Introduction: Polycystic ovary syndrome (PCOS) is one of the most common endocrine disorders in women, the main factors of which are insulin resistance and obesity. This study aimed to determine the effect of resistance training on glycemic indices and lipid profile in women with PCOS. Materials and Methods: A systematic search of English and Farsi articles published in PubMed, Web of Science, Civilica, Scopus, Sid, and Magiran databases was conducted until April 2024. The present meta-analysis was conducted to investigate the effect of resistance training on glycemic indices and lipid profile in PCOS. A random effect model calculated the mean difference and 95% confidence interval (CI). Heterogeneity was evaluated using the I2 test, and publication bias was evaluated by visual analysis of the funnel plot and Egger's test. Results: The results of 8 studies with 159 subjects showed that resistance training caused a significant change in glucose [WMD=-1.398 mg/dl (1.720 to -4.516), P=0.379], Insulin [WMD=-1.245 mg/dl (2.570 to -0.079), P=0.065], HOMA-IR [WMD=-0.134 mg/dl (0.296 to 0.565), P=0.542], LDL [WMD=-0.476 mg/dl (0.426 to -1.377), P=0.301], HDL [WMD=-0.235 mg/dl (0.215 to -0.685), P=0.306] and TG [WMD=-0.588 mg/dl (0.457 to -1.632), P=0.270] Compared to the control group, women were not diagnosed with PCOS. Conclusion: Lifestyle modification and training is a preferred treatment strategy in women with PCOS. However, collecting the results of limited resistance training studies did not positively affect the desired biochemical indicators.
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