A Systematic Review of the Effects of Exercise on Hormones in Women with Polycystic Ovary Syndrome

Background: Polycystic ovary syndrome (PCOS) is a common endocrine disorder that is characterized by menstrual irregularity and elevated serum androgens, and is often accompanied by insulin resistance. The etiology of PCOS is unknown. Lifestyle interventions and weight loss, where appropriate, remai...

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Main Authors: Grei Shele, Jessica Genkil, Diana Speelman
Format: Article
Language:English
Published: MDPI AG 2020-05-01
Series:Journal of Functional Morphology and Kinesiology
Subjects:
Online Access:https://www.mdpi.com/2411-5142/5/2/35
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author Grei Shele
Jessica Genkil
Diana Speelman
author_facet Grei Shele
Jessica Genkil
Diana Speelman
author_sort Grei Shele
collection DOAJ
description Background: Polycystic ovary syndrome (PCOS) is a common endocrine disorder that is characterized by menstrual irregularity and elevated serum androgens, and is often accompanied by insulin resistance. The etiology of PCOS is unknown. Lifestyle interventions and weight loss, where appropriate, remain first-line treatments for women with PCOS. Regular physical activity is recommended for women with PCOS to maintain a healthy weight and cardiovascular fitness. Purpose: To review the evidence for the impact of various exercise interventions on hormone levels in women with PCOS. Methods: A systematic review of original studies indexed in PubMed that utilized an exercise intervention in women with PCOS and reported hormone values pre- and post-intervention. Studies in which the effects of the exercise intervention could be determined were included. Results: Vigorous aerobic exercise improves insulin measures in women with PCOS. Resistance or strength training may improve androgen levels, though additional studies are warranted. Studies with yoga are limited but suggest improvements in androgens. Limited information is available on the impact of exercise on adipokines and anti-Müllerian hormone, warranting further investigation. Conclusions: Recommended guidelines for women with PCOS include vigorous aerobic exercise and resistance training to improve measures of insulin sensitivity and androgen levels.
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spelling doaj.art-13abd3648fa548be915f3397fae69cc52023-11-20T02:21:16ZengMDPI AGJournal of Functional Morphology and Kinesiology2411-51422020-05-015235010.3390/jfmk5020035A Systematic Review of the Effects of Exercise on Hormones in Women with Polycystic Ovary SyndromeGrei Shele0Jessica Genkil1Diana Speelman2Department of Biochemistry, Lake Erie College of Osteopathic Medicine, Erie, PA 16509, USADepartment of Biochemistry, Lake Erie College of Osteopathic Medicine, Erie, PA 16509, USADepartment of Biochemistry, Lake Erie College of Osteopathic Medicine, Erie, PA 16509, USABackground: Polycystic ovary syndrome (PCOS) is a common endocrine disorder that is characterized by menstrual irregularity and elevated serum androgens, and is often accompanied by insulin resistance. The etiology of PCOS is unknown. Lifestyle interventions and weight loss, where appropriate, remain first-line treatments for women with PCOS. Regular physical activity is recommended for women with PCOS to maintain a healthy weight and cardiovascular fitness. Purpose: To review the evidence for the impact of various exercise interventions on hormone levels in women with PCOS. Methods: A systematic review of original studies indexed in PubMed that utilized an exercise intervention in women with PCOS and reported hormone values pre- and post-intervention. Studies in which the effects of the exercise intervention could be determined were included. Results: Vigorous aerobic exercise improves insulin measures in women with PCOS. Resistance or strength training may improve androgen levels, though additional studies are warranted. Studies with yoga are limited but suggest improvements in androgens. Limited information is available on the impact of exercise on adipokines and anti-Müllerian hormone, warranting further investigation. Conclusions: Recommended guidelines for women with PCOS include vigorous aerobic exercise and resistance training to improve measures of insulin sensitivity and androgen levels.https://www.mdpi.com/2411-5142/5/2/35physical exercisePCOSobesityandrogenshyperandrogenisminsulin resistance
spellingShingle Grei Shele
Jessica Genkil
Diana Speelman
A Systematic Review of the Effects of Exercise on Hormones in Women with Polycystic Ovary Syndrome
Journal of Functional Morphology and Kinesiology
physical exercise
PCOS
obesity
androgens
hyperandrogenism
insulin resistance
title A Systematic Review of the Effects of Exercise on Hormones in Women with Polycystic Ovary Syndrome
title_full A Systematic Review of the Effects of Exercise on Hormones in Women with Polycystic Ovary Syndrome
title_fullStr A Systematic Review of the Effects of Exercise on Hormones in Women with Polycystic Ovary Syndrome
title_full_unstemmed A Systematic Review of the Effects of Exercise on Hormones in Women with Polycystic Ovary Syndrome
title_short A Systematic Review of the Effects of Exercise on Hormones in Women with Polycystic Ovary Syndrome
title_sort systematic review of the effects of exercise on hormones in women with polycystic ovary syndrome
topic physical exercise
PCOS
obesity
androgens
hyperandrogenism
insulin resistance
url https://www.mdpi.com/2411-5142/5/2/35
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