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运动对多囊卵巢综合征女性生殖健康功能的影响:系统评价。

Benefits of physical activity on reproductive health functions among polycystic ovarian syndrome women: a systematic review.

机构信息

Department of Public Health, University of the Punjab, Lahore, Pakistan.

Akhtar Saeed Medical and Dental College, Lahore, Pakistan.

出版信息

BMC Public Health. 2023 May 12;23(1):882. doi: 10.1186/s12889-023-15730-8.

Abstract

BACKGROUND

Polycystic ovary syndrome (PCOS) is among the predominant endocrine disorders of reproductive-aged women. The prevalence of PCOS has been estimated at approximately 6-26%, affecting 105 million people worldwide. This systematic review aimed to synthesize the evidence on the effects of physical activity on reproductive health functions among PCOS women.

METHODS

The systematic review includes randomization-controlled trials (RCTs) on physical exercise and reproductive functions among women with PCOS. Studies in the English language published between January 2010 and December 2022 were identified via PubMed. A combination of medical subject headings in terms of physical activity, exercise, menstrual cycle, hyperandrogenism, reproductive hormone, hirsutism, and PCOS was used.

RESULTS

Overall, seven RCTs were included in this systematic review. The studies investigated interventions of physical activity of any intensity and volume and measured reproductive functions and hormonal and menstrual improvement. The inclusion of physical activity alone or in combination with other therapeutic interventions improved reproductive outcomes.

CONCLUSION

The reproductive functions of women with PCOS can be improved with physical activity. Furthermore, physical activity can also reduce infertility, as well as social and psychological stress among women.

PROSPERO SYSTEMATIC REVIEW REGISTRATION

CRD42020213732.

摘要

背景

多囊卵巢综合征(PCOS)是生殖期妇女主要的内分泌疾病之一。PCOS 的患病率估计约为 6-26%,影响全球 1.05 亿人。本系统评价旨在综合关于体育活动对 PCOS 妇女生殖健康功能影响的证据。

方法

本系统评价纳入了关于 PCOS 女性进行体育锻炼和生殖功能的随机对照试验(RCTs)。研究人员通过 PubMed 检索了 2010 年 1 月至 2022 年 12 月期间发表的英文研究。采用了与体育活动、运动、月经周期、高雄激素血症、生殖激素、多毛症和 PCOS 相关的医学主题词的组合。

结果

本系统评价共纳入了 7 项 RCT。这些研究调查了任何强度和量的体育活动干预对生殖功能以及激素和月经改善的影响。单独或结合其他治疗干预的体育活动的纳入改善了生殖结局。

结论

体育活动可改善 PCOS 妇女的生殖功能。此外,体育活动还可以降低不孕率,以及减轻妇女的社会和心理压力。

PROSPERO 系统评价注册:CRD42020213732。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed1/10176874/05fd4e9e1418/12889_2023_15730_Fig1_HTML.jpg

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