Institute for Health and Sport, Victoria University, Melbourne, Victoria, Australia.
Peter MacCallum Cancer Centre, Victoria, Melbourne, Australia.
BMC Public Health. 2021 Dec 20;21(1):2310. doi: 10.1186/s12889-021-12280-9.
Polycystic ovary syndrome (PCOS) is a complex condition, impacting cardio-metabolic and reproductive health, mental health and health-related quality of life. The physical health benefits of exercise for women with PCOS are well-established and exercise is increasingly being recognised as efficacious for improving psychological wellbeing. The aim of this review was to summarise the evidence regarding the effectiveness of exercise interventions on mental health outcomes in women with PCOS.
A systematic search of electronic databases was conducted in March of 2020. Trials that evaluated the effect of an exercise intervention on mental health or health-related quality of life outcomes in reproductive aged women with diagnosed PCOS were included. Methodological quality was assessed using the modified Downs and Black checklist. Primary outcomes included symptoms of depression and anxiety, and health-related quality of life.
Fifteen articles from 11 trials were identified and deemed eligible for inclusion. Exercise demonstrated positive improvements in health-related quality of life in all of the included studies. Half of included studies also reported significant improvements in depression and anxiety symptoms. There was large variation in methodological quality of included studies and in the interventions utilised.
The available evidence indicates that exercise is effective for improving health-related quality of life and PCOS symptom distress. Exercise also shows some efficacy for improving symptoms and/or prevalence of depression and anxiety in women with PCOS. However, due to large heterogeneity of included studies, conclusions could not be made regarding the impact of exercise intervention characteristics. High-quality trials with well reported exercise intervention characteristics and outcomes are required in order to determine effective exercise protocols for women with PCOS and facilitate translation into practice.
多囊卵巢综合征（PCOS）是一种复杂的疾病，会影响心血管代谢和生殖健康、心理健康以及健康相关的生活质量。运动对 PCOS 女性的身体健康有益已得到充分证实，并且运动对于改善心理健康的效果也越来越受到认可。本综述的目的是总结关于运动干预对 PCOS 女性心理健康结果的有效性的证据。
2020 年 3 月，对电子数据库进行了系统检索。纳入了评估诊断为 PCOS 的育龄妇女的运动干预对心理健康或健康相关生活质量结果影响的试验。使用改良的 Downs 和 Black 清单评估方法学质量。主要结局包括抑郁和焦虑症状以及健康相关生活质量。
从 11 项试验中确定了 15 篇文章，并认为符合纳入标准。所有纳入的研究均表明运动可改善健康相关的生活质量。纳入研究的一半还报告了抑郁和焦虑症状的显著改善。纳入研究的方法学质量和干预措施存在很大差异。
现有证据表明，运动对改善健康相关生活质量和 PCOS 症状困扰有效。运动对改善 PCOS 女性的抑郁和焦虑症状和/或患病率也显示出一定的疗效。然而，由于纳入研究的异质性很大，因此无法就运动干预特征的影响得出结论。需要高质量的试验，报告良好的运动干预特征和结局，以便确定针对 PCOS 女性的有效运动方案，并促进其在实践中的应用。
