Time to Load Up-Resistance Training Can Improve the Health of Women with Polycystic Ovary Syndrome (PCOS): A Scoping Review

Chris Kite; Elizabeth Parkes; Suzan R Taylor; Robert W Davies; Lukasz Lagojda; James E Brown; David R Broom; Ioannis Kyrou; Harpal S Randeva

doi:10.3390/medsci10040053

Time to Load Up-Resistance Training Can Improve the Health of Women with Polycystic Ovary Syndrome (PCOS): A Scoping Review

Chris Kite
, Elizabeth Parkes
, Suzan R Taylor
, Robert W Davies
, Lukasz Lagojda
, James E Brown
, David R Broom
, Ioannis Kyrou
, Harpal S Randeva

School of Public Health Studies, Faculty of Education, Health and Wellbeing, University of Wolverhampton, Wolverhampton WV1 1LY, UK.; Warwickshire Institute for the Study of Diabetes, Endocrinology and Metabolism (WISDEM), University Hospitals Coventry and Warwickshire NHS Trust, Coventry CV2 2DX, UK.; Centre for Sport, Exercise and Life Sciences, Research Institute for Health & Wellbeing, Coventry University, Coventry CV1 5FB, UK.
Chester Medical School, University of Chester, Shrewsbury SY3 8HQ, UK.
Clinical Evidence Based Information Service (CEBIS), University Hospitals Coventry and Warwickshire NHS Trust, Coventry CV2 2DX, UK
Centre for Sport, Exercise and Life Sciences, Research Institute for Health Wellbeing, Coventry University, Coventry CV1 5FB, UK
Warwickshire Institute for the Study of Diabetes, Endocrinology and Metabolism (WISDEM), University Hospitals Coventry and Warwickshire NHS Trust, Coventry, CV2 2DX, United Kingdom; Warwick Medical School, University of Warwick, Coventry, CV4 7AL, United Kingdom

Research output: Contribution to journal › Review article › peer-review

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Abstract

BACKGROUND: Guidelines for the management of polycystic ovary syndrome (PCOS) focus on lifestyle changes, incorporating exercise. Whilst evidence suggests that aerobic exercise may be beneficial, less is known about the effectiveness of resistance training (RT), which may be more feasible for those that have low fitness levels and/or are unable to tolerate/participate in aerobic exercise.

OBJECTIVES: To identify the available evidence on RT in women with PCOS and to summarise findings in the context of a scoping review.

ELIGIBILITY CRITERIA: Studies utilising pre-post designs to assess the effectiveness of RT in PCOS; all outcomes were included.

SOURCES OF EVIDENCE: Four databases (PubMed, CENTRAL, CINAHL and SportDiscus) were searched and supplemented by hand searching of relevant papers/reference lists.

CHARTING METHODS: Extracted data were presented in tables and qualitatively synthesised.

RESULTS: Searches returned 42 papers; of those, 12 papers were included, relating to six studies/trials. Statistical changes were reported for multiple pertinent outcomes relating to metabolic (i.e., glycaemia and fat-free mass) and hormonal (i.e., testosterone and sex hormone-binding globulin) profiles.

CONCLUSIONS: There is a striking lack of studies in this field and, despite the reported statistical significance for many outcomes, the documented magnitude of changes are small and the quality of the evidence questionable. This highlights an unmet need for rigorously designed/reported and sufficiently powered trials.

Original language	English
Article number	53
Number of pages	16
Journal	Medical sciences (Basel, Switzerland)
Volume	10
Issue number	4
Early online date	22 Sept 2022
DOIs	https://doi.org/10.3390/medsci10040053
Publication status	Published - Dec 2022

Bibliographical note

© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/).

Keywords

lifestyle
Testosterone
hormones
quality of life
Female
metabolism
Resistance Training
strength training
Life Style
Sex Hormone-Binding Globulin
Polycystic Ovary Syndrome - therapy
Humans
women’s health

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10.3390/medsci10040053Licence: CC BY 4.0

Kiteetal_2022_VoR
© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/).
Final published version, 616 KBLicence: CC BY 4.0

Cite this

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title = "Time to Load Up-Resistance Training Can Improve the Health of Women with Polycystic Ovary Syndrome (PCOS): A Scoping Review",

abstract = "BACKGROUND: Guidelines for the management of polycystic ovary syndrome (PCOS) focus on lifestyle changes, incorporating exercise. Whilst evidence suggests that aerobic exercise may be beneficial, less is known about the effectiveness of resistance training (RT), which may be more feasible for those that have low fitness levels and/or are unable to tolerate/participate in aerobic exercise.OBJECTIVES: To identify the available evidence on RT in women with PCOS and to summarise findings in the context of a scoping review.ELIGIBILITY CRITERIA: Studies utilising pre-post designs to assess the effectiveness of RT in PCOS; all outcomes were included.SOURCES OF EVIDENCE: Four databases (PubMed, CENTRAL, CINAHL and SportDiscus) were searched and supplemented by hand searching of relevant papers/reference lists.CHARTING METHODS: Extracted data were presented in tables and qualitatively synthesised.RESULTS: Searches returned 42 papers; of those, 12 papers were included, relating to six studies/trials. Statistical changes were reported for multiple pertinent outcomes relating to metabolic (i.e., glycaemia and fat-free mass) and hormonal (i.e., testosterone and sex hormone-binding globulin) profiles.CONCLUSIONS: There is a striking lack of studies in this field and, despite the reported statistical significance for many outcomes, the documented magnitude of changes are small and the quality of the evidence questionable. This highlights an unmet need for rigorously designed/reported and sufficiently powered trials.",

