Impact of Sport on the Course of Endometriosis
DOI:
https://doi.org/10.12775/QS.2024.35.56300Keywords
Endometriosis, Chronic disease management, Physical activity, Endometriosis treatmentAbstract
Endometriosis is a common condition affecting approximately 10% of women of reproductive age and leads to many unpleasant symptoms, such as pelvic pain, painful intercourse, and fertility issues. Although treatment primarily involves surgical and hormonal approaches, growing evidence suggests that physical activity may play a beneficial role in alleviating symptoms of the disease. The aim of this paper is to review the literature on the impact of physical activity on the symptoms of endometriosis and evaluate the role of exercise in improving the quality of life for patients. Available research indicates that regular physical activity, including aerobic and strength exercises, can reduce pain intensity, improve well-being, and decrease the need for pain medications. Additionally, exercise positively affects mental health, reducing stress, anxiety, and depression, which, in turn, improves the course of the disease. The findings suggest that physical activity should be considered an integral part of endometriosis treatment, serving as a supportive therapeutic approach. However, further controlled studies and long-term observations are necessary to determine the optimal type, intensity, and frequency of exercise for women with endometriosis.
References
- Nassiri Kigloo H, Itani R, Montreuil T, Feferkorn I, Raina J, Tulandi T, Mansour F, Krishnamurthy S, Suarthana E. Endometriosis, chronic pain, anxiety, and depression: A retrospective study among 12 million women. J Affect Disord. 2024 Feb 1;346:260-265. doi: 10.1016/j.jad.2023.11.034. Epub 2023 Nov 11. PMID: 37956828.
- Nnoaham KE, Hummelshoj L, Webster P, d'Hooghe T, de Cicco Nardone F, de Cicco Nardone C, Jenkinson C, Kennedy SH, Zondervan KT; World Endometriosis Research Foundation Global Study of Women's Health consortium. Impact of endometriosis on quality of life and work productivity: a multicenter study across ten countries. Fertil Steril. 2011 Aug;96(2):366-373.e8. doi: 10.1016/j.fertnstert.2011.05.090. Epub 2011 Jun 30. PMID: 21718982; PMCID: PMC3679489.
- Rathod S, Shanoo A, Acharya N. Endometriosis: A Comprehensive Exploration of Inflammatory Mechanisms and Fertility Implications. Cureus. 2024 Aug 4;16(8):e66128. doi: 10.7759/cureus.66128. PMID: 39229427; PMCID: PMC11370979.
- Leone Roberti Maggiore U, Chiappa V, Ceccaroni M, Roviglione G, Savelli L, Ferrero S, Raspagliesi F, Spanò Bascio L. Epidemiology of infertility in women with endometriosis. Best Pract Res Clin Obstet Gynaecol. 2024 Feb;92:102454. doi: 10.1016/j.bpobgyn.2023.102454. Epub 2024 Jan 3. PMID: 38183767.
- Crump J, Suker A, White L. Endometriosis: A review of recent evidence and guidelines. Aust J Gen Pract. 2024 Jan-Feb;53(1-2):11-18. doi: 10.31128/AJGP/04-23-6805. PMID: 38316472.
- Goodwin E, Abreu do Valle H, Nitschke A, Puyat J, Yong PJ, Hanley GE. The Association Between Endometriosis Treatments and Depression and/or Anxiety in a Population-Based Pathologically Confirmed Cohort of People with Endometriosis. Womens Health Rep (New Rochelle). 2023 Nov 20;4(1):551-561. doi: 10.1089/whr.2023.0068. PMID: 38023374; PMCID: PMC10664573.
- Wang TM, Lee YL, Chung CH, Sun CA, Kang CY, Wu GJ, Chien WC. Association Between Endometriosis and Mental Disorders Including Psychiatric Disorders, Suicide, and All-Cause Mortality -A Nationwide Population-Based Cohort Study in Taiwan. Int J Womens Health. 2023 Nov 28;15:1865-1882. doi: 10.2147/IJWH.S430252. PMID: 38046265; PMCID: PMC10693200.
