Evaluation of two physical training programs − concurrent and aerobic − in obese or overweight women with polycystic ovary syndrome
DOI:
https://doi.org/10.33448/rsd-v10i15.22356Keywords:
Polycystic ovary syndrome; Aerobic training; Concurrent training.Abstract
Introduction: Polycystic Ovary Syndrome (PCOS) is an endocrine disorder, heterogeneous, whose etiology is unknown and with high phenotypic variation. The first-line treatment for this disease is physical training. Objective: To evaluate two types of physical training, concurrent and aerobic, in obese and overweight women with PCOS. Methodology: This is a clinical, analytical, prospective, controlled and randomized study, using training protocols in the "before-after", where aerobic training was used, which is the use of oxygen as an energy source, and the concurrent training, which is the use of strength training and aerobic training. Thirty women were selected, of which 14, approximately 47% of the total number of patients participated in the program, aged between 18 and 40 years with obese and/or overweight PCOS, and subsequently randomized to Group I and Group II: the evaluation of the effects of the two training sessions, concurrent and aerobic, on anthropometric, metabolic and hormonal parameters was made through specific protocols for aerobic and concurrent training. The IBM SPSS version 27.0 program was used for statistical analysis. The normal distribution of data was performed using the Shapiro-Wilk test, and to assess the significant change in the post-intervention variable, the paired t-student test was applied. Results: There were statistically significant differences in the variables studied in the anthropometric parameters in Concurrent Training (TC) and Aerobic Training (AT) such as weight, Body Mass Index (BMI), metabolic age and fat. the majority (42.86%) had higher education, (57.14%) declared themselves black and (100%) were sedentary. Comparing the AT and CT relative to anthropometric parameters, the groups were homogeneous, with difference only in thigh D(P=0.038). Conclusion: Competitive and aerobic physical training performed three times a week for three months significantly reduce several parameters such as weight, BMI, fat and metabolic parameters. The effectiveness is similar in the anthropometric parameters of both physical training, concurrent and aerobic.
References
Abazar, E., Taghian, F., Mardanian, F., & Forozandeh, D. (2015). Effects of aerobic exercise on plasma lipoproteins in overweight and obese women with polycystic ovary syndrome. Advanced biomedical research, 4
Abeso. Diretrizes Brasileiras de Obesidade; 2016. (4a ed.), 15-22.
American College Of Sports Medicine (ACSM). Diretrizes do ACSM para os testes de esforço e sua prescrição. 2007. (7a ed.), Guanabara Koogan.
Azziz, R., Carmina, E., Dewailly, D., Diamanti-Kandarakis, E., Escobar-Morreale, H. F., Futterweit, W., & Witchel, S. F. (2006). Criteria for defining polycystic ovary syndrome as a predominantly hyperandrogenic syndrome: an androgen excess society guideline. The Journal of Clinical Endocrinology & Metabolism, 91(11), 4237-4245.
Baranova, A., Tran, T. P., Birerdinc, A., & Younossi, Z. M. (2011). Systematic review: association of polycystic ovary syndrome with metabolic syndrome and non‐alcoholic fatty liver disease. Alimentary pharmacology & therapeutics, 33(7), 801-814.
Barber, T. M., McCarthy, M. I., Franks, S., & Wass, J. A. (2007). Metabolic syndrome in polycystic ovary syndrome. Endokrynologia Polska, 58(1), 34-41.
Barber, Thomas M. et al. (2006). Obesity and polycystic ovary syndrome. Clinical Endocrinology, 65(2), 137-145.
Barber, T. M., Dimitriadis, G. K., Andreou, A., & Franks, S. (2016). Polycystic ovary syndrome: insight into pathogenesis and a common association with insulin resistance. Clinical Medicine, 16(3), 262.
Barnard, L., Ferriday, D., Guenther, N., Strauss, B., Balen, A. H., & Dye, L. (2007). Quality of life and psychological well being in polycystic ovary syndrome. Human reproduction, 22(8), 2279-2286.
