/
PCOS & EXERCISE PCOS & EXERCISE

PCOS & EXERCISE - PowerPoint Presentation

lindy-dunigan
lindy-dunigan . @lindy-dunigan
Follow
421 views
Uploaded On 2016-11-14

PCOS & EXERCISE - PPT Presentation

Bob Tygenhof MA CPT Director Center for Active Lifestyle Medicine Integrative Medical Group of Irvine Speaker Disclosure None Learning Objectives Current exercise recommendations for PCOS patients ID: 488446

pcos exercise aerobic women exercise pcos women aerobic week intensity body management lifestyle prescription weight minutes moderate type writing

Share:

Link:

Embed:

Download Presentation from below link

Download Presentation The PPT/PDF document "PCOS & EXERCISE" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.


Presentation Transcript

Slide1

PCOS & EXERCISE

Bob Tygenhof, MA, CPTDirector, Center for Active Lifestyle MedicineIntegrative Medical Group of IrvineSlide2

Speaker Disclosure

NoneSlide3

Learning Objectives

Current exercise recommendations for PCOS patientsLatest research impacting these recommendationsHow to incorporate exercise into a PCOS treatment planHow to write an exercise prescriptionSlide4

Benefits Of Exercise

Long-term benefitsShort-term benefits - you feel better NOW!

Premature Mortality

Metabolic Syndrome

CVD/CAD

Obesity

Hypertension

Colon Cancer

Stroke

Breast Cancer

Osteoporosis

Depression

Type 2 DM

Cognitive FunctionSlide5

PCOS Exercise Recommendations

“Hence, lifestyle management is useful for targeting weight loss and prevention of weight gain, and is first-line treatment for a large proportion of women with PCOS. Lifestyle management may also improve PCOS independent of weight loss, with exercise intervention improving metabolic risk factors associated with PCOS, including hypertension, IR and elevated blood glucose levels, even when no weight loss occurs.” Slide6

PCOS Exercise Recommendations

“However, it is difficult to be certain about the effectiveness of lifestyle interventions in women with PCOS, because available information is based on small uncontrolled trials that address different outcomes in different subgroups of women, and specific recommendations remain unclear.” Slide7

Section 5. Lifestyle Management In PCOS

5.1a Lifestyle management (single or combined approaches of diet, exercise and/or behavioral interventions) for weight loss, prevention of weight gain, or for general health benefits should be recommended in women with polycystic ovary syndrome. — level B5.2a Lifestyle management targeting weight loss (in women with a body mass index ≥25kg/m2 [overweight]) and prevention of weight gain (in women with a body mass index < 25 kg/m2 [lean]) should include both reduced dietary energy (caloric) intake and exercise and should be first-line therapy for all women with polycystic ovary syndrome. — level C

5.5a

Exercise

participation of at least 150 minutes per week should be recommended to all women with polycystic ovary syndrome, especially those with a body mass index

25

kg/m2 (overweight), given the metabolic risks of polycystic ovary syndrome and the long-term metabolic benefits of exercise. Of this, 90 minutes per week should be aerobic activity at moderate to high intensity (60%–90% of maximum heart rate) to

optimize

clinical outcomes. — level D

Treatment Focus:

Reduce insulin resistance

Improve metabolic features

Improve reproductive function

Improve body image and moodSlide8

Research Findings Since 2011

Improved body compositionRestored insulin sensitivity

Enhanced

adipose tissue

lipolysis

Improved

depression

Slide9

Improved Body Composition

24 women with PCOS – 12 in aerobic exercise group, 12 in control groupIntervention: 12 weeks of moderate level (60 to 70% of maximum heart rate) aerobic exercise for 60 min., 3 times/weekResults: significant improvements in body composition measures - BMI, WHR, body fat percentage, body fat massSlide10

Restored Insulin Sensitivity

Control and PCOS rats were treated with vehicle or resveratrol, while another group of PCOS rats were allowed to exercise freely for 5 weeks“We have shown that 5-6 weeks of resveratrol treatment did not improve insulin sensitivity in DHT-induced PCOS rats

, but

exercise restored insulin sensitivity to a similar level as

in control

rats

.”

“Physical exercise also had beneficial effects on

fat mass, adipocyte

size

, and

estrus cyclicity

.”Slide11

Enhanced Adipose Tissue Lipolysis

8 women with PCOS and 8 normal-cycle women matched for BMI, age, and percent body fatIntervention: 16-week progressive moderate intensity

(55

%

VO2max)

aerobic exercise-training program

“Alterations

were seen in the gene expression in the adipose

tissue following exercise”

“Lipase

expression is increased following exercise training with no

decreases in

circulating concentrations of total testosterone or free androgen index, perhaps

indicating that

aerobic exercise can increase adipose tissue lipolysis despite altering

testosterone expression.”Slide12

Improved Depression

153 women with PCOS and 64 women without PCOS aged 18-50 yearsCompleted a questionnaire including

the Hospital Anxiety and Depression Scale and a survey regarding levels

of physical

activity, physical activity barriers, motivators and

supports

“Physical

activity is associated with lower depression in women with

PCOS”Slide13

Incorporating Exercise Into The PCOS Treatment Plan

3 Major Barriers Too many options

Adding a behavior, not replacing one

Exercise is punishment, right? Slide14

Too Many “Good” Options

A lifestyle program may include diet and nutrition, supplementation, exercise, stress management, sleep management, eating disorders, addictive behaviors, acupuncture, counselling, massage therapy, skincare aesthetics, meditation, on and on.All take time and moneyExercise must be prioritized near the top of the listSlide15

Adding, Not Replacing

Many of the elements in a lifestyle program – diet and nutrition, supplementation, stress management, sleep management, eating disorders, addictive behaviors, skincare aesthetics – involve activities that are already being done. Changing, not expanding, behaviors.

Exercise replaces something – this must be openly addressedSlide16

Exercise As Punishment

Long-term adherence is based on enjoymentPatient should never be sore or in pain

But she should be challenged

A challenge is engaging and rewarding; it increases enjoyment

Start low and go slowSlide17

Writing the Exercise Prescription

FITT-VPFrequencyIntensityTypeTimeVolumeProgressionSlide18

Writing The Exercise Prescription

FITT-VPFrequencyIntensityType: aerobic exerciseTimeVolumeProgressionSlide19

Writing The Exercise Prescription

FITT-VPFrequency: 5 days a weekIntensityType: aerobic exerciseTimeVolume

ProgressionSlide20

Writing The Exercise Prescription

FITT-VPFrequency: 5 days a weekIntensityType: aerobic exerciseTime: 30 minutes/day

Volume

ProgressionSlide21

Writing The Exercise Prescription

FITT-VPFrequency: 5 days a weekIntensity: moderateType: aerobic exerciseTime:

30 minutes/day

Volume

ProgressionSlide22

Writing The Exercise Prescription

FITT-VPFrequency: 5 days a weekIntensity: moderateType: aerobic exerciseTime:

30 minutes/day

Volume:

F x I x T = 150 minutes/week, moderate

intensity

ProgressionSlide23

Writing The Exercise Prescription

FITT-VPFrequency: 5 days a weekIntensity: moderateType: aerobic exerciseTime:

30 minutes/day

Volume:

F x I x T = 150 minutes/week, moderate

intensity

Progression:

start low, go slowSlide24

Thank You!

rtygenhof@integrativemgi.comwww.integrativemgi.comBob Tygenhof, MA, CPT

(949) 753-7475