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Managing Polycystic Ovary Syndrome (PCOS) with Kinesiology-Based Exercise Programs

by Bietel Kidane



Between 6 and 20% of women of reproductive age worldwide suffer with PCOS, one of the most common endocrine disorders in this demographic. There are many difficulties associated with this complicated ailment, which affects not only physical health but also mental and emotional health. PCOS is characterized by a wide range of symptoms, including polycystic ovaries, irregular menstrual periods, and elevated testosterone levels. In addition, many people have insulin resistance, an increased risk of cardiovascular diseases, and weight gain, especially around the abdomen. Because of these overlapping symptoms, therapy must take a multifaceted approach. Kinesiology, the scientific study of human movement, informs exercise, which can be a key component in tackling these issues. It is possible to increase insulin sensitivity, reach weight management objectives, and lessen the psychological and physical burdens associated with PCOS in women by customizing movement-based therapies to their specific needs.


Understanding PCOS and Its Impacts

Individual differences in PCOS symptoms can make it challenging to identify and treat consistently. Common physical symptoms that frequently cause great distress include hirsutism, acne, hair thinning, and irregular or absent ovulation. Another characteristic sign that might worsen insulin resistance and raise the risk of type 2 diabetes is weight gain, particularly around the abdomen. Psychologically, because of the symptoms and the stigma attached to them, people with PCOS often experience anxiety, depression, and low self-esteem. The Rotterdam criteria, which call for the presence of at least two of the three indicators—irregular ovulation, clinical or biochemical hyperandrogenism, or polycystic ovaries—are commonly used to diagnose PCOS. Up to 70% of people with PCOS have insulin resistance, a disease in which the body needs abnormally high amounts of insulin to maintain blood sugar homeostasis. This resistance raises the likelihood of serious metabolic disorders in addition to exacerbating current symptoms. Therefore, one of the main goals of PCOS therapy is to increase insulin sensitivity, and exercise has been shown to be a very useful technique in accomplishing this goal.

 

The Role of Exercise in Managing PCOS

Numerous advantages of exercise immediately address the complex symptoms of PCOS. First and foremost, regular exercise increases insulin sensitivity, which enables the body to better control glucose and lowers the risk of type 2 diabetes. Another crucial result is weight management, especially the decrease of visceral fat, which is closely linked to insulin resistance and other metabolic disorders. Exercise also aids in hormonal rebalancing, which helps to treat conditions including hirsutism, acne, and irregular ovulation. Exercise has mental health benefits that are just as significant as its physical ones. Regular activity's stress-relieving qualities aid in lowering cortisol levels, reducing anxiety, and easing depressed symptoms—all of which are prevalent in PCOS patients. One of the main reproductive issues of PCOS is immediately addressed by exercise, which has also been demonstrated to enhance menstrual regularity and encourage ovulation.


Kinesiology-Based Exercise Strategies

A strong scientific foundation for creating exercise regimens specifically suited to the requirements of women with PCOS is provided by kinesiology. These programs usually consist of a combination of mind-body exercises, functional training, resistance training, high-intensity interval training (HIIT), and aerobic activities. Each element contributes differently to treating PCOS's symptoms and underlying causes. Often referred to as "cardio," aerobic exercise is especially beneficial for enhancing insulin sensitivity and cardiovascular health. Walking, cycling, and swimming are examples of activities that provide significant health advantages when done for at least 150 minutes a week at a moderate intensity or 75 minutes at a high intensity. Another essential component of a thorough PCOS exercise program is resistance training, which concentrates on increasing lean muscle mass. People can reduce insulin resistance by increasing muscle strength and improving glucose absorption through exercises like weightlifting, squats, and push-ups. Resistance training should ideally be done two or three times a week.


Short bursts of intensive activity, like sprinting, are interspersed with recovery periods of light activity in High-Intensity Interval Training (HIIT), an effective and potent workout technique. Because an HIIT session often lasts only 20 to 30 minutes, it's perfect for people with hectic schedules. According to research, HIIT not only increases cardiovascular fitness but also speeds up fat reduction, especially in the abdomen, which is a major problem for women with PCOS. Alongside these strenuous workouts, mind-body techniques like yoga and pilates provide substantial advantages by encouraging stress relief, flexibility, and relaxation. The stress hormone cortisol, which can worsen PCOS symptoms, can be reduced with the help of these exercises. Functional training enhances general strength, coordination, and balance by simulating commonplace actions like lunges, step-ups, and kettlebell swings. A comprehensive and diverse exercise regimen is ensured by include one or two functional training sessions each week.

 

Sample Exercise Routine

A well-structured weekly exercise plan for women with PCOS may include the following:


Day 1: A 30-minute brisk walk or cycling session followed by core exercises like planks and Russian twists.

 

Day 2: A resistance training session with exercises such as squats, dumbbell bench presses, and deadlifts, ending with a five-minute cool-down stretch.

