Effectiveness of exercise interventions on mental health and health-related quality of life in women with polycystic ovary syndrome: a systematic review

BMC Public Health

Rhiannon K. Patten¹  Russell A. Boyle¹  Nigel K. Stepto²  Alba Moreno-Asso²  Alexandra G. Parker³  Michaela C. Pascoe⁴ 

[1] Institute for Health and Sport, Victoria University, Melbourne, Victoria, Australia;Institute for Health and Sport, Victoria University, Melbourne, Victoria, Australia;Australian Institute for Musculoskeletal Science (AIMSS), Melbourne, Victoria, Australia;Institute for Health and Sport, Victoria University, Melbourne, Victoria, Australia;Centre for Youth Mental Health, University of Melbourne, Melbourne, Victoria, Australia;Institute for Health and Sport, Victoria University, Melbourne, Victoria, Australia;Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia;

关键词: Exercise;    physical activity;    mental health;    health-related quality of life;    depression;    anxiety;   

DOI  :  10.1186/s12889-021-12280-9

来源: Springer

【 摘 要 】

BackgroundPolycystic ovary syndrome (PCOS) is a complex condition, impacting cardio-metabolic and reproductive health, mental health and health-related quality of life. The physical health benefits of exercise for women with PCOS are well-established and exercise is increasingly being recognised as efficacious for improving psychological wellbeing. The aim of this review was to summarise the evidence regarding the effectiveness of exercise interventions on mental health outcomes in women with PCOS.MethodsA systematic search of electronic databases was conducted in March of 2020. Trials that evaluated the effect of an exercise intervention on mental health or health-related quality of life outcomes in reproductive aged women with diagnosed PCOS were included. Methodological quality was assessed using the modified Downs and Black checklist. Primary outcomes included symptoms of depression and anxiety, and health-related quality of life.ResultsFifteen articles from 11 trials were identified and deemed eligible for inclusion. Exercise demonstrated positive improvements in health-related quality of life in all of the included studies. Half of included studies also reported significant improvements in depression and anxiety symptoms. There was large variation in methodological quality of included studies and in the interventions utilised.ConclusionsThe available evidence indicates that exercise is effective for improving health-related quality of life and PCOS symptom distress. Exercise also shows some efficacy for improving symptoms and/or prevalence of depression and anxiety in women with PCOS. However, due to large heterogeneity of included studies, conclusions could not be made regarding the impact of exercise intervention characteristics. High-quality trials with well reported exercise intervention characteristics and outcomes are required in order to determine effective exercise protocols for women with PCOS and facilitate translation into practice.

【 授权许可】

CC BY