Intervenções de estilo de vida na qualidade de vida de mulheres com síndrome dos ovários policísticos

Abstract

Introduction: Polycystic ovary syndrome (PCOS) is one of the most common endocrine disorders in women of childbearing age. PCOS has a significant negative impact on the Health-Related Quality of Life (HRQOL) and psychological function of women, of which there are reports of high levels of depression in women with PCOS compared to those without PCOS. However, evidence around the effects of exercise and/or participation in dietary intervention on the HRQoL of women with PCOS is limited. Objective: To analyze the effects of lifestyle interventions (definition includes only exercise, diet, exercise + diet and behavioral or combined) on the quality of life of women with PCOS. Methods: A systematic review was conducted following the recommendations and guidelines of the Cochrane Manual for Systematic Reviews and Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA). Results: 07 randomized clinical trials were included, in which 612 women aged between 18- and 44-years old women with a diagnosis of PCOS based on the Rotterdam criteria participated. Lifestyle interventions (diet + exercises) lasted between 20 sessions and 05 months. Most interventions were based on protein intake, carbohydrate reduction, and aerobic exercise. Lifestyle interventions alone or in combination with other interventions improved HRQOL domains and total value, and some studies have pointed to improvements in the mental health of women with PCOS. Conclusions: There is evidence that lifestyle interventions (diet + exercise) can improve the quality of life and mental health of women with PCOS. However, our findings must be interpreted with caution due to the risk of bias and small sample sizes.