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Turning the Threat of SARS-CoV-2 Crisis into an Opportunity for a Better Lifestyle in Adolescents with Polycystic Ovary Syndrome

Published:September 21, 2020DOI:https://doi.org/10.1016/j.pedn.2020.09.001
      Letter to Editor
      At present severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a global public health disaster (
      • Alabdulmonem W.
      • Shariq A.
      • Rasheed Z.
      COVID-19: A global public health disaster.
      ). The pandemic condition of this infection, self-isolation or quarantine regarding the fear of loss life and economic and social impact following them may have enforced dramatic changes to daily living activities including physical activity, sleep and dietary habits of adolescents. Considering these conditions, it seems that the clinical presentation of chronic disorders like polycystic ovary syndrome (PCOS) and non-adherence to treatment recommendations can be quite severe.
      Polycystic ovary syndrome (PCOS) is a lifestyle disease (
      • Pathak G.
      • Nichter M.
      Polycystic ovary syndrome in globalizing India: An ecosocial perspective on an emerging lifestyle disease.
      ), which life style is a detriment factor in developing of PCOS and its management. Increasing youth physical inactivity, sedentary behavior and unhealthy habits during outbreak of SARS-CoV-2 lead to short term and long term impacts on different aspects of their health (
      • Margaritis I.
      • Houdart S.
      • El Ouadrhiri Y.
      • et al.
      How to deal with COVID-19 epidemic-related lockdown physical inactivity and sedentary increase in youth? Adaptation of Anses’ benchmarks.
      ). In addition, SARS-CoV-2 may have a trigger for occurrence of mental health disorders and emotional disturbance (
      • Liang L.
      • Ren H.
      • Cao R.
      • et al.
      The effect of COVID-19 on youth mental health.
      ;
      • Trnka R.
      • Lorencova R.
      Fear, anger, and media-induced trauma during the outbreak of COVID-19 in the Czech Republic.
      ). On the other hand, quarantine related to the SARS-CoV-2 pandemic associated with the lack of peer contact, limitation in leisure time activities in adolescents (
      • Fegert J.M.
      • Vitiello B.
      • Plener P.L.
      • et al.
      Challenges and burden of the coronavirus 2019 (COVID-19) pandemic for child and adolescent mental health: A narrative review to highlight clinical and research needs in the acute phase and the long return to normality child and adolescent psychiatry and mental health.
      ). So it seems that change in lifestyle affects the clinical presentation of PCOS and leads to an increase the poor hormonal and metabolic profile in adolescents with PCOS, so they may experience the severe symptoms of menstrual irregularity, weight gain, and dermatologic changes like acne, hair loss and hirsutism.
      Generally, it seems that the lifestyle changes regarding the SARS-CoV-2 pandemic may elevate the risk of PCOS in adolescents and worsens the clinical presentation in adolescents with a previous diagnosis of PCOS. The adolescent's parents and health care providers should strive to support the adolescents with PCOS. So the parents and clinicians have a key role in turning the threat of SARS-CoV-2 crisis into an opportunity for a better lifestyle in adolescents with PCOS.
      Take steps to improve the lifestyle of adolescents have an important role in their health (
      • Hammami A.
      • Harrabi B.
      • Mohr M.
      • et al.
      Physical activity and coronavirus disease 2019 (COVID-19): specific recommendations for home-based physical training.
      ;
      • Margaritis I.
      • Houdart S.
      • El Ouadrhiri Y.
      • et al.
      How to deal with COVID-19 epidemic-related lockdown physical inactivity and sedentary increase in youth? Adaptation of Anses’ benchmarks.
      ;
      • Ricci F.
      • Izzicupo P.
      • Moscucci F.
      • et al.
      Recommendations for physical inactivity and sedentary behavior during the coronavirus disease (COVID-19) pandemic.
      ). Therefore, it is recommended that:
      Avoid the installation of unhealthy habits.
      Motivating adolescent to have regular time for sleep, waking up, and main meals.
      Motivating adolescent to home-based physical activity, bodyweight training, and active gaming.
      Motivating adolescent to healthy eating behavior and regular consumption of fruit and vegetables.
      Parents provide reminders of required tasks for them.
      Health care providers help to manage the symptoms and reduce stress and anxiety related to the clinical presentation of PCOS by Webinar social networks.

      Author contributions

      All authors contributed equally to the drafting of the manuscript.

      Declaration of Competing Interest

      The authors declare that they have no conflict of interest.

      References

        • Alabdulmonem W.
        • Shariq A.
        • Rasheed Z.
        COVID-19: A global public health disaster.
        International Journal of Health Sciences. 2020; 14 (Qassim): 7-8
        • Fegert J.M.
        • Vitiello B.
        • Plener P.L.
        • et al.
        Challenges and burden of the coronavirus 2019 (COVID-19) pandemic for child and adolescent mental health: A narrative review to highlight clinical and research needs in the acute phase and the long return to normality child and adolescent psychiatry and mental health.
        Child and Adolescent Psychiatry and Mental Health. 2020; 14: 20https://doi.org/10.1186/s13034-020-00329-3
        • Hammami A.
        • Harrabi B.
        • Mohr M.
        • et al.
        Physical activity and coronavirus disease 2019 (COVID-19): specific recommendations for home-based physical training.
        Managing Sport and Leisure. 2020; : 1-6
        • Liang L.
        • Ren H.
        • Cao R.
        • et al.
        The effect of COVID-19 on youth mental health.
        Psychiatric Quarterly. 2020; : 1-12
        • Margaritis I.
        • Houdart S.
        • El Ouadrhiri Y.
        • et al.
        How to deal with COVID-19 epidemic-related lockdown physical inactivity and sedentary increase in youth? Adaptation of Anses’ benchmarks.
        Archives of Public Health. 2020; 78: 1-6
        • Pathak G.
        • Nichter M.
        Polycystic ovary syndrome in globalizing India: An ecosocial perspective on an emerging lifestyle disease.
        Social Science & Medicine. 2015; 146 (1982): 21-28https://doi.org/10.1016/j.socscimed.2015.10.007
        • Ricci F.
        • Izzicupo P.
        • Moscucci F.
        • et al.
        Recommendations for physical inactivity and sedentary behavior during the coronavirus disease (COVID-19) pandemic.
        Frontiers in Public Health. 2020; 8https://doi.org/10.3389/fpubh.2020.00199
        • Trnka R.
        • Lorencova R.
        Fear, anger, and media-induced trauma during the outbreak of COVID-19 in the Czech Republic.
        Psychological Trauma Theory Research Practice and Policy. 2020; 12: 546