Polycystic Ovary Syndrome (PCOS) - Effect Of Physical Exercise And Electroacupuncture (PCOSNTS)
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Purpose
Hypothesis:
The overall hypothesis is that women with PCOS, both obese and non-obese, have larger adipocytes, altered metabolism and signs of inflammation in adipose tissue and that these changes are associated with high sympathetic nerve activity, hyperandrogenism hyperinsulinaemia, insulin resistance with progression to type II diabetes and cardiovascular disease (CVD) as well as psychological distress and reduced quality of life. Physical exercise and electro-acupuncture decrease high concentrations of androgens, induce regulare menstrual pattern, inhibits high sympathetic activity and restore the PCOS induced disturbances.
| Condition | Intervention |
|---|---|
|
Polycystic Ovary Syndrome |
Procedure: Electroacupuncture Procedure: Physical exercise Procedure: Untreated control |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Factorial Assignment Masking: Single Blind Primary Purpose: Treatment |
| Official Title: | Polycystic Ovary Syndrome (PCOS) - The Female Metabolic Syndrome Genes And Processes In The Aetiology And Pathogenesis Of PCOS And Identification Of New Treatment Strategies |
- To measure if physical exercise and electro-acupuncture restores endocrine, neuroendocrine, metabolic and immunological disturbances related to sympathetic nerve activity as well as psychological distress and improve quality of life in women with PCOS. [ Time Frame: One year ]
| Enrollment: | 84 |
| Study Start Date: | October 2005 |
| Study Completion Date: | October 2008 |
| Primary Completion Date: | October 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Low-frequency electro-acupuncture | Procedure: Electroacupuncture |
| Experimental: Physical exercise | Procedure: Physical exercise |
| Active Comparator: Untreated control | Procedure: Untreated control |
Detailed Description:
Primary outcome: Changes in androgen concentrations and menstrual pattern
Secondary outcome: changes in sympathetic nerve activity, uterus peristalsis, ovarian morphology, adipose tissue related variables, insulin sensitivity, coagulation factors and health related quality of life and symptoms of anxiety and depression.
Eligibility| Ages Eligible for Study: | 18 Years to 37 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
To get the diagnosis polycystic ovary syndrome (PCOS), ultrasonography should reveal at least 1 ovary with PCO according to the Rotterdam diagnostic criteria as well as one of the following two symptoms:
- Anovulation/oligoovulation defined as ≥ 35 days during the last year
- Clinical signs of hyperandrogenism (hirsutism, acne)
Exclusion Criteria:
- Cardiovascular disease
- Diabetes mellitus
- Other endocrine disease (congenital adrenal hyperplasia, androgen producing tumour, Cushing's syndrome)
- Estrogen/gestagen treatment during the last 3 months
- Breast-feeding the last 6 months
- Antiandrogen treatment the last 3 months
Contacts and Locations| Sweden | |
| Institute of Neuroscience and Physiology, Sahlgrenska Academy, Göteborg University | |
| Göteborg, Sweden, 405 30 Göteobrg | |
| Principal Investigator: | Elisabet Stener-Victorin, Prof, PhD | Sahlgrenska Academy, Göteborg University |
More Information
No publications provided by Göteborg University
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00484705 History of Changes |
| Other Study ID Numbers: | VGFOUREG-7861, K2005-72VP-15445-01A, K2005-72VX-15276-01AK, LUA/ALF7092, DIA2006-001, Novo Nordisk Foundation |
| Study First Received: | June 8, 2007 |
| Last Updated: | November 9, 2009 |
| Health Authority: | Sweden: The National Board of Health and Welfare Sweden: Swedish National Council on Medical Ethics |
Keywords provided by Göteborg University:
|
Androgens Menstrual pattern Insulin resistance Adipocytes |
Obesity Stress Muscle sympathetic nerve activity Psychological distress and quality of life |
Additional relevant MeSH terms:
|
Polycystic Ovary Syndrome Ovarian Cysts Cysts Neoplasms Ovarian Diseases |
Adnexal Diseases Genital Diseases, Female Gonadal Disorders Endocrine System Diseases |
ClinicalTrials.gov processed this record on May 16, 2013