EFFECTS OF AEROBIC PHYSICAL TRAINING ABOUT AUTONOMIC MODULATION OF HEART RATE OF WOMEN WITH POLYCYSTIC OVARY SYNDROME
Polycystic ovary syndrome ; Heart rate variability; Autonomic nervous system; Aerobic exercise
Purpose: The aim of this study was to analyze the effects of aerobic physical training [APT] on heart rate variability [HRV] at rest in young women with polycystic ovary syndrome [PCOS]. Methods: Thirty women [25.8±4.8 years] PCOS were divided into two groups: 1] trained group [TG n=15] that completed a periodized aerobic training program during 16 weeks [40 minutes/session, three times a week] and 2] control group [CG n=15] who did not participate in APT. Results: After the APT, the TG showed a decrease in weight, body mass index [BMI], waist circumference, systolic blood pressure [SBP] and diastolic blood pressure [DBP] and resting heart rate [HR] [p<0.05] and a significant increase in maximal oxygen consumption [VO2max] in cardiopulmonary exercise test [CPET]. In nonlinear analysis of cardiac autonomic modulation, o TG increased significantly Shannon entropy [SE] [p=0.0018], complexity index [CI] [p=0.0086], the symbolic patterns, 0V% reduced [p=0.0247] and 2ULV% [p=0.0064] increased. The HR recovery after CPET was greater in TG. The CG showed no significant differences in any of the HRV indices [p> 0.05]. Conclusions: The aerobic training improvements of HRV modulation at rest, with increase of parasympathetic activity and reduction of sympathetic activity. Moreover, they have resulted in improvements of HR recovery after maximal CPET.