关键词: Exercise performance Follicular phase Luteal phase Menstrual cycle Sex steroid hormones

Mesh : Humans Female Progesterone / blood Exercise / physiology Testosterone / blood Estrogens / blood Gonadal Steroid Hormones / blood Randomized Controlled Trials as Topic Estradiol / blood

来  源:   DOI:10.1186/s12905-024-03203-y   PDF(Pubmed)

Abstract:
BACKGROUND: The sex steroid hormones fluctuate during the menstrual cycle, which affects the strength and postural stability of females and leads to injuries and risk of falls. These hormones may be modulated by exercise to impact the overall health of females.
OBJECTIVE: To determine the effects of exercise on sex steroid hormones in eumenorrheic females.
METHODS: This review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA) guidelines in Lahore, Pakistan. The full-length articles were searched using these databases/search engines (PubMed, Web of Science and Google Scholar, Sci-Hub). Randomized controlled trials along with single group experimental studies were also included. All types of exercises were compared with no exercise in the control group. The Cochrane Risk of Bias assessment tool assessed and screened the articles. The data were then analyzed. The primary outcomes were the levels of estrogen, progesterone and testosterone.
RESULTS: Eleven studies were included (5 randomized controlled trials and 6 quasi-experimental studies). The effects of exercise on free estradiol concentration and serum progesterone level were not significant [p = 0.37 (SMD = 0.33, 95% CI = 0.14 to 0.74, I2 = 0%) and p = 0.84 (S.D= -0.65, C.I= -6.92 to 5.62, I2 = 94%)] respectively, whereas, the effects on testosterone levels were significant [p value < 0.00001 (M.D = 0.89, 95% C.I= -2.16 to 3.95, I2 = 94%)].
CONCLUSIONS: A blinded randomized controlled trial should be conducted in which a structured approach should be followed by women along with warm-ups, cool down and rest intervals.
BACKGROUND: The systematic review was registered prospectively on PROSPERO with registration number CRD42023473767.
摘要:
背景:性激素在月经周期中波动,这会影响女性的力量和姿势稳定性,并导致受伤和跌倒的风险。这些激素可以通过运动来调节,以影响女性的整体健康。
目的:研究运动对闭经女性性激素的影响。
方法:本综述是根据拉合尔系统评价和荟萃分析(PRISMA)指南的首选报告项目进行的,巴基斯坦。使用这些数据库/搜索引擎(PubMed,WebofScience和谷歌学者,科技中心)。还包括随机对照试验以及单组实验研究。将所有类型的运动与对照组中的无运动进行比较。Cochrane偏差风险评估工具对文章进行了评估和筛选。然后分析数据。主要结果是雌激素水平,黄体酮和睾酮。
结果:共纳入11项研究(5项随机对照试验和6项准实验研究)。运动对游离雌二醇浓度和血清孕酮水平的影响不显着[p=0.37(SMD=0.33,95%CI=0.14至0.74,I2=0%)和p=0.84(S。D=-0.65,C.I=-6.92至5.62,I2=94%)],然而,对睾酮水平的影响是显著的[p值<0.00001(M。D=0.89,95%C.I=-2.16至3.95,I2=94%)]。
结论:应进行一项盲法随机对照试验,其中女性应采用结构化方法并进行热身,冷静和休息间隔。
背景:系统评价前瞻性地在PROSPERO上注册,注册号为CRD42023473767。
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