 

Day 3: A yoga session focusing on poses like Cat-Cow and Child’s Pose to reduce stress.

 

Day 4: A 20-minute HIIT session alternating between sprints and slow walks.

 

Day 5: Functional training featuring kettlebell swings and step-ups.

 

Day 6: A rest day with light activity such as a gentle yoga session or a short walk.

 

Day 7: A full-body strength training session incorporating lunges, pull-ups, and bench presses.


Psychological Benefits of Exercise

Anxiety, depression, and body image issues are among the psychological issues associated with PCOS that frequently have an equal impact as the physical symptoms. Because exercise releases endorphins, which naturally improve mood and lower stress, it is an effective technique for addressing these difficulties. Women with PCOS who engage in regular physical exercise report feeling more confident, experiencing less anxiety, and having a higher quality of life. Additionally, awareness is encouraged by mind-body exercises like yoga and meditation, which give people a greater sense of control over their bodies and health. Women with PCOS can develop resilience and self-empowerment by integrating mental and physical health practices into their daily routines.


Conclusion

A comprehensive strategy that takes into account PCOS's psychological and physical aspects is necessary for effective management. Based on the concepts of kinesiology, exercise offers a scientifically proven way to manage weight, increase insulin sensitivity, and reduce the variety of symptoms linked to PCOS. Women with PCOS can take proactive measures toward improved health and reap advantages that go well beyond symptom relief by incorporating a varied and customized exercise regimen. Women with PCOS can live happy, powerful lives if they put in the necessary effort, receive the appropriate support, and prioritize their overall health.

 

References

Kite C, Lahart IM, Afzal I, Broom DR, Randeva H, Kyrou I, Brown JE. Exercise, or exercise and diet for the management of polycystic ovary syndrome: a systematic review and meta-analysis. Syst Rev. 2019 Feb 12;8(1):51. doi: 10.1186/s13643-019-0962-3. PMID: 30755271; PMCID: PMC6371542.

 

Patel S. Polycystic ovary syndrome (PCOS), an inflammatory, systemic, lifestyle endocrinopathy. J Steroid Biochem Mol Biol. 2018 Sep;182:27-36. doi: 10.1016/j.jsbmb.2018.04.008. Epub 2018 Apr 17. PMID: 29678491.

 

Patten RK, Boyle RA, Moholdt T, Kiel I, Hopkins WG, Harrison CL, Stepto NK. Exercise Interventions in Polycystic Ovary Syndrome: A Systematic Review and Meta-Analysis. Front Physiol. 2020 Jul 7;11:606. doi: 10.3389/fphys.2020.00606. PMID: 32733258; PMCID: PMC7358428.

 

Stener-Victorin E, Teede H, Norman RJ, Legro R, Goodarzi MO, Dokras A, Laven J, Hoeger K, Piltonen TT. Polycystic ovary syndrome. Nat Rev Dis Primers. 2024 Apr 18;10(1):27. doi: 10.1038/s41572-024-00511-3. PMID: 38637590.

 

Woodward A, Klonizakis M, Broom D. Exercise and Polycystic Ovary Syndrome. Adv Exp Med Biol. 2020;1228:123-136. doi: 10.1007/978-981-15-1792-1_8. PMID: 32342454.

 
 
 

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Max Hann has previously worked as a publicist, a video producer, and communications consultant. Max is from Mount Laurel, New Jersey and currently attends Rowan University as a Edelman Scholar and a dual major in Advertising and Radio, Television, and Film. 

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the distinctive harmonies of Steve & Steve
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Steve & Steve are two 70-something singer-songwriters who have been “keepin’ 60s music alive” since before 60s music was considered “oldies”.

 

Both from northern New Jersey, Steve Messinger ("Mess") and Steve Bernstein ("Bernie") met as students at Franklin & Marshall College in Lancaster, PA in 1969. It all started one afternoon when Bernie, a freshman, brought his guitar into the lobby of the coed dorm hoping to meet women, when, lo and behold, Mess, a sophomore, walked by, sat down with Bernie and instantly the two started to harmonize on tunes by The Beatles, The Everly Brothers and others. Thus, a legendary act was born.

 

Following their time together at F&M and a 10-year post-college hiatus, Steve & Steve reunited in 1983 to perform at Bernie's 10th year F&M Reunion, which rekindled their passion for performing together.

 

Steve & Steve have been privileged to share concert stages with some of their favorite 60s artists: Chad & Jeremy, The Grass Roots, Jay & The Americans, Herman’s Hermits (with Peter Noone), Gary Puckett & The Union Gap, Felix Cavaliere (The Rascals), Micky Dolenz (The Monkeys), The Happenings, Kate Taylor (whose first  60s-era album was produced by her brother, James), Don Dannemann (The Cyrkle), The Fifth Dimension, plus the 70s artist, Badfinger.

 

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