Exercise in the treatment of PCOS

The prevalence of insulin resistance, overweight and obesity are increasing at alarming rates world wide but are problems which are extremely prevalent in women with PCOS. A decline in energy expenditure through reduced daily activity and physical exercise (accompanied by an increase in energy intake) is a major contributor to increases in obesity and insulin resistance. Lifestyle interventions that alter energy balance are therefore essential in the treatment and prevention of these epidemics. The combination of exercise, diet and other lifestyle interventions should be promoted however, this chapter aims to highlight the important role that exercise can play in the prevention and treatment of PCOS not only through the management of body weight but also through its effects on the metabolic and hormonal environment associated with PCOS.