LIFESTYLE, MENTAL HEALTH AND POLYCYSTIC OVARIAN SYNDROME
DOI:
https://doi.org/10.16887/53v0kg48Keywords:
Exercise, Health behavior, Dietetics, Polycystic ovary syndrome, Mental healthAbstract
Introduction: Polycystic ovary syndrome (PCOS) is one of the most common endocrine disorders in women of reproductive age and has a significant negative impact on mental health, with higher prevalence rates of depression in women with PCOS compared to women without the syndrome. However, the evidence for the effects of exercise and dietary intervention on the mental health of women with PCOS is unclear. Objective: To assess the importance of physical exercise and diet on the mental health of women with PCOS. Methods: A systematic review was conducted following the recommendations and guidelines of the Cochrane Handbook for Systematic Reviews and the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA). Results: Seven randomized clinical trials were included, involving 612 women aged 18 to 44 years diagnosed with PCOS based on the Rotterdam criteria. The interventions lasted from 10 weeks to 5 months. Most interventions were based on protein intake, carbohydrate reduction and aerobic exercise. Interventions involving physical exercise alone or combined with diet showed improvements in the mental health of the target population. Conclusion: There is evidence that lifestyle interventions (exercise and diet) can improve mental health in women with PCOS. However, this information should be interpreted with caution due to several included studies having a high risk of bias and small sample sizes. Further research with greater methodological rigor is recommended.
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Arentz, S., Smith, C. A., Abbott, J., Bensoussan, A. (2021). Perceptions and experiences of lifestyle interventions in women with polycystic ovary syndrome (PCOS), as a management strategy for symptoms of PCOS. BMC Women’s Health, 21(1), 1–8. https://doi.org/10.1186/s12905-021-01272-7 DOI: https://doi.org/10.1186/s12905-021-01252-1
Arentz, S., Smith, C. A., Abbott, J., Fahey, P., Cheema, B. S., & Bensoussan, A. (2017). Combined lifestyle and herbal medicine in overweight women with polycystic ovary syndrome (PCOS): A randomized controlled trial. Phytotherapy Research, 31(9), 1330–1340. https://doi.org/10.1002/ptr.5864 DOI: https://doi.org/10.1002/ptr.5858
Bazarganipour, F., Ziaei, S., Montazeri, A., Foroozanfard, F., & Faghihzadeh, S. (2013). Health-related quality of life and its relationship with clinical symptoms among Iranian patients with polycystic ovarian syndrome. Iranian Journal of Reproductive Medicine, 11(5), 371. DOI: https://doi.org/10.1186/1477-7525-11-141
Bhattacharya, S. M., & Jha, A. (2010). Prevalence and risk of depressive disorders in women with polycystic ovary syndrome (PCOS). Fertility and Sterility, 94(1), 357–359. https://doi.org/10.1016/j.fertnstert.2009.03.033 DOI: https://doi.org/10.1016/j.fertnstert.2009.09.025
Colwell, H. H., Mathias, S. D., Pasta, D. J., Henning, J. M., & Steege, J. F. (1998). A health-related quality-of-life instrument for symptomatic patients with endometriosis: A validation study. American Journal of Obstetrics and Gynecology, 179(1), 47–55. https://doi.org/10.1016/S0002-9378(98)70246-2 DOI: https://doi.org/10.1016/S0002-9378(98)70250-9
Dokras, A., Sarwer, D. B., Allison, K. C., Milman, L., Kris-Etherton, P. M., Kunselman, A. R., et al. (2016). Weight loss and lowering androgens predict improvements in health-related quality of life in women with PCOS. The Journal of Clinical Endocrinology & Metabolism, 101(8), 2966–2974. https://doi.org/10.1210/jc.2016-1896 DOI: https://doi.org/10.1210/jc.2016-1896
El Hayek, S., Bitar, L., Hamdar, L. H., Mirza, F. G., & Daoud, G. (2016). Polycystic ovarian syndrome: An updated overview. Frontiers in Physiology, 7, 124. https://doi.org/10.3389/fphys.2016.00124 DOI: https://doi.org/10.3389/fphys.2016.00124
Elmagarmid, A., Fedorowicz, Z., Hammady, H., Ilyas, I., Khabsa, M., & Ouzzani, M. (2014). Rayyan: A systematic reviews web app for exploring and filtering searches for eligible studies for Cochrane Reviews. Evidence-Informed Public Health: Opportunities and Challenges, Abstracts of the 22nd Cochrane Colloquium, 21–26.
