The feasibility of progressive resistance training in women with polycystic ovary syndrome: a pilot randomized controlled trial
Identifieur interne : 000A14 ( Main/Exploration ); précédent : 000A13; suivant : 000A15The feasibility of progressive resistance training in women with polycystic ovary syndrome: a pilot randomized controlled trial
Auteurs : Lisa Vizza ; Caroline A. Smith ; Soji Swaraj ; Kingsley Agho ; Birinder S. CheemaSource :
- BMC Sports Science, Medicine and Rehabilitation [ 2052-1847 ] ; 2016.
Abstract
To evaluate the feasibility of executing a randomized controlled trial of progressive resistance training (PRT) in women with polycystic ovary syndrome (PCOS).
Women with PCOS were randomized to an experimental (PRT) group or a no-exercise (usual care) control group. The PRT group was prescribed two supervised and two unsupervised (home-based) training sessions per week for 12 weeks. Feasibility outcomes included recruitment and attrition, adherence, adverse events, and completion of assessments. Secondary outcomes, collected pre and post intervention, included a range of pertinent physiological, functional and psychological measures.
Fifteen participants were randomised into the PRT group (
A randomized controlled trial of PRT in PCOS would be feasible, and this mode of exercise may elicit a therapeutic effect on clinically important outcomes in this cohort. The success of a large-scale trial required to confirm these findings would be contingent on addressing the feasibility hurdles identified in this study with respect to recruitment, attrition, compliance, and collection of standardized clinical data.
Australia New Zealand Clinical Trials Registry;
Url:
DOI: 10.1186/s13102-016-0039-8
PubMed: 27175282
PubMed Central: 4865007
Affiliations:
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Smith</name><affiliation><nlm:aff id="Aff2">The National Institute of Complementary Medicine, Western Sydney University, Penrith, NSW 2751 Australia</nlm:aff><wicri:noCountry code="subfield">NSW 2751 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Swaraj, Soji" sort="Swaraj, Soji" uniqKey="Swaraj S" first="Soji" last="Swaraj">Soji Swaraj</name><affiliation><nlm:aff id="Aff3">Department of Endocrinology, Concord Repatriation General Hospital, Concord West, NSW 2138 Australia</nlm:aff><wicri:noCountry code="subfield">NSW 2138 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Agho, Kingsley" sort="Agho, Kingsley" uniqKey="Agho K" first="Kingsley" last="Agho">Kingsley Agho</name><affiliation><nlm:aff id="Aff1">School of Science and Health, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751 Australia</nlm:aff><wicri:noCountry code="subfield">NSW 2751 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Cheema, Birinder S" sort="Cheema, Birinder S" uniqKey="Cheema B" first="Birinder S." last="Cheema">Birinder S. Cheema</name><affiliation><nlm:aff id="Aff1">School of Science and Health, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751 Australia</nlm:aff><wicri:noCountry code="subfield">NSW 2751 Australia</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">The National Institute of Complementary Medicine, Western Sydney University, Penrith, NSW 2751 Australia</nlm:aff><wicri:noCountry code="subfield">NSW 2751 Australia</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27175282</idno><idno type="pmc">4865007</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4865007</idno><idno type="RBID">PMC:4865007</idno><idno type="doi">10.1186/s13102-016-0039-8</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000C86</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000C86</idno><idno type="wicri:Area/Pmc/Curation">000C85</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000C85</idno><idno type="wicri:Area/Pmc/Checkpoint">000526</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000526</idno><idno type="wicri:Area/Ncbi/Merge">008288</idno><idno type="wicri:Area/Ncbi/Curation">008288</idno><idno type="wicri:Area/Ncbi/Checkpoint">008288</idno><idno type="wicri:Area/Main/Merge">000A15</idno><idno type="wicri:Area/Main/Curation">000A14</idno><idno type="wicri:Area/Main/Exploration">000A14</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The feasibility of progressive resistance training in women with polycystic ovary syndrome: a pilot randomized controlled trial</title><author><name sortKey="Vizza, Lisa" sort="Vizza, Lisa" uniqKey="Vizza L" first="Lisa" last="Vizza">Lisa Vizza</name><affiliation><nlm:aff id="Aff1">School of Science and Health, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751 Australia</nlm:aff><wicri:noCountry code="subfield">NSW 2751 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Smith, Caroline A" sort="Smith, Caroline A" uniqKey="Smith C" first="Caroline A." last="Smith">Caroline A. Smith</name><affiliation><nlm:aff id="Aff2">The National Institute of Complementary Medicine, Western Sydney University, Penrith, NSW 2751 Australia</nlm:aff><wicri:noCountry code="subfield">NSW 2751 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Swaraj, Soji" sort="Swaraj, Soji" uniqKey="Swaraj S" first="Soji" last="Swaraj">Soji Swaraj</name><affiliation><nlm:aff id="Aff3">Department of Endocrinology, Concord Repatriation General Hospital, Concord West, NSW 2138 Australia</nlm:aff><wicri:noCountry code="subfield">NSW 2138 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Agho, Kingsley" sort="Agho, Kingsley" uniqKey="Agho K" first="Kingsley" last="Agho">Kingsley Agho</name><affiliation><nlm:aff id="Aff1">School of Science and Health, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751 Australia</nlm:aff><wicri:noCountry code="subfield">NSW 2751 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Cheema, Birinder S" sort="Cheema, Birinder S" uniqKey="Cheema B" first="Birinder S." last="Cheema">Birinder S. Cheema</name><affiliation><nlm:aff id="Aff1">School of Science and Health, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751 Australia</nlm:aff><wicri:noCountry code="subfield">NSW 2751 Australia</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">The National Institute of Complementary Medicine, Western Sydney University, Penrith, NSW 2751 Australia</nlm:aff><wicri:noCountry code="subfield">NSW 2751 Australia</wicri:noCountry></affiliation></author></analytic><series><title level="j">BMC Sports Science, Medicine and Rehabilitation</title><idno type="eISSN">2052-1847</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>To evaluate the feasibility of executing a randomized controlled trial of progressive resistance training (PRT) in women with polycystic ovary syndrome (PCOS).