- Paul PG, Shah M, Sridivya Chowdary V, Anusha Raaj A, Paul G. Suture-fixation of a levonorgestrel-releasing intrauterine device under hysteroscopic guidance. Facts Views Vis Obgyn. 2023 Dec;15(4):355-358. doi: 10.52054/FVVO.15.4.107. PMID: 38128094; PMCID: PMC10832649.
- Veth VB, van de Kar MM, Duffy JM, van Wely M, Mijatovic V, Maas JW. Gonadotropin-releasing hormone analogues for endometriosis. Cochrane Database Syst Rev. 2023 Jun 21;6(6):CD014788. doi: 10.1002/14651858.CD014788.pub2. PMID: 37341141; PMCID: PMC10283345.
- Arcoverde FVL, Andres MP, Borrelli GM, Barbosa PA, Abrão MS, Kho RM. Surgery for Endometriosis Improves Major Domains of Quality of Life: A Systematic Review and Meta-Analysis. J Minim Invasive Gynecol. 2019 Feb;26(2):266-278. doi: 10.1016/j.jmig.2018.09.774. Epub 2018 Sep 20. PMID: 30244153.
- Becker CM, Bokor A, Heikinheimo O, Horne A, Jansen F, Kiesel L, King K, Kvaskoff M, Nap A, Petersen K, Saridogan E, Tomassetti C, van Hanegem N, Vulliemoz N, Vermeulen N; ESHRE Endometriosis Guideline Group. ESHRE guideline: endometriosis. Hum Reprod Open. 2022 Feb 26;2022(2):hoac009. doi: 10.1093/hropen/hoac009. PMID: 35350465; PMCID: PMC8951218.
- Ji H, Gulati M, Huang TY, Kwan AC, Ouyang D, Ebinger JE, Casaletto K, Moreau KL, Skali H, Cheng S. Sex Differences in Association of Physical Activity With All-Cause and Cardiovascular Mortality. J Am Coll Cardiol. 2024 Feb 27;83(8):783-793. doi: 10.1016/j.jacc.2023.12.019. PMID: 38383092; PMCID: PMC10984219.
- Gogojewicz A, Pilaczyńska-Szcześniak Ł, Popierz-Rydlewska N, León-Guereño P, Malchrowicz-Mośko E. Assessment of nutritional status and health behaviors in yoga-trained women versus exercisers. Front Nutr. 2024 Apr 30;11:1334428. doi: 10.3389/fnut.2024.1334428. PMID: 38746939; PMCID: PMC11091242.
- Xu H, Liu J, Li P, Liang Y. Effects of mind-body exercise on perimenopausal and postmenopausal women: a systematic review and meta-analysis. Menopause. 2024 May 1;31(5):457-467. doi: 10.1097/GME.0000000000002336. PMID: 38669625; PMCID: PMC11465887.
- Bonocher CM, Montenegro ML, Rosa E Silva JC, Ferriani RA, Meola J. Endometriosis and physical exercises: a systematic review. Reprod Biol Endocrinol. 2014 Jan 6;12:4. doi: 10.1186/1477-7827-12-4. PMID: 24393293; PMCID: PMC3895811.
- Ricci E, Viganò P, Cipriani S, Chiaffarino F, Bianchi S, Rebonato G, Parazzini F. Physical activity and endometriosis risk in women with infertility or pain: Systematic review and meta-analysis. Medicine (Baltimore). 2016 Oct;95(40):e4957. doi: 10.1097/MD.0000000000004957. PMID: 27749551; PMCID: PMC5059053.
- Ensari I, Lipsky-Gorman S, Horan EN, Bakken S, Elhadad N. Associations between physical exercise patterns and pain symptoms in individuals with endometriosis: a cross-sectional mHealth-based investigation. BMJ Open. 2022 Jul 18;12(7):e059280. doi: 10.1136/bmjopen-2021-059280. PMID: 35851021; PMCID: PMC9297219.
- Eather N, Wade L, Pankowiak A, Eime R. The impact of sports participation on mental health and social outcomes in adults: a systematic review and the 'Mental Health through Sport' conceptual model. Syst Rev. 2023 Jun 21;12(1):102. doi: 10.1186/s13643-023-02264-8. PMID: 37344901; PMCID: PMC10286465.