Bellver, J., Rodríguez-Tabernero, L., Robles, A., Muñoz, E., Martínez, F., Landeras, J., ... & Acevedo, B. (2018). Polycystic ovary syndrome throughout a woman’s life. Journal of assisted reproduction and genetics, 35(1), 25-39.
Benham, J. L., Yamamoto, J. M., Friedenreich, C. M., Rabi, D. M., & Sigal, R. J. (2018). Role of exercise training in polycystic ovary syndrome: a systematic review and meta‐analysis. Clinical obesity, 8(4), 275-284.
Borg, G. A. (1982). Psychophysical bases of perceived exertion. Medicine & science in sports & exercise.
Brasil. (2012). Ministério da Saúde. Resoluçãon º466/12. Conselho Nacional de Pesquisa com Seres Humanos. Diário Oficial da União. Brasília.
Bulsara, J. P., Patel, P., Soni, A., & Acharya, S. (2021). A review on brief insight into Polycystic Ovarian syndrome. Endocrine and Metabolic Science, 100085.
Carmina, E., & Azziz, R. (2006). Diagnosis, phenotype, and prevalence of polycystic ovary syndrome. Fertility and sterility, 86, S7-S8.
Costa, E. C., Sá, J. C. F. D., Stepto, N. K., Costa, I. B. B., Farias Junior, L. F., Moreira, S. D. N. T., & Azevedo, G. D. D. (2018). Aerobic training improves quality of life in women with polycystic ovary syndrome.
Costa, R. F. (1999). Qual a melhor técnica de avaliação da composição corporal. Revista Nutrição em Pauta. São Paulo, 7(37), 31-35.
Cruz, I. D. S. D. (2017). Síndrome metabólica e condicionamento físico parciais de mulheres jovens obesas submetidas a um protocolo de treinamento concorrente.Tese de doutorado [Internet].
Delitala, A. P., Capobianco, G., Delitala, G., Cherchi, P. L., & Dessole, S. (2017). Polycystic ovary syndrome, adipose tissue and metabolic syndrome. Archives of gynecology and obstetrics, 296(3), 405-419.
Ding, T.et al. The prevalence of polycystic ovary syndrome in reproductive-aged women of different ethnicity: a systematic review and meta-analysis. Onco Target, 8(56), 96351-96358.
Drosdzol, A., Skrzypulec, V., Mazur, B., & Pawlińska-Chmara, R. (2007). Quality of life and marital sexual satisfaction in women with polycystic ovary syndrome. Folia histochemica et cytobiologica, 45(I), 93-97.
Ehrmann, D. A. (2005). Polycystic ovary syndrome. New England Journal of Medicine, 352(12), 1223-1236.
Forslund, M., Landin‐Wilhelmsen, K., Schmidt, J., Brännström, M., Trimpou, P., & Dahlgren, E. (2019). Higher menopausal age but no differences in parity in women with polycystic ovary syndrome compared with controls. Acta obstetricia et gynecologica Scandinavica, 98(3), 320-326.
Hudecova, M., Holte, J., Olovsson, M., Larsson, A., Berne, C., & Sundstrom-Poromaa, I. (2011). Prevalence of the metabolic syndrome in women with a previous diagnosis of polycystic ovary syndrome: long-term follow-up. Fertility and sterility, 96(5), 1271-1274.
HUTCHISON, Samantha K. et al. Effects of exercise on insulin resistance and body composition in overweight and obese women with and without polycystic ovary syndrome. The Journal of Clinical Endocrinology & Metabolism, 96(1), E48-E56.
Inoue, D. S., De Mello, M. T., Foschini, D., Lira, F. S., Ganen, A. D. P., Campos, R. M. D. S., & Dâmaso, A. R. (2015). Linear and undulating periodized strength plus aerobic training promote similar benefits and lead to improvement of insulin resistance on obese adolescents. Journal of Diabetes and its Complications, 29(2), 258-264.
Kandaraki, E., Christakou, C., & Diamanti-Kandarakis, E. (2009). Metabolic syndrome and polycystic ovary syndrome... and vice versa. Arquivos Brasileiros de Endocrinologia & Metabologia, 53, 227-237.
