Physical activity and mental health in women with Polycystic Ovary Syndrome

BMC Women's Health

Research Article

Lauren K Banting¹  Remco Polman²  Nigel K Stepto³  Melanie Gibson-Helm⁴  Helena J Teede⁵ 

[1] Institute of Sport Exercise and Active Living, Victoria University, Melbourne, Victoria, Australia;Institute of Sport Exercise and Active Living, Victoria University, Melbourne, Victoria, Australia;College of Sport and Exercise Science, Victoria University, PO Box 14428, 8001, Melbourne, Victoria, Australia;Institute of Sport Exercise and Active Living, Victoria University, Melbourne, Victoria, Australia;Women’s Public Health Research, Monash Centre for Health Research and Implenetation, School of Public Health and Preventive Medicine, Monash University, Clayton, Victoria, Australia;College of Sport and Exercise Science, Victoria University, PO Box 14428, 8001, Melbourne, Victoria, Australia;Women’s Public Health Research, Monash Centre for Health Research and Implenetation, School of Public Health and Preventive Medicine, Monash University, Clayton, Victoria, Australia;Women’s Public Health Research, Monash Centre for Health Research and Implenetation, School of Public Health and Preventive Medicine, Monash University, Clayton, Victoria, Australia;Diabetes and Vascular Medicine Unit, Monash Health, Clayton, Melbourne, Victoria, Australia;

关键词: Depression;    Anxiety;    Exercise;    Motivation;    Chronic disease;    PCOS;    Polycystic ovary syndrome;   

DOI  :  10.1186/1472-6874-14-51

 received in 2013-11-28, accepted in 2014-03-20,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundPhysical activity is prescribed as a component of primary management for Polycystic Ovary Syndrome (PCOS). This study investigates the association between physical activity and mental health as well as the exercise barriers, motivators and support providers for younger women with and without PCOS to assist in physical activity uptake and prescription for these women.MethodsWomen aged 18-50 years with (n = 153) and without PCOS (n = 64) completed a questionnaire at one time point. The questionnaire included the Hospital Anxiety and Depression Scale and a survey regarding levels of physical activity, physical activity barriers, motivators and supports. A MANCOVA assessed associations between physical activity, PCOS and mental health (specifically depression and anxiety). Descriptive and Chi square goodness of fit statistics assessed the differences in perceived barriers, motivators and support providers amongst women with and without PCOS.ResultsWomen with PCOS displayed higher severity of depression (F(1,210) = 8.32, p = 0.004) and anxiety (F(1,210) = 17.37, p < 0.001) symptoms compared to controls. Overall, for physically active women, depression was significantly less severe than in their inactive counterparts (F(2,210) = 13.62, p < 0.001). There were no differences in anxiety by physical activity status and no interaction effects between PCOS and activity status for depression or anxiety. Women with PCOS were more likely to report a lack of confidence about maintaining physical activity (Χ2 = 3.65; p = 0.046), fear of injury (Χ2 = 4.08; p = 0.043) and physical limitations (Χ2 = 11.92; p = 0.001) as barriers to physical activity and were more likely to be motivated to be active to control a medical condition (Χ2 = 7.48; p = 0.006). Women with PCOS identified more sources of support compared to women without PCOS.ConclusionsPhysical activity is associated with lower depression in women with PCOS and differences exist in the self-reported physical activity barriers, motivators and support providers, compared to controls. Being more active may offer mental health benefits in managing PCOS. Prescribing physical activity to women with PCOS should be individualized and consider both common and PCOS-specific barriers and motivators for successful engagement.

【 授权许可】

Unknown   
© Banting et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.