keywords = "lifestyle, Testosterone, hormones, quality of life, Female, metabolism, Resistance Training, strength training, Life Style, Sex Hormone-Binding Globulin, Polycystic Ovary Syndrome - therapy, Humans, women{\textquoteright}s health",

author = "Chris Kite and Elizabeth Parkes and Taylor, \{Suzan R\} and Davies, \{Robert W\} and Lukasz Lagojda and Brown, \{James E\} and Broom, \{David R\} and Ioannis Kyrou and Randeva, \{Harpal S\}",

note = "{\textcopyright} 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/).",

year = "2022",

month = dec,

doi = "10.3390/medsci10040053",

language = "English",

volume = "10",

journal = "Medical sciences (Basel, Switzerland)",

issn = "2076-3271",

publisher = "Multidisciplinary Digital Publishing Institute",

number = "4",

}

TY - JOUR

T1 - Time to Load Up-Resistance Training Can Improve the Health of Women with Polycystic Ovary Syndrome (PCOS): A Scoping Review

AU - Kite, Chris

AU - Parkes, Elizabeth

AU - Taylor, Suzan R

AU - Davies, Robert W

AU - Lagojda, Lukasz

AU - Brown, James E

AU - Broom, David R

AU - Kyrou, Ioannis

AU - Randeva, Harpal S

N1 - © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/).

PY - 2022/12

Y1 - 2022/12

N2 - BACKGROUND: Guidelines for the management of polycystic ovary syndrome (PCOS) focus on lifestyle changes, incorporating exercise. Whilst evidence suggests that aerobic exercise may be beneficial, less is known about the effectiveness of resistance training (RT), which may be more feasible for those that have low fitness levels and/or are unable to tolerate/participate in aerobic exercise.OBJECTIVES: To identify the available evidence on RT in women with PCOS and to summarise findings in the context of a scoping review.ELIGIBILITY CRITERIA: Studies utilising pre-post designs to assess the effectiveness of RT in PCOS; all outcomes were included.SOURCES OF EVIDENCE: Four databases (PubMed, CENTRAL, CINAHL and SportDiscus) were searched and supplemented by hand searching of relevant papers/reference lists.CHARTING METHODS: Extracted data were presented in tables and qualitatively synthesised.RESULTS: Searches returned 42 papers; of those, 12 papers were included, relating to six studies/trials. Statistical changes were reported for multiple pertinent outcomes relating to metabolic (i.e., glycaemia and fat-free mass) and hormonal (i.e., testosterone and sex hormone-binding globulin) profiles.CONCLUSIONS: There is a striking lack of studies in this field and, despite the reported statistical significance for many outcomes, the documented magnitude of changes are small and the quality of the evidence questionable. This highlights an unmet need for rigorously designed/reported and sufficiently powered trials.

AB - BACKGROUND: Guidelines for the management of polycystic ovary syndrome (PCOS) focus on lifestyle changes, incorporating exercise. Whilst evidence suggests that aerobic exercise may be beneficial, less is known about the effectiveness of resistance training (RT), which may be more feasible for those that have low fitness levels and/or are unable to tolerate/participate in aerobic exercise.OBJECTIVES: To identify the available evidence on RT in women with PCOS and to summarise findings in the context of a scoping review.ELIGIBILITY CRITERIA: Studies utilising pre-post designs to assess the effectiveness of RT in PCOS; all outcomes were included.SOURCES OF EVIDENCE: Four databases (PubMed, CENTRAL, CINAHL and SportDiscus) were searched and supplemented by hand searching of relevant papers/reference lists.CHARTING METHODS: Extracted data were presented in tables and qualitatively synthesised.RESULTS: Searches returned 42 papers; of those, 12 papers were included, relating to six studies/trials. Statistical changes were reported for multiple pertinent outcomes relating to metabolic (i.e., glycaemia and fat-free mass) and hormonal (i.e., testosterone and sex hormone-binding globulin) profiles.CONCLUSIONS: There is a striking lack of studies in this field and, despite the reported statistical significance for many outcomes, the documented magnitude of changes are small and the quality of the evidence questionable. This highlights an unmet need for rigorously designed/reported and sufficiently powered trials.

KW - lifestyle

KW - Testosterone

KW - hormones

KW - quality of life

KW - Female

KW - metabolism

KW - Resistance Training

KW - strength training

KW - Life Style

KW - Sex Hormone-Binding Globulin

KW - Polycystic Ovary Syndrome - therapy

KW - Humans

KW - women’s health

UR - https://www.mdpi.com/2076-3271/10/4/53

U2 - 10.3390/medsci10040053

DO - 10.3390/medsci10040053

M3 - Review article

C2 - 36278523

SN - 2076-3271

VL - 10

JO - Medical sciences (Basel, Switzerland)

JF - Medical sciences (Basel, Switzerland)

IS - 4

M1 - 53

ER -

Time to Load Up-Resistance Training Can Improve the Health of Women with Polycystic Ovary Syndrome (PCOS): A Scoping Review

Abstract

Bibliographical note

Keywords

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