- Donatti L, Ramos DG, Andres MP, Passman LJ, Podgaec S. Patients with endometriosis using positive coping strategies have less depression, stress and pelvic pain. Einstein (Sao Paulo). 2017;15(1):65-70. doi: 10.1590/S1679-45082017AO3911. PMID: 28444092; PMCID: PMC5433310.
- Armour M, Ee CC, Naidoo D, Ayati Z, Chalmers KJ, Steel KA, de Manincor MJ, Delshad E. Exercise for dysmenorrhoea. Cochrane Database Syst Rev. 2019 Sep 20;9(9):CD004142. doi: 10.1002/14651858.CD004142.pub4. PMID: 31538328; PMCID: PMC6753056.
- Tourny C, Zouita A, El Kababi S, Feuillet L, Saeidi A, Laher I, Weiss K, Knechtle B, Zouhal H. Endometriosis and physical activity: A narrative review. Int J Gynaecol Obstet. 2023 Dec;163(3):747-756. doi: 10.1002/ijgo.14898. Epub 2023 Jun 22. PMID: 37345574.
- Mira TAA, Buen MM, Borges MG, Yela DA, Benetti-Pinto CL. Systematic review and meta-analysis of complementary treatments for women with symptomatic endometriosis. Int J Gynaecol Obstet. 2018 Oct;143(1):2-9. doi: 10.1002/ijgo.12576. Epub 2018 Jul 9. PMID: 29944729.
- Nimmo MA, Leggate M, Viana JL, King JA. The effect of physical activity on mediators of inflammation. Diabetes Obes Metab. 2013 Sep;15 Suppl 3:51-60. doi: 10.1111/dom.12156. PMID: 24003921.
- Wu MH, Shoji Y, Chuang PC, Tsai SJ. Endometriosis: disease pathophysiology and the role of prostaglandins. Expert Rev Mol Med. 2007 Jan 16;9(2):1-20. doi: 10.1017/S146239940700021X. PMID: 17227592.
- Verkasalo PK, Thomas HV, Appleby PN, Davey GK, Key TJ. Circulating levels of sex hormones and their relation to risk factors for breast cancer: a cross-sectional study in 1092 pre- and postmenopausal women (United Kingdom). Cancer Causes Control. 2001 Jan;12(1):47-59. doi: 10.1023/a:1008929714862. PMID: 11227925.
- Heilier JF, Donnez J, Nackers F, Rousseau R, Verougstraete V, Rosenkranz K, Donnez O, Grandjean F, Lison D, Tonglet R. Environmental and host-associated risk factors in endometriosis and deep endometriotic nodules: a matched case-control study. Environ Res. 2007 Jan;103(1):121-9. doi: 10.1016/j.envres.2006.04.004. Epub 2006 Jun 15. PMID: 16781705.
- van Haaps AP, Wijbers JV, Schreurs AMF, Vlek S, Tuynman J, De Bie B, de Vogel AL, van Wely M, Mijatovic V. The effect of dietary interventions on pain and quality of life in women diagnosed with endometriosis: a prospective study with control group. Hum Reprod. 2023 Dec 4;38(12):2433-2446. doi: 10.1093/humrep/dead214. PMID: 37877417; PMCID: PMC10754387.
- Evans S, Fernandez S, Olive L, Payne LA, Mikocka-Walus A. Psychological and mind-body interventions for endometriosis: A systematic review. J Psychosom Res. 2019 Sep;124:109756. doi: 10.1016/j.jpsychores.2019.109756. Epub 2019 Jun 27. PMID: 31443810.
- Nati ID, Malutan A, Ciortea R, Oancea M, Bucuri C, Roman M, Ormindean C, Milon AG, Mihu D. Exploring the Influence of IL-8, IL-10, Patient-Reported Pain, and Physical Activity on Endometriosis Severity. Diagnostics (Basel). 2024 Aug 21;14(16):1822. doi: 10.3390/diagnostics14161822. PMID: 39202309; PMCID: PMC11353965.
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Copyright (c) 2024 Szymon Niemirka, Aleksandra Janiak, Kinga Dominiczak, Łukasz Grądalski, Filip Dębicki, Adrianna Kopaczyńska, Katarzyna Szafrańska
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