Waist‑Hip Ratio in PCOS: Cardiometabolic Risk and Improvement Strategies

WHR Thresholds

• Women: ≥0.80 indicates android (central) obesity
• Men: ≥0.90

Link to PCOS

Insulin resistance in PCOS promotes visceral fat accumulation → higher WHR. Elevated WHR correlates with greater cardiovascular and metabolic syndrome risk.

Lowering WHR

• Diet: Low‑glycemic, high‑fiber, adequate protein.
• Exercise: Combined aerobic + resistance training.
• Stress Management: Reduces cortisol‑driven visceral fat.
• Medical Therapy: Metformin, GLP‑1 agonists if indicated.