Energy balance
Multicomponent lifestyle interventions (diet, exercise, behavioral strategies) are recommended for all women with PCOS and excess weight to achieve 5-10% weight loss, which significantly improves hormonal outcomes, insulin resistance, and quality of life.
If you have PCOS and carry extra weight, start with a plan that combines better eating, regular movement, and behavioral strategies like tracking your progress. Aim to lose just 5-10% of your body weight over six months; this small change significantly improves your hormones, insulin resistance, and how you feel. Work with a provider who respects your individual preferences and avoids weight stigma.
Lifestyle intervention (preferably multicomponent including diet, exercise and behavioral strategies) should be recommended in all those with PCOS and excess weight, for reductions in weight, central obesity and insulin resistance
Why this rating
Rated as Clinical Consensus Recommendation (CCR) with GRADE symbol ⊕⊕○○ (Low quality evidence), indicating limited confidence in the effect estimate.
Source
Recommendations from the international evidence‐based guideline for the assessment and management of polycystic ovary syndrome
Helena Teede et al. · Clinical Endocrinology · 2018
DOI 10.1111/cen.13795
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- Routine screening for Obstructive Sleep Apnea (OSA) in PCOS is not recommended for the purpose of improving cardiometabolic risk, as there is inadequate evidence for metabolic benefits of OSA treatment in PCOS.Moderate
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