Fauser, B. C. J. M., Tarlatzis, B. C., Rebar, R. W., Legro, R. S., Balen, A. H., Lobo, R., … & ESHRE/ASRM-Sponsored 3rd PCOS Consensus Workshop Group. (2012). Consensus on women’s health aspects of polycystic ovary syndrome (PCOS): The Amsterdam ESHRE/ASRM-Sponsored 3rd PCOS Consensus Workshop Group. Fertility and Sterility, 97(1), 28–38. https://doi.org/10.1016/j.fertnstert.2011.09.024 DOI: https://doi.org/10.1016/j.fertnstert.2011.09.024
Franks, S. (2006). Diagnosis of polycystic ovarian syndrome: In defense of the Rotterdam criteria. The Journal of Clinical Endocrinology & Metabolism, 91(3), 786–789. https://doi.org/10.1210/jc.2005-2357 DOI: https://doi.org/10.1210/jc.2005-2501
Higgins, J. P. T., Altman, D. G., Gøtzsche, P. C., Jüni, P., Moher, D., & Oxman, A. D., et al. (2011). The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ, 343, d5928. https://doi.org/10.1136/bmj.d5928 DOI: https://doi.org/10.1136/bmj.d5928
Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 159–174. https://doi.org/10.2307/2529310 DOI: https://doi.org/10.2307/2529310
Milman, L., Dokras, A., Allison, K. C., Sarwer, D. B., Coutifaris, C., & Kris-Etherton, P. M. (2014). Improvement in health related quality of life (HRQOL) following weight loss and/or normalization of hyperandrogenism with continuous oral contraceptives (OC) in women with PCOS. Fertility and Sterility, 102(3), e247. https://doi.org/10.1016/j.fertnstert.2014.07.1059 DOI: https://doi.org/10.1016/j.fertnstert.2014.07.841
Moeller, L. V., Lindhardt, C. L., Andersen, M. S., Glintborg, D., & Ravn, P. (2019). Motivational interviewing in obese women with polycystic ovary syndrome–a pilot study. Gynecological Endocrinology, 35(1), 76–80. https://doi.org/10.1080/09513590.2018.1516202 DOI: https://doi.org/10.1080/09513590.2018.1498832
Moran, L. J., Pasquali, R., Teede, H. J., Hoeger, K. M., & Norman, R. J. (2009). Treatment of obesity in polycystic ovary syndrome: A position statement of the Androgen Excess and Polycystic Ovary Syndrome Society. Fertility and Sterility, 92(6), 1966–1982. https://doi.org/10.1016/j.fertnstert.2008.09.018 DOI: https://doi.org/10.1016/j.fertnstert.2008.09.018
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., & Mulrow, C. D. (2021). Updating guidance for reporting systematic reviews: Development of the PRISMA 2020 statement. Journal of Clinical Epidemiology, 134, 103–112. https://doi.org/10.1016/j.jclinepi.2021.02.003 DOI: https://doi.org/10.1016/j.jclinepi.2021.02.003
Thomson, R. L., Buckley, J. D., Lim, S. S., Noakes, M., Clifton, P. M., Norman, R. J., et al. (2010). Lifestyle management improves quality of life and depression in overweight and obese women with polycystic ovary syndrome. Fertility and Sterility, 94(5), 1812–1816. https://doi.org/10.1016/j.fertnstert.2009.12.073 DOI: https://doi.org/10.1016/j.fertnstert.2009.11.001
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