequency of health coaching is tailored according to individual need, coach and participant availability, and stage of programme, with more frequent calls generally required in the early stages.…”

Section: Lifestyle Interventions Onlymentioning

confidence: 99%

Acupuncture or auricular electro-acupuncture as adjuncts to lifestyle interventions for weight management in PCOS: protocol for a randomised controlled feasibility study

Smith

Costello

et al. 2020

Pilot Feasibility Stud

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Background: Polycystic ovary syndrome (PCOS) is a prevalent women's health condition with reproductive, metabolic, and psychological manifestations. Weight loss can improve these symptoms and is a key goal; however, many women find this difficult to achieve. Acupuncture is a Chinese medical treatment that involves insertion of very fine metal needles into specific areas of the body and has been shown to be efficacious for weight loss in non-PCOS populations. However, few studies have been conducted in women with PCOS. A variant of acupuncture, auricular electro-acupuncture (AEA), may have beneficial effects on sympathetic tone, which is associated with insulin resistance, obesity and PCOS.

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Einfluss von Umwelt und Lebensstil auf die endokrine und reproduktive Funktion

Weiss

2024

Klinische Endokrinologie Für Frauenärzte

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Exercise Recommendations for Women with Polycystic Ovary Syndrome: Is the Evidence Enough?

Cited by 38 publications

References 76 publications

Exercise Interventions in Polycystic Ovary Syndrome: A Systematic Review and Meta-Analysis

Exercise Interventions in Polycystic Ovary Syndrome: A Systematic Review and Meta-Analysis

Acupuncture or auricular electro-acupuncture as adjuncts to lifestyle interventions for weight management in PCOS: protocol for a randomised controlled feasibility study

Einfluss von Umwelt und Lebensstil auf die endokrine und reproduktive Funktion

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