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ORIGINAL ARTICLE
Year : 2019  |  Volume : 10  |  Issue : 1  |  Page : 187

Evaluation of changes in levels of hyperandrogenism, hirsutism and menstrual regulation after a period of aquatic high intensity interval training in women with polycystic ovary syndrome


1 Department of Exercise Physiology, Faculty of Sport Sciences, University of Isfahan, Isfahan, Iran
2 Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan, Iran
3 Department of Gynecology, AL Zahra Hospital, Sofhe Street, Isfahan University of Medical Sciences, Isfahan, Iran

Correspondence Address:
Effat Bambaeichi
Hezarjerib Street University of Isfahan, Isfahan
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijpvm.IJPVM_360_18

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Background: Polycystic ovary syndrome(PCOS) is a polygenic endocrine disorder in women of reproductive ages which will lead to infertility. This study is aimed to determine changes in levels of hyperandrogenism, hirsutism and menstrual regulation after a period of aquatic high intensity interval training(AHIIT) in women with PCOS. Methods: Thirty patients with PCOS having age between 20 and 35 and body mass index(BMI) ≥30kg/m2 in obstetrics and gynaecology clinics in Isfahan were selected based on Rotterdam Diagnostic Criteria. They were randomly divided into experimental(AHIIT+metformin, N=15) and control groups(metformin, N=15). The exercises were done for 12weeks, three sessions of 20minutes. Metformin(1500mg) was taken daily for 3 consecutive days for 12weeks. Kolmogorov–Smirnov test, t-test, Covariance and Wilcoxon were applied(Pvalue<0.05). Results: After 12weeks, no significant difference was observed in waist-to-hip ratio(WHR), but in AHIIT, the BMI and fat mass significantly decreased and levels of follicle-stimulating hormone(FSH), free testosterone(FT) and sex hormone binding globulin(SHBG) increased compared to control group(P<0.05). While levels of improvement of total testosterone(TT), dehydroepiandrosterone sulphate(DHEAS), FT, luteinising hormone(LH) and free androgen index(FAI) were not significant between the two groups(P>0.05). Furthermore, there was a significant decrease in homeostatic assessment of insulin resistance(HOMA-IR) and hirsutism severity in experimental group(P<0.05). In both groups, the order of menstrual cycles improved significantly(P<0.05). Conclusions: Doing AHIIT besides drug therapy can be effective for PCOS patients.


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