</p></sec><sec><title>Methods</title><p>Women with PCOS were randomized to an experimental (PRT) group or a no-exercise (usual care) control group. The PRT group was prescribed two supervised and two unsupervised (home-based) training sessions per week for 12 weeks. Feasibility outcomes included recruitment and attrition, adherence, adverse events, and completion of assessments. Secondary outcomes, collected pre and post intervention, included a range of pertinent physiological, functional and psychological measures.</p></sec><sec><title>Results</title><p>Fifteen participants were randomised into the PRT group (<italic>n</italic> = 8) or control group (<italic>n</italic> = 7); five women (<italic>n</italic> = 2 in PRT group and <italic>n</italic> = 3 in control group) withdrew from the study. The most successful recruitment sources were Facebook (40 %) and online advertisement (27 %), while least successful methods were referrals by clinicians, colleagues and flyers. In the PRT group, attendance to supervised sessions was higher (95 %; standard deviation ±6 %) compared to unsupervised sessions (51 %; standard deviation ±28 %). No adverse events were attributed to PRT. Change in menstrual cycle status was not significantly different between groups over time (<italic>p</italic> = 0.503). However, the PRT group significantly increased body weight (<italic>p</italic> = 0.01), BMI (<italic>p</italic> = 0.04), lean mass (<italic>p</italic> = 0.01), fat-free mass (<italic>p</italic> = 0.005) and lower body strength (<italic>p</italic> = 0.03), while reducing waist circumference (<italic>p</italic> = 0.03) and HbA<sub>1c</sub> (<italic>p</italic> = 0.033) versus the control group. The PRT group also significantly improved across several domains of disease-specific and general health-related quality of life, depression, anxiety and exercise self-efficacy.</p></sec><sec><title>Conclusion</title><p>A randomized controlled trial of PRT in PCOS would be feasible, and this mode of exercise may elicit a therapeutic effect on clinically important outcomes in this cohort. The success of a large-scale trial required to confirm these findings would be contingent on addressing the feasibility hurdles identified in this study with respect to recruitment, attrition, compliance, and collection of standardized clinical data.</p></sec><sec><title>Trial registration</title><p>Australia New Zealand Clinical Trials Registry; <ext-link ext-link-type="uri" xlink:href="https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=366280">ACTRN12614000517673</ext-link> Registered 15 May 2014.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="March, Wa" uniqKey="March W">WA March</name></author><author><name sortKey="Moore, Vm" uniqKey="Moore V">VM Moore</name></author><author><name sortKey="Willson, Kj" uniqKey="Willson K">KJ Willson</name></author><author><name sortKey="Phillips, Diw" uniqKey="Phillips D">DIW Phillips</name></author><author><name sortKey="Norman, Rj" uniqKey="Norman R">RJ 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uniqKey="Gorostiaga E">EM Gorostiaga</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kogure, Gs" uniqKey="Kogure G">GS Kogure</name></author><author><name sortKey="Silva, Rc" uniqKey="Silva R">RC Silva</name></author><author><name sortKey="Picchi Ramos, Fk" uniqKey="Picchi Ramos F">FK Picchi Ramos</name></author><author><name sortKey="Miranda Furtado, Cl" uniqKey="Miranda Furtado C">CL Miranda-Furtado</name></author><author><name sortKey="Lara, La" uniqKey="Lara L">LA Lara</name></author><author><name sortKey="Ferriani, Ra" uniqKey="Ferriani R">RA Ferriani</name></author><author><name sortKey="Dos Reis, Rm" uniqKey="Dos Reis R">RM Dos Reis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Banting, Lk" uniqKey="Banting L">LK Banting</name></author><author><name sortKey="Gibson Helm, M" uniqKey="Gibson Helm M">M Gibson-Helm</name></author><author><name sortKey="Polman, R" uniqKey="Polman R">R Polman</name></author><author><name sortKey="Teede, Hj" uniqKey="Teede H">HJ Teede</name></author><author><name sortKey="Stepto, Nk" uniqKey="Stepto N">NK Stepto</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Conte, F" uniqKey="Conte F">F Conte</name></author><author><name sortKey="Banting, L" uniqKey="Banting L">L Banting</name></author><author><name sortKey="Teede, Hj" uniqKey="Teede H">HJ Teede</name></author><author><name sortKey="Stepto, Nk" uniqKey="Stepto N">NK Stepto</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Agho, Kingsley" sort="Agho, Kingsley" uniqKey="Agho K" first="Kingsley" last="Agho">Kingsley Agho</name><name sortKey="Cheema, Birinder S" sort="Cheema, Birinder S" uniqKey="Cheema B" first="Birinder S." last="Cheema">Birinder S. Cheema</name><name sortKey="Smith, Caroline A" sort="Smith, Caroline A" uniqKey="Smith C" first="Caroline A." last="Smith">Caroline A. Smith</name><name sortKey="Swaraj, Soji" sort="Swaraj, Soji" uniqKey="Swaraj S" first="Soji" last="Swaraj">Soji Swaraj</name><name sortKey="Vizza, Lisa" sort="Vizza, Lisa" uniqKey="Vizza L" first="Lisa" last="Vizza">Lisa Vizza</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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