Exercise for PCOS & Insulin Resistance

Age: 18 - 65
Sex: Female
Trial Phase: Academic
Sponsor: University of California, San Francisco
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how different types of exercise affect women with polycystic ovary syndrome (PCOS) and insulin resistance. It compares two groups: one engaging in vigorous exercise and the other in moderate exercise, to assess the impact on health and metabolism. Women diagnosed with PCOS and showing signs of insulin resistance, such as elevated fasting insulin levels, might be suitable candidates. The goal is to determine which exercise routine is more beneficial for managing these conditions. As an unphased trial, this study provides participants the chance to contribute to valuable research that could enhance exercise recommendations for women with PCOS.

Do I need to stop my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that exercise is generally safe for women with polycystic ovary syndrome (PCOS). Studies have found that moderate activities, like brisk walking, improve fitness and reduce waist size without major issues. More intense exercises, such as high-intensity interval training (HIIT), offer even greater benefits for fitness and reducing the risk of metabolic problems. However, some studies suggest that short-term exercise programs might not significantly change metabolism for everyone.

Overall, both moderate and vigorous exercise programs are usually safe and don't report severe side effects when done correctly. Regular exercise is important for managing PCOS, as it aids in fitness and metabolic health. Consulting a healthcare provider before starting any new exercise routine is essential, especially if existing health concerns are present.12345

Why are researchers excited about this trial?

Researchers are excited about the exercise treatments for PCOS and insulin resistance because they offer a natural, side-effect-free alternative to medications like metformin and hormonal therapies. The vigorous exercise approach, involving high-intensity interval training, has the potential to improve insulin sensitivity more rapidly and effectively than traditional exercise regimens. Meanwhile, the moderate exercise treatment, consisting of brisk walking, provides a more accessible option for those who may find high-intensity workouts challenging. Both methods focus on improving metabolic health through physical activity, which could empower individuals with PCOS to manage their condition through lifestyle changes.

What evidence suggests that this trial's exercise programs could be effective for PCOS and insulin resistance?

This trial will compare the effects of different exercise intensities on insulin resistance in women with polycystic ovary syndrome (PCOS). Research has shown that intense exercise, such as the high-intensity interval training used in the vigorous exercise arm of this trial, can significantly improve insulin handling. One study found that women who engaged in intense exercise experienced better insulin sensitivity and improved fitness levels. Another study revealed that just 60 minutes of intense activity per week reduced the risk of metabolic syndrome by 22%.

The moderate exercise arm of this trial involves brisk walking, which also offers benefits. Studies indicate that moderate exercise can improve fitness, reduce waist size, and enhance insulin sensitivity in women with PCOS. Both exercise types can help manage symptoms, but intense exercise might provide more noticeable benefits.13567

Who Is on the Research Team?

HH

Heather Huddleston, MD

Principal Investigator

University of California, San Francisco

Are You a Good Fit for This Trial?

Women with PCOS and insulin resistance can join this study if they're in good physical shape, have a confirmed diagnosis of PCOS, and show signs of insulin resistance. They must not be pregnant or planning pregnancy soon, over 50 or under 18 years old, severely obese, smokers, or have certain health conditions like diabetes type 2.

Inclusion Criteria

Physician judges that patient is in adequate physical condition to complete exercise program
You have been diagnosed with PCOS according to the 2003 Rotterdam criteria.
Your body has trouble using insulin, which is a hormone that helps control blood sugar levels.

Exclusion Criteria

Current pregnancy or planning to attempt to conceive in the next 3 months
You have a very high body mass index (BMI).
You are currently a smoker.
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants are randomized to either 15 minutes of vigorous exercise (HIIT) or 30 minutes of moderate exercise (brisk walking) to be performed 5 days per week for 8 weeks

8 weeks
Baseline, 4 weeks, 8 weeks

Follow-up

Participants are monitored for changes in insulin resistance and metabolic parameters after the exercise program

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Moderate Exercise
  • Vigorous Exercise
Trial Overview The trial is testing how feasible it is for women with PCOS to stick to an exercise program and what effects it has on their metabolism. Participants will do either vigorous exercise for 75 minutes weekly or moderate exercise for 150 minutes weekly.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Group I: Vigorous ExerciseExperimental Treatment1 Intervention
Group II: Moderate ExerciseExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of California, San Francisco

Lead Sponsor

Trials
2,636
Recruited
19,080,000+

Citations

Vigorous vs. moderate exercise to improve glucose ...To study the impact of vigorous vs. moderate exercise on metabolic parameters in polycystic ovary syndrome (PCOS). Randomized controlled trial.
NCT02303470 | PCOS & Insulin Resistance Exercise StudyThis study evaluates the feasibility and metabolic effects of implementing a structured exercise program in women with polycystic ovary syndrome and insulin ...
Exercise Interventions in Polycystic Ovary SyndromeOur results indicate that, a minimum of 120 min of vigorous intensity per week is needed to provide favourable health outcomes for women with PCOS with studies ...
The Effect of Exercise Training on Body Composition, Insulin ...The present study showed that in a group of female PCOS patients, a 20-week home-based aerobic exercise programme reduced HOMA-IR and hs-CRP.
A systematic review and meta-analysis to inform evidence ...In individuals with PCOS, exercise improves cardiorespiratory fitness and lowers waist circumference [9], as well as increasing insulin sensitivity [7,10,11].
Effects of Exercise on Lipoprotein Particles in Women with ...This randomized controlled trial in women with PCOS demonstrated that exercise without weight loss can significantly improve lipoprotein particle parameters.
The Effect of Exercise on Cardiometabolic Risk Factors in ...Conclusions: Regular exercise may improve cardiorespiratory fitness and waist circumference in women with PCOS. Further large-scale studies are required to ...
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