Polycystic ovary syndrome (PCOS) is a heterogeneous endocrine disorder distinguished by the manifestation of Ovarian cysts, anovulation and endocrine variations that Severely impact the life of a woman. According to the World health organization (WHO) 116 million women (4%-12%) are affected by PCOS worldwide in 2012, and in 2020, the ratio increased to 26%. Obesity is very common among PCOS women which is responsible for an increased risk of sub fecundity and infertility, so obese women show poorer reproductive outcomes regardless of the mode of conception and a higher body mass index. The prevalence of PCOS is more in the reproductive age group and with lifestyle modification there will be a predominant change in the reproductive , physical and mental well being. According to devipriya et al., The probable prevalence of PCOS among college going girls in puducherry is 25.1% which should be identified and managed early so that the future complication can be prevented. .This study focuses on Primary prevention of the symptoms of PCOS among college going obese girls.
Need for the Study · WHO states that PCOS is an common hormonal condition that affects an estimated 8-13% of reproductive aged women, upto 70% of affected women remain undiagnosed worldwide. It usually starts during adolescence, but symptoms may fluctuate over time. · Lifestyle changes is the first line of management for PCOS · As PCOS starts early in adolescence age group primary prevention plays an important role in diagnosing, reducing the symptoms of PCOS and prevention of subfecundity and infertility. · Several studies have shown that weight loss of 5 to 10 % of total body weight in overweight women with PCOS with the help of good nutrition and exercise training can lead to a reduction of central fat deposition, reduced circulating insulin and androgen levels, improved insulin sensitivity and thereby restoring ovulation, improving menstrual cycles and cardiovascular disease risk factors. Primary Objectives • To analyse the effect of high intensity intermittent training (HIIT) on physical health , reproductive parameters and quality of life among obese college girls with PCOS. • To analyse the effect of circuit interval training (CIT) on physical health , reproductive parameters and quality of life among obese college girls with PCOS. • To analyse the effect of conventional exercise on physical health , reproductive parameters and quality of life among obese college girls with PCOS. • To analyse the comparative effectiveness of high intensity intermittent training(HIIT) and circuit interval training (CIT) over conventional exercise on physical health , reproductive parameters and quality of life among obese college girls with PCOS. Secondary Objectives • To evaluate the effect of structured exercise training on body composition • To assess the changes in reproductive outcomes and menstrual irregularities • To assess the effect of structured exercise trainings in quality of life • To compare the adherence and sick absenteeism between the structured and conventional exercise groups Null Hypothesis v There is no significant effect of circuit interval training on physical, reproductive and quality of life among college girls with PCOS. v There is no significant effect of High intensity intermittent training on physical, reproductive and quality of life among college girls with PCOS. v There is no significant effect of conventional training on physical, reproductive and quality of life among college girls with PCOS. Alternate Hypothesis v There is an significant effect of circuit interval training on physical, reproductive and quality of life among college girls with PCOS. v There is an significant effect of High intensity intermittent training on physical, reproductive and quality of life among college girls with PCOS. v There is an significant effect of conventional training on physical, reproductive and quality of life among college girls with PCOS. NATIONAL SIGNIFICANCEPolycystic Ovary Syndrome (PCOS) is one of the most common endocrine disorders among women of reproductive age, affecting approximately 6–20% globally, with increasing prevalence among adolescents and young adults. In India, rising rates of obesity among college-aged women have compounded the impact of PCOS, contributing to metabolic dysfunction, menstrual irregularities, and increased risk of infertility. The dual burden of obesity and PCOS during young adulthood presents a critical public health challenge with long-term implications for women’s reproductive, metabolic, and psychological health. This study holds national significance as it addresses multiple pressing health concerns through a preventive, non-pharmacological intervention—structured physical exercise. Exercise has been demonstrated to improve insulin sensitivity, promote hormonal balance, reduce body mass index (BMI), and alleviate psychological symptoms such as anxiety and depression, which are frequently observed in women with PCOS. By focusing on college-going girls, the research targets a key developmental stage where health behaviors are formed and can be positively influenced for lifelong impact. The outcomes of this research have the potential to inform national health strategies and programs such as the Fit India Movement, National Programme for Prevention and Control of Non-Communicable Diseases (NP-NCD), Rashtriya Kishor Swasthya Karyakram, and reproductive health education initiatives. Findings can contribute to the development of evidence-based physical activity guidelines tailored for young women with PCOS, potentially reducing reliance on pharmacological treatments and improving health outcomes in a cost-effective manner. Moreover, addressing PCOS and obesity at the national level is aligned with broader goals related to women’s empowerment, gender equity in healthcare, and the reduction of non-communicable diseases. The integration of such findings into health promotion efforts within educational institutions may significantly enhance the physical and mental well-being of young women across the country.
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