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The effect of exercise on insulin resistance in obese women with polycystic ovary syndrome

Abstract

Introduction

The link of polycystic ovary syndrome (PCOS) with insulin resistance was subsequently established by clinical studies characterizing the profound insulin resistance in obese and lean PCOS patients.

Aim

The aim of this study was to compare the effect of aerobic exercise using an ergonomic treadmill on insulin resistance, body weight, and waist circumference in obese diabetic and nondiabetic women with polycystic ovary.

Patients and methods

Sixty obese women with PCOS, their age ranging from 30 to 40 years, participated in this study. All study participants were recruited from the Gynecology Outpatient Clinic of Kasr Al Aini Hospital. They were assigned into two equal groups: Group A (study group) included 30 obese diabetic women. Group B (control group) included 30 nondiabetic obese women.All patients received a controlled diet program and an aerobic exercise program (each exercise training session included continuous aerobic exercises on a treadmill for 30 min performed three times per week for 24 weeks under the supervision of physicians of the Faculty of Physical Therapy) and were on metformin drug (850 mg every 12 h).Fasting blood glucose, insulin resistance, and waist circumference were measured at the beginning of the study and after the study for both groups.

Results

Statistical analysis revealed a significant improvement in insulin resistance and waist circumference in both groups after the aerobic exercise training program.

Conclusion

Regular aerobic exercises improve insulin resistance, abdominal fat distribution, and body weight in obese diabetic and nondiabetic women with polycystic ovary, and they are advised to perform regular aerobic exercises.

References

  1. Asunción M, Calvo RM, San Millan JL, Sancho J, Avila S, Escobar- Morreale HF. A prospective study of the prevalence of the polycystic ovary syndrome in unselected Caucasian women from Spain. J Clin Endocrinol Metab 2000; 85:2434–2438.

    PubMed  Google Scholar 

  2. Rotterdam ESHRE/ASRM sponsored PCOS. Consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome (PCOS). Hum Reprod 2003; 19:41–47.

    Article  Google Scholar 

  3. Legro RS, Arslanian SA, Ehrmann DA, Hoeger KM, Murad MH, Pasquali R, Welt CK. Diagnosis and treatment of polycystic ovary syndrome: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 2013; 98:4565–4592.

    Article  CAS  Google Scholar 

  4. Ehrmann DA. Polycystic ovary syndrome. N Engl J Med 2005; 352:1223–1236.

    Article  CAS  Google Scholar 

  5. Eknoyn GP, Gorabed SN. Neurohomonal-cytokine interactions: implications for inflammation, common human diseases and well-being. Neurochem Int 2008; 52:40–51.

    Article  Google Scholar 

  6. Burghen GA, Givens JR, Kitabchi AE. Correlation of hyperandrogenism with hyperinsulinism in polycystic ovarian disease. J Clin Endocrinol Metab 1980; 50:113–116.

    Article  CAS  Google Scholar 

  7. Krosnick A. The diabetes and obesity epidemic among the Pima Indians. N Engl J Med 2000; 97:31–37.

    CAS  Google Scholar 

  8. Close EJ, Wiles PG, Lockton JA et al. The degree of day-to-day variation in food intake in diabetic patients. Diabet Med 1993; 10:514–520.

    Article  CAS  Google Scholar 

  9. Garcia-Hermoso A, Saavedra JM, Escalante Y, Sánchez-López M, Martínez-Vizcaíno V, et al. Endocrinology and adolescence: aerobic exercise reduces insulin resistance markers in obese youth: a meta-analysis of randomized controlled trials: Eur J Endocrinol 2014; pii:EJE-14-0291.

  10. Lau DC, Douketis JD, Morrison KM, Hramiak IM, Sharma AM, Ur E. 2006 Canadian clinical practice guidelines on the management and prevention of obesity in adults and children [summary]. CMAJ 2006; 176:S1–S13.

    Article  Google Scholar 

  11. Ozenoglu A, Balci H, Ugurlu S, Caglar E, Uzun H, Sarkis C, et al. The relationships of leptin, adiponectin levels and paraoxonase activity with metabolic and cardiovascular risk factors in females treated with psychiatric drugs. Clinics 2008; 63:651–660.

    Article  Google Scholar 

  12. Kazerooni T, Ghaffarpasand F, Kazerooni Y, Kazerooni M, Setoodeh S. Short-term metformin treatment for clomiphene citrate — resistant women with polycystic ovary syndrome. Int J Gynecol Obstet 2009; 107:50–53.

    Article  CAS  Google Scholar 

  13. Rao NL, Jacob JJ, Paul JT, Rajarathinam S, Thomas Nand Seshadri SM. Effects of pioglitazone on menstrual frequency, hyperandrogenism and insulin resistance in adolescents and young adults with polycystic ovary syndrome. J Pediatr Adolesc Gynecol 2009; 22:91–95.

    Article  Google Scholar 

  14. Diamanti-Kandarakis E, Kouli CR, Bergiele AT. A survey of the polycystic ovary syndrome in the Greek Island of Lesbos: hormonal and metabolic profile. J Clin Endocrinol Metab 1999; 84:4006–4011.