Kim, J. J., & Choi, Y. M. (2013). Dyslipidemia in women with polycystic ovary syndrome. Obstetrics & gynecology science, 56(3), 137-142.
Kogure, G. S., Silva, R. C., Picchi Ramos, F. K., Miranda-Furtado, C. L., Lara, L. A. D. S., Ferriani, R. A., & Dos Reis, R. M. (2015). Women with polycystic ovary syndrome have greater muscle strength irrespective of body composition. Gynecological Endocrinology, 31(3), 237-242.
Legro, R. S. (2000). The genetics of obesity Lessons for polycystic ovary syndrome. Annals of the New York Academy of Sciences, 900(1), 193-202.
Lim, S. S., Hutchison, S. K., Van Ryswyk, E., Norman, R. J., Teede, H. J., & Moran, L. J. (2019). Lifestyle changes in women with polycystic ovary syndrome. Cochrane Database of Systematic Reviews, (3)..
Lim, S. S., Davies, M. J., Norman, R. J., & Moran, L. J. (2012). Overweight, obesity and central obesity in women with polycystic ovary syndrome: a systematic review and meta-analysis. Human reproduction update, 18(6), 618-637.
Materko, W., Neves, C. E. B., & Santos, E. L. (2007). Modelo de predição de uma repetição máxima (1RM) baseado nas características antropométricas de homens e mulheres. Revista Brasileira de Medicina do Esporte, 13, 27-32.
Medeiros, N. D. S., de Abreu, F. G., Colato, A. S., de Lemos, L. S., Ramis, T. R., Dorneles, G. P., & Dani, C. (2015). Effects of concurrent training on oxidative stress and insulin resistance in obese individuals. Oxidative medicine and cellular longevity, 2015.
Monteiro, P. A., Chen, K. Y., Lira, F. S., Saraiva, B. T. C., Antunes, B. M. M., Campos, E. Z., & Freitas, I. F. (2015). Concurrent and aerobic exercise training promote similar benefits in body composition and metabolic profiles in obese adolescents. Lipids in health and disease, 14(1), 1-9.
Ramos, F. K. P., Lara, L. A. D. S., Kogure, G. S., Silva, R. C., Ferriani, R. A., Silva de Sá, M. F., & Reis, R. M. D. (2016). Quality of life in women with polycystic ovary syndrome after a program of resistance exercise training. Revista Brasileira de Ginecologia e Obstetrícia, 38, 340-347.
Rezende, F., Rosado, L., Franceschinni, S., Rosado, G., Ribeiro, R., & Bouzas Marins, J. C. (2007). Revisão crítica dos métodos disponíveis para avaliar a composição corporal em grandes estudos populacionais e clínicos. Archivos Latinoamericanos de nutricion, 57(4), 327-334.
Ribeiro, V. B., Kogure, G. S., Lopes, I. P., Silva, R. C., Pedroso, D. C. C., Ferriani, R. A., & Reis, R. M. D. (2019). Association of measures of central fat accumulation indices with body fat distribution and metabolic, hormonal, and inflammatory parameters in women with polycystic ovary syndrome. Archives of endocrinology and metabolism, 63, 417-426.
Ribeiro, V. B., Lopes, I. P., Dos Reis, R. M., Silva, R. C., Mendes, M. C., Melo, A. S., & Lara, L. A. D. S. (2021). Continuous versus intermittent aerobic exercise in the improvement of quality of life for women with polycystic ovary syndrome: A randomized controlled trial. Journal of health psychology, 26(9), 1307-1317.
Rossi, F. E. (2016). Comportamento da prática habitual de atividade física, ingestão alimentar, composição corporal e perfil metabólico em mulheres pós-menopausa, após programas de treinamentos concorrente e aeróbio. Universidade Estadual Paulista, Instituto de Biociências de Rio Claro, 63 f.
Eshre, T. R., & ASRM-Sponsored PCOS Consensus Workshop Group. (2004). Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome. Fertility and sterility, 81(1), 19-25.
