Polikistik Over Sendromu Olan Adölesanlarla Sağlıklı Adölesanların Aerobik Kapasite ve Fiziksel Uygunluk Seviyesinin Karşılaştırılması

Abstract

Bülbül Ş. A Comparison of Aerobic Capacity and Physical Fitness Between in Adolescents with Polycystic Ovary Syndrome and Healthy Adolescents. Hacettepe University, Graduate School of Health Sciences, Cardiopulmonary Rehabilitation Program, Master Thesis, Ankara, 2023. Polycystic ovary syndrome (PCOS) is a heterogeneous syndrome that is found in approximately 7% of women of reproductive age characterized by hirsutism, acne, alopecia, amenorrhoea, oligomenorrhea, irregular menstrual cycles which usually occurs during puberty. PCOS clinically causes to an increased risk for infertility, dysfunctional bleeding, endometrial carcinoma, obesity, type 2 diabetes, dyslipidemia, hypertension and cardiovascular disease. The aim of this study was to compare aerobic capacity, physical fitness level and quality of life of adolescent PCOS patients with healthy adolescents in order to determine the activation of these parameters compared to their healthy peers. Twenty-two adolescents with PCOS and 21 age- and gender-matched healthy adolescents were included in the study. The physical and demographic characteristics of the individuals were recorded. Body compositions were evaluated using body mass index (BMI), waist/hip ratio, waist/height ratio values, and fat-free mass and fat mass ratios using bioelectrical impedance analysis. Aerobic capacity of the adolescents in both groups was evaluated using the PACER test, and the physical fitness components were evaluated using the Fitnessgram test protocol. Hand grip strength was recorded using Jamar hand dynamometer and quadriceps muscle strength was recorded using hand dynamometer. The physical activity levels of the participants were evaluated using the Adolescent Physical Activity Questionnaire (PAQ-A), and the quality of life of the PCOS-diagnosed group was evaluated using the Polycystic Ovary Syndrome Quality of Life-50 Scale (PCOSQ-50). The mean values of age, height, weight, BMI, waist/hip ratio, waist/height ratio, fat-free mass and fat mass weight and ratios of PCOS and healthy adolescents were similar (p>0.05). As a result of the study, number of push-up repetitions, sit-reach test distance and number of PACER laps and oxygen consumption values of the PCOS group were found to be significantly lower than the healthy group (p<0.05). Knee extensor muscle strength, hand grip strength and hand grip strength (%), number of sit-up repetitions, trunk lift test distance values from physical fitness tests, and PAQ-A scores of both groups were found to be similar (p>0.05). Physical activity levels of both groups were similar (p>0.05). Quality of life scores of the PCOS group were below the expected best values. In conclusion, lower extremity muscle strength and endurance, lower body and hamstring flexibility, and aerobic exercise capacity of adolescents diagnosed with PCOS are negatively affected compared to their healthy peers. Physical activity levels of adolescents diagnosed with PCOS and healthy adolescents decrease similarly. We think that professionals can observe the effectiveness of interventions to improve aerobic capacity, muscular strength and endurance, flexibility and physical activity level considering these affected parameters, and can guide their clinical applications according to the results obtained while planning the exercise programs of adolescents with PCOS.