Polycystic ovary syndrome (PCOS), a common and complex endocrinopathy, affecting up to 1 in 5 young women. PCOS is a multifaceted disorder with metabolic, reproductive and psychosocial implications. The condition places a significant burden on the healthcare system estimated to be $800 million per year in Australia. Metabolic implications include obesity, insulin resistance, gestational diabetes, type 2 diabetes mellitus and risk factors for cardiovascular disease. Reproductive consequences include hyperandrogenism, anovulation and sub-fertility. Psychosocial impacts include poorer quality of life, higher rates anxiety and depression due to burden of the syndrome. Reduced insulin sensitivity or “insulin resistance” is a central characteristic in the majority of PCOS affected women, with the associated hyperinsulinaemia driving the clinical features including reproductive and cardio-metabolic impacts. In this presentation we will not only explore the pathophysiology of PCOS, but examine the current evidence of the important role of physical activity and exercise in managing the clinical features and psychosocial burden of the condition. It will explore the effectiveness of aerobic and resistance training for improving metabolic reproductive and psychosocial features. Moreover, it will highlight the important role of patient centred approaches and the need for multidisciplinary teams for effective management of PCOS.
The recording is of a webinar presented by ESSA on 30 November 2016.
Associate Professor Nigel Stepto completed his studies at the University of Cape Town South Africa before completing his PhD at RMIT University in 2002. He joined Victoria University in 2007 after working at Monash University.
Associate Professor Stepto contributes to undergraduate teaching in the Exercise Science and Clinical Exercise Science Streams, the Clinical exercise science master’s program and supervises honours, masters (minor thesis) and PhD students in his area of research expertise. He his current research focus is on role of exercise on health outcomes in people chronic disease. This includes investigating the role of exercise in the treatment and management of Polycystic Ovary Syndrome (PCOS), clinical exercise models of care for women (ActiV4her©), the role of high intensity intermittent training (HIIT) and molecular mechanisms responsible for training adaptations in health and disease.
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