Viewing lifestyle modifications through a whole person or holistic care lens. The key features of whole person or holistic care listed in the centre of the figure have been adapted from Thomas et al. []. ‘Recognises individual personhood’ relates to focusing on the unique needs of the person rather than the disease. ‘Importance of therapeutic relationship’ emphasises patient autonomy and responsibility.
A recent Cochrane review of 15 randomised controlled trials and 498 participants, reported that lifestyle interventions compared with minimal intervention or usual care, significantly reduces weight and body mass index and improves secondary reproductive outcomes such as free androgen index , testosterone , sex hormone-binding globulin and hirsutism [