Sales, M. F., Sóter, M. O., Cândido, A. L., Reis, F. M. D., Sousa, M. O., & Fernande, A. P. (2015). Ferriman-Gallwey Score correlates with obesity and insulin level in Polycystic Ovary Syndrome–an observational study. Rev Soc Bras Clin Med, 13(2), 107-110.
Sattar, N. (2011). Polycystic Ovary Syndrome. In: BYRNE, C.; WILD, S. The Metabolic Syndrome. Blackwell Publishing Ltd., p. 278-298.
Sattar, N. (2006). Vascular and metabolic issues in PCOS. Women's vascular health. Boca Raton: Taylor & Francies Group, 265-79.
Setji, T. L., & Brown, A. J. (2014). Polycystic ovary syndrome: update on diagnosis and treatment. The American journal of medicine, 127(10), 912-919.
Sharma, K., & Srivastava, S. K. (2020). The Role of Life style Modification in Management of Polycystic Ovary Syndrome. Indian Journal of Public Health, 11(11), 107.
Sidhwani, S., Scoccia, B., Sunghay, S., Stephens‐Archer, C. N., Mazzone, T., & Sam, S. (2011). Polycystic ovary syndrome is associated with atherogenic changes in lipoprotein particle number and size independent of body weight. Clinical endocrinology, 75(1), 76-82.
Sigal, R. J., Kenny, G. P., Boulé, N. G., Wells, G. A., Prud'homme, D., Fortier, M., & Jaffey, J. (2007). Effects of aerobic training, resistance training, or both on glycemic control in type 2 diabetes: a randomized trial. Annals of internal medicine, 147(6), 357-369.
Sousa, R. M. L. D., Chein, M. B. D. C., Silva, D. S. M. D., Dutra, M. B., Navarro, P. A. D. A. S., Figueiredo Neto, J. A. D., & Brito, L. M. O. (2013). Perfil metabólico em mulheres de diferentes índices de massa corporal com síndrome dos ovários policísticos. Revista Brasileira de Ginecologia e Obstetrícia, 35, 413-420.
Spritzer, P. M. (2014). Polycystic ovary syndrome: reviewing diagnosis and management of metabolic disturbances. Arquivos Brasileiros de Endocrinologia & Metabologia, 58, 182-187.
Tasali, E., Van Cauter, E., & Ehrmann, D. A. (2008). Polycystic ovary syndrome and obstructive sleep apnea. Sleep medicine clinics, 3(1), 37-46.
Teede, H. J., Misso, M. L., Costello, M. F., Dokras, A., Laven, J., Moran, L., & Norman, R. J. (2018). Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome. Human reproduction, 33(9), 1602-1618.
Teede, H. J., Joham, A. E., Paul, E., Moran, L. J., Loxton, D., Jolley, D., & Lombard, C. (2013). Longitudinal weight gain in women identified with polycystic ovary syndrome: results of an observational study in young women. Obesity, 21(8), 1526-1532.
Teede, H. J., Misso, M. L., Costello, M. F., Dokras, A., Laven, J., Moran, L., & Norman, R. J. (2018). Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome. Human reproduction, 33(9), 1602-1618
Teede, H., Deeks, A., & Moran, L. (2010). Polycystic ovary syndrome: a complex condition with psychological, reproductive and metabolic manifestations that impacts on health across the lifespan. BMC medicine, 8(1), 1-10.
Turan, V., Mutlu, E. K., Solmaz, U., Ekin, A., Tosun, O., Tosun, G., ... & Malkoc, M. (2015). Benefits of short-term structured exercise in non-overweight women with polycystic ovary syndrome: a prospective randomized controlled study. Journal of physical therapy science, 27(7), 2293-2297.
Wanderley, F. A., Moreira, A., Sokhatska, O., Palmares, C., Moreira, P., Sandercock, G.,& Carvalho, J. (2013). Differential responses of adiposity, inflammation and autonomic function to aerobic versus resistance training in older adults. Experimental gerontology, 48(3), 326-333.
Wild, S., Pierpoint, T., McKeigue, P., & Jacobs, H. (2000). Cardiovascular disease in women with polycystic ovary syndrome at long‐term follow‐up: a retrospective cohort study. Clinical endocrinology, 52(5), 595-600.
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