Lifestyle modification targeting weight management is the first-line treatment for women with Polycystic Ovary Syndrome (PCOS) regardless of presenting symptoms. Women with PCOS are more likely to gain more weight compared with women without PCOS, which may be related to barriers in engaging in lifestyle modification. The aim of this study is to explore the experience of women with PCOS in weight management and to determine the facilitators and barriers to lifestyle modifications in women with PCOS. Ten women with PCOS participated in focus groups and semi-structured telephone interviews on lifestyle and weight management in PCOS. Discussions were audio-recorded and transcribed verbatim. Thematic analysis of the transcripts was conducted. Thematic analysis of the transcripts were conducted using the method of constant comparison. Women in the current study attempted a wide range of weight loss interventions, but had difficulties losing weight and preventing weight regain. Women felt that having PCOS affected their ability to lose weight and to keep it off. Facilitators to lifestyle modification for weight management were reported as structured approaches such as having balanced meals and support by health professionals, peers, friends or family. Barriers to lifestyle changes in women with PCOS included logistical barriers such as time and cost, motivational barriers including tiredness or feeling unrewarded, environmental barriers such as not having access to safe places to exercise, emotional barriers such as having depressive and defeating thoughts, and relational barriers such as having unsupportive partner or prioritising children’s meal preferences. Women with PCOS face a number of personal, environmental and social facilitators and barriers to lifestyle modification for weight loss. While many of these are also experienced by women without PCOS, women with PCOS face additional barriers in having low sense of self-confidence and high prevalence of negative thoughts which may impair their ability to maintain efforts in lifestyle modification over the long term. Future research should further explore the impact of the emotional and mental burden of PCOS on the management of weight and other aspects of PCOS. Future lifestyle intervention should also address the psychosocial aspect of PCOS.

中文翻译：

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定性研究：生活在澳大利亚的患有PCOS的超重和肥胖妇女体重控制的障碍和促进者

针对体重减轻的生活方式改变是多囊卵巢综合症（PCOS）妇女的一线治疗，无论其症状如何。与没有PCOS的女性相比，患有PCOS的女性体重增加的可能性更大，这可能与从事改变生活方式的障碍有关。这项研究的目的是探索PCOS妇女在体重管理方面的经验，并确定PCOS妇女改变生活方式的促进因素和障碍。十名患有PCOS的妇女参加了关于PCOS生活方式和体重管理的焦点小组和半结构化电话采访。讨论被录音和逐字记录。对成绩单进行主题分析。成绩单的主题分析是使用恒定比较的方法进行的。在本研究中，妇女尝试了多种减肥干预措施，但减肥困难且难以恢复体重。妇女认为患有PCOS会影响其减肥和保持减肥的能力。据报道，为减轻体重而进行的生活方式改变的促进者是结构化的方法，例如均衡饮食和得到卫生专业人员，同龄人，朋友或家人的支持。患有PCOS的女性改变生活方式的障碍包括后勤障碍，例如时间和成本，动机障碍，包括疲倦或无助感，环境障碍，例如无法进入安全的运动场所，情绪障碍，例如沮丧和挫败思想，以及与人际关系障碍，例如缺乏伴侣的支持或优先考虑孩子的用餐偏爱。患有PCOS的女性面对着许多个人，环境和社会促进者，并且在减肥方面无法改变生活方式。尽管没有PCOS的女性也经历了许多此类疾病，但患有PCOS的女性在缺乏自信和消极思想的普遍性方面面临着更多的障碍，这可能会削弱她们长期维持改变生活方式的能力。未来的研究应进一步探索PCOS的情绪和精神负担对体重管理和PCOS其他方面的影响。未来的生活方式干预也应解决PCOS的社会心理问题。患有PCOS的女性在缺乏自信和消极思想的普遍性方面面临其他障碍，这可能会削弱她们长期维持改变生活方式的能力。未来的研究应进一步探索PCOS的情绪和精神负担对体重管理和PCOS其他方面的影响。未来的生活方式干预也应解决PCOS的社会心理问题。患有PCOS的女性在缺乏自信和消极思想的普遍性方面面临其他障碍，这可能会削弱她们长期维持改变生活方式的能力。未来的研究应进一步探索PCOS的情绪和精神负担对体重管理和PCOS其他方面的影响。未来的生活方式干预也应解决PCOS的社会心理问题。