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具有D型表型的多囊卵巢综合征是否会影响心血管耐力、核心耐力、身体感知及生活质量?一项前瞻性对照研究。

Does polycystic ovary syndrome with phenotype D affect the cardiovascular endurance, core endurance, body awareness, and the quality of life? A prospective, controlled study.

作者信息

Doğan Hanife, Demir Çaltekin Melike

机构信息

Yozgat Bozok University, Sarıkaya School of Physiotherapy and Rehabilitation, Yozgat, Turkey

Yozgat Bozok University Faculty of Medicine, Department of Gynecology and Obstetrics, Yozgat, Turkey

出版信息

Turk J Obstet Gynecol. 2021 Sep 27;18(3):203-211. doi: 10.4274/tjod.galenos.2021.72547.

Abstract

OBJECTIVE

This study evaluates cardiovascular endurance, core endurance, body awareness, and the quality of life in normal-weight women with polycystic ovary syndrome.

MATERIALS AND METHODS

This study included a total of 101 normal-weight women (51 with and 50 without polycystic ovary syndrome). Cardiovascular endurance was evaluated with the 20-meter Shuttle Run test, and maximum oxygen consumption was calculated. Core endurance was evaluated with core stability tests, body awareness with the body awareness questionnaire, and the quality of life with short form-36. Blood lipids, glucose, insulin, homeostatic model assessment for insulin resistance (HOMA-IR), hormonal profile, and high-density and low-density lipoprotein cholesterols were measured.

RESULTS

Maximum oxygen consumption, core endurance, body awareness questionnaire, and short form-36 results were lower in women with polycystic ovary syndrome than healthy women (p<0.05). There was a significant correlation between core endurance tests, high-density lipoprotein cholesterol, maximum oxygen consumption, and homeostatic model assessment for insulin resistance scores (p<0.05).

CONCLUSION

When normal-weight women with polycystic ovary syndrome and control groups with similar androgen levels and body mass index profiles were compared, women with polycystic ovary syndrome had lower aerobic capacity and muscle endurance. This suggests that the adverse metabolic profile of polycystic ovary syndrome can limit physical function.

摘要

目的

本研究评估多囊卵巢综合征正常体重女性的心血管耐力、核心耐力、身体意识和生活质量。

材料与方法

本研究共纳入101名正常体重女性(51名患有多囊卵巢综合征,50名未患)。通过20米往返跑测试评估心血管耐力,并计算最大耗氧量。通过核心稳定性测试评估核心耐力,通过身体意识问卷评估身体意识,通过简短健康调查问卷-36评估生活质量。测量血脂、血糖、胰岛素、胰岛素抵抗稳态模型评估(HOMA-IR)、激素水平以及高密度和低密度脂蛋白胆固醇。

结果

多囊卵巢综合征女性的最大耗氧量、核心耐力、身体意识问卷和简短健康调查问卷-36结果低于健康女性(p<0.05)。核心耐力测试、高密度脂蛋白胆固醇、最大耗氧量与胰岛素抵抗稳态模型评估得分之间存在显著相关性(p<0.05)。

结论

当比较雄激素水平和体重指数相似的多囊卵巢综合征正常体重女性与对照组时,多囊卵巢综合征女性的有氧能力和肌肉耐力较低。这表明多囊卵巢综合征不良的代谢状况会限制身体功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1aa5/8480217/924808de04a3/TJOG-18-203-g1.jpg

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