Effectiveness of circuit interval training and physiotherapy health education on anthropometric measurements and quality of life among obese women with polycystic ovary syndrome- a randomised controlled trial
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20231233Keywords:
Circuit interval training, PCOS, Physiotherapy health educationAbstract
Background: The objective was to assess the effectiveness of circuit interval training and physiotherapy health education on anthropometric measurements and quality of life (QOL) among obese women with PCOS.
Methods: The study is a parallel group randomised controlled trial among 40 obese women diagnosed with PCOS based on Rotterdam criteria and conducted in obstetrics and gynaecology Physiotherapy centre, IGMC&RI, Puducherry. Allocation of participants to group A and group B done using permutated block randomization by an independent physiotherapist. Group A(n=20) received the conventional treatment and Group B (n=20) received the circuit interval training for 6 weeks.
Results: The outcome values obtained were calculated by the software SPSS 26. The power of the study is 80%. P<0.05 was considered a significant difference and 95% confidence. There was a significant improvement in the pre and post-test values of anthropometric measurements (BMI and WHR) within the experimental group. The minimal clinically important difference (MCID) of 1.03 points in BMI, 0.019 in WHR, and 0.018 in WHtR, which was higher than the MCID of the control group was observed between the groups. The results show that circuit interval training is effective in improving the anthropometric measurements and quality of life obesity was found to have a negative correlation with the quality of life, implying that increased weight reduces the quality of life in PCOS women.
Conclusions: Circuit interval training along with physiotherapy health education, has a positive impact on improving anthropometric measurements such as BMI, waist circumference, and metabolic parameters over time.
References
Lin AW, Kazemi M, Jarrett BY, Vanden Brink H, Hoeger KM, Spandorfer SD, et al. Dietary and physical activity behaviors in women with polycystic ovary syndrome per the new international evidence-based guideline. Nutrients. 2019;11(11):2711.
Nagarathna P, Rajan PR, Koneri R. A detailed study on poly cystic ovarian syndrome and it’s treatment with natural products. Int J Toxicol Pharmacol Res. 2014;5(4):109-20.
Huber-Buchholz MM, Carey DG, Norman RJ. Restoration of reproductive potential by lifestyle modification in obese polycystic ovary syndrome: role of insulin sensitivity and luteinizing hormone. J Clin Endocrinol Metab. 1999;84(4):1470-4.
Bhattacharya SM, Jha A. Prevalence and risk of depressive disorders in women with polycystic ovary syndrome (PCOS). Fertil Steril. 2010;94(1):357-9.
Dağ ZÖ, Dilbaz B. Impact of obesity on infertility in women. J Turk German Gynecol Assoc. 2015;16(2):111.
Seo YG, Noh HM, Kim SY. Weight loss effects of circuit training interventions: a systematic review and meta-analysis. Obes Rev. 2019;20(11):1642-50.
Sheedy J, Smith B, Bauman A, Barnett A, Calderan A, Culbert J, et al. A controlled trial of behavioural education to promote exercise among physiotherapy outpatients. Aust J Physiother. 2000; 46(4):281-9.
Pawar S, Mahajan A. Comparison of effects of high intensity interval training and circuit training on hormonal imbalance and cardiopulmonary fitness in women with polycystic ovarian syndrome. Int J Res Soc Sci. 2019; 9(5):437-53.
Jiskoot G, Dietz de Loos A, Beerthuizen A, Timman R, Busschbach J, Laven J. Long-term effects of a three-component lifestyle intervention on emotional well-being in women with polycystic ovary syndrome (PCOS): a secondary analysis of a randomized controlled trial. PLoS One. 2020;15(6):e0233876.
Kiel IA, Lionett S, Parr EB, Jones H, Røset MA, Salvesen Ø, et al. Protocol: improving reproductive function in women with polycystic ovary syndrome with high-intensity interval training (IMPROV-IT): study protocol for a two-centre, three-armed randomised controlled trial. BMJ Open. 2020;10(2).
Hiam D, Patten R, Gibson-Helm M, Moreno-Asso A, McIlvenna L, Levinger I, et al. The effectiveness of high intensity intermittent training on metabolic, reproductive and mental health in women with polycystic ovary syndrome: study protocol for the iHIT-randomised controlled trial. Trials. 2019;20(1):1-9.
Thomson RL, Buckley JD, Noakes M, Clifton PM, Norman RJ, Brinkworth GD. The effect of a hypocaloric diet with and without exercise training on body composition, cardiometabolic risk profile, and reproductive function in overweight and obese women with polycystic ovary syndrome. J Clin Endocrinol Metabo. 2008;93(9):3373-80.
Jaeschke R, Singer J, Guyatt GH. Measurement of health status. Ascertaining the minimal clinically important difference. Control Clin Trials. 1989;10:407-15.
Shetty D, Chandrasekaran B, Singh AW, Oliverraj J. Exercise in polycystic ovarian syndrome: an evidence-based review. Saudi J Sports Med. 2017;17(3):123.
Kumari P, Selvam DP, Sundaram DM, Abraham DM, Palekar DT. Benefits of short structured exercise progeam in obese women with polycystic ovary syndrome. Ann Rom Soc Cell Biol. 2021;25(6):981-7.
Benetti-Pinto CL, Ferreira SR, Antunes A Jr, Yela DA. The influence of body weight on sexual function and quality of life in women with poly-cystic ovary syndrome. Arch Gynecol Obstet. 2015;291:451-5.
Barry JA, Kuczmierczyk AR, Hardiman PJ. Anxiety and depression in polycystic ovary syndrome: a systematic review and meta-analysis. Hum Reprod. 2011;26:2442-51.
Rasgon NL, Rao RC, Hwang S, Altshuler LL, Elman S, Zuckerbrow-Miller J, et al. Depression in women with polycystic ovary syndrome: clinical and biochemical correlates. J Affect Disord. 2003;74(3):299-304.
Rahiminejad ME, Moaddab A, Rabiee S, Esna-Ashari F, Borzouei S, Hosseini SM. The relationship between clinicobiochemical markers and depression in women with polycystic ovary syndrome. Iran J Reprod Med. 2014;12(12):811-6.
Okamura F, Tashiro A, Utumi A, Imai T, Suchi T, Tamura D, et al. Insulin resistance in patients with depression and its changes during the clinical course of depression: minimal model analysis. Metabolism. 2000;49:1255-60.
Adriaanse MC, Dekker JM, Nijpels G, Heine RJ, Snoek FJ, Pouwer F. Associations between depressive symptoms and insulin resistance: the Hoorn study. Diabetologia. 2006;49:2874-7.
Vigorito C, Giallauria F, Palomba S, Cascella T, Manguso F, Lucci R, et al. Beneficial effects of a three-month structured exercise training program on cardiopulmonary functional capacity in young women with polycystic ovary syndrome. J Clin Endocrinol Metab. 2007;92(4):1379-84.
Abobaker RM, Fouad AL, U. Donato MF, Mulit GL, David MS, Samuel VM. Effect of educational program on quality of life among women with polycystic ovarian syndrome. Egypt J Nurs Health Sci. 2021;2(2):134-58.