The development of PCOS is associated with genetic and various lifestyle
factors predisposing to obesity and/or insulin resistance. Lifestyle interventions are
considered the first line of management for PCOS and its associated complications. A
weight loss of 5-10% can significantly decrease central obesity, hyperinsulinemia, and
metabolic complications in overweight/obese patients with improvement in
reproductive health and hyperandrogenemia. Lifestyle interventions include a healthy,
balanced diet, increased physical activity, and behavioral strategies. There has also
been an increased interest in traditional, complementary, and integrated medicine
(yoga, mindfulness meditation, etc.) for the management of PCOS. This chapter covers
the role and recommendations for lifestyle interventions in the management of PCOS
based on recent evidence-based guidelines, including the barriers to effective
implementation and sustainability.
Keywords: Behavioral strategies, Lifestyle management, Mindfulness meditation.