    Article  CAS  Google Scholar 

  15. Bayram F, Muderris LL, Guven M, Kelestimur F. Comparison of high-dose finasteride (5 mg/day) versus low-dose finasteride (2.5 mg/day) in the treatment of hirsutism. Eur J Endocrinol 2002; 147:467–471.

    Article  CAS  Google Scholar 

  16. Baba T, Endo T, Sata F, Honnma H, Kitajima Y, Hayashi T, et al. Polycystic ovary syndrome is associated with genetic polymorphism in the insulin signaling gene IRS-1 but not ENPP1 in a Japanese population. Life Sci 2007; 81:850–854.

    Article  CAS  Google Scholar 

  17. Sir-Petermann T, Angel B, Maliqueo M, Santos JL, Riesco MV, Toloza H, Pérez-Bravo F. Insulin secretion in women who have polycystic ovary syndrome and carry the Gly972Arg variant of insulin receptor substrate-1 in response to a high-glycemic or low-glycemic carbohydrate load. Nutrition 2004; 20:905–910.

    Article  CAS  Google Scholar 

  18. El Mkadem SA, Lautier C, Macari F. Role of allelic variants Gly972Arg of IRS-1 and Gly1057Asp of IRS-2 in moderate-to-severe insulin resistance of women with polycystic ovary syndrome. Diabetes 2001; 50:2164–2168.

    Article  Google Scholar 

  19. Bhattacharya S. Polycystic ovary syndrome and abnormalities in glucose tolerance. Int J Gynecol Obstet 2009; 105:29–31.

    Article  CAS  Google Scholar 

  20. Lin TC, Yen JM, Gong KB, Kuo TC, Ku DC, Liang SF, Wu MJ. Abnormal glucose tolerance and insulin resistance in polycystic ovary syndrome amongst the Taiwanese population – not correlated with insulin receptor substrate-1 Gly972Arg/Ala512Pro polymorphism. BMC Med Genet 2006; 7:7–36.

    Article  Google Scholar 

  21. Villuendas G, Botella-Carretero J, Roldan B, Sancho J, Escobar-Morreale H, San Millan JL. Polymorphisms in the insulin receptor substrate-1 (IRS-1) gene and the insulin receptor substrate-2 (IRS-2) gene influence glucose homeostasis and body mass index in women with polycystic ovary syndrome and non-hyperandrogenic controls. Hum Reprod 2005; 20:3184–3191.

    Article  CAS  Google Scholar 

  22. Nelson RK, Horowitz JF, Holleman RG, Swartz AM, Strath SJ, Kriska AM, Richardson CR. Daily physical activity predicts degree of insulin resistance: a cross-sectional observational study using the 2003–2004 National Health and Nutrition Examination Survey. Int J Behav Nutr Phys Act 2010; 10:1–8.

    Google Scholar 

  23. Bunt JC, Salbe AD, Harper IT, Hanson RL, Tataranni PA. Weight, adiposity, and physical activity as determinants of an insulin sensitivity index in pima Indian children. Diabetes Care 2003; 26:2524–2530.

    Article  Google Scholar 

  24. Strong WB, Malina RM, Blimkie CJ, Daniels SR, Dishman RK, Gutin B, et al. Evidence based physical activity for school-age youth. J Pediatr 2003; 146:732Y–737Y.

    Article  Google Scholar 

  25. Nassis GP, Papantakou K, Skenderi K, Triandafillopoulou M, Kavouras SA, Yannakoulia M, et al. Aerobic exercise training improves insulin sensitivity without changes in body weight, body fat, adiponectin, and inflammatory markers in overweight and obese girls. Metabolism 2005; 54:1472–1479.

    Article  CAS  Google Scholar 

  26. Hutchison SK, Stepto NK, Harrison CL, Moran LJ, Strauss BJ, Teede HJ. Effects of exercise on insulin resistance and body composition in overweight and obese women with and without polycystic ovary syndrome. J Clin Endocrinol Metab 2011; 96:E48–E56.

    Article  CAS  Google Scholar 

  27. Taghavi M, Sardar MA, Ayyaz F, Rokni H. Effect of aerobic training program on obesity and insulin resistance in young women with polycystic ovary syndrome. Iran J Diabet Obes 2011; 3:41–45.

    Google Scholar 

  28. Phillips A, Cobbold C. A comparison of the effects of aerobic and intense exercise on the type 2 diabetes mellitus risk marker adipokines, adiponectin and retinol binding protein-4. Int J Chronic Dis 2014; 2014:358058.

    PubMed  PubMed Central  Google Scholar 

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Correspondence to Noha K. M. Khalil MD.

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Kareem, H.S., Khalil, N.K.M., Badr, N.M.H. et al. The effect of exercise on insulin resistance in obese women with polycystic ovary syndrome. Egypt J Intern Med 26, 110–115 (2014). https://doi.org/10.4103/1110-7782.145304

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