Physical Activity, Obesity and Eating Habits Can Influence Assisted Reproduction Outcomes

Ferreira, Renata Cristina; Halpern, Gabriela; Figueira, Rita de Cássia Sávio; Braga, Daniela Paes de Almeida Ferreira; Iaconelli, Assumpto; Borges, Edson

doi:10.2217/whe.10.40

Cited by 27 publications

(22 citation statements)

References 44 publications

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“…Department of Health and Human Services [USDHHS], 2008). Exercise promotes the viability of a pregnancy, improves fertility rates and perinatal outcomes, and reduces miscarriage rates in obese women with a history of reproductive complications (Clark et al, 1998; Ferreira et al, 2010). Active pregnant women also report lower depressive/anxiety symptoms than sedentary pregnant women (Da Costa et al, 2003).…”

Section: Introductionmentioning

confidence: 99%

Influences of prior miscarriage and weight status on perinatal psychological well-being, exercise motivation and behavior

2016

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Objectives women who have experienced miscarriage may be at increased risk for elevated depressive and anxiety symptoms in subsequent pregnancies. Exercise may be a useful strategy for coping with these symptoms. Little is known about how miscarriage influences prenatal exercise behavior. The study purpose was to examine the influences of miscarriage history and prepregnancy weight status on pregnant women’s psychological health, exercise motivation, and behavior using the Theory of Planned Behavior. Participants/Setting Pregnant women (N=203; 41 with prior miscarriage; 72 overweight/obese; BMI > 25.0) in the northeast United States. Design Women prospectively reported their depressive/anxiety symptoms and exercise motivation/behavior in the 1st, 2nd, and 3rd trimesters via mailed surveys. Group differences in depressive/anxiety symptoms, exercise behavior, and its motivational determinants were examined using Chi Square analyses and Univariate and Multivariate Analyses of Covariance. Measurements and findings Women with a history of miscarriage had higher 1st and 2nd trimester depressive/anxiety symptoms and lower 1st trimester attitudes about exercise and 1st and 2nd trimester perceived behavior control than women without a history of miscarriage. Overweight/obese women had higher 1st and 2nd trimester pregnancy depressive/anxiety symptoms, engaged in less prepregnancy exercise, and had lower levels of exercise intention, attitude, and perceived behavior control throughout pregnancy than normal weight women. Key Conclusions Women with a history of miscarriage and overweight/obese women have poorer psychological health and lower motivation to exercise during pregnancy than women without a history of miscarriage and normal weight women. Implications for practitioners Interventions and healthcare provider communications aimed at promoting perinatal exercise behavior and psychological health should take into account pre-pregnancy weight status and pregnancy history to identify strategies to help women, particularly overweight/obese women with a history of miscarriage, to overcome exercise barriers.

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Section: Introductionmentioning

confidence: 99%

Influences of prior miscarriage and weight status on perinatal psychological well-being, exercise motivation and behavior

2016

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“…Dietas de baixo índice glicêmico melhoram a sensibilidade à insulina de diabéticos e diminuem os níveis de HbA1c, enquanto que a excessiva ingestão de carboidrato pode levar a um aumento na IGF-I nos níveis de androgênios e de SHBG, resultando numa condição semelhante a encontrada na SOP (Chavarro et al, 2009), fato que poderia estar relacionado com a maior dificuldade para ovulação das mulheres e sucesso da reprodução assistida. Outro estudo que relacionou alimentação com resultados de FIV/ICSI sugere que a taxa de fertilização foi maior nas pacientes que consumiam mais vegetais e pães integrais, enquanto que a ingestão de refrigerante, chocolate e o tabagismo foram maiores nos ciclos que não resultaram em gestação (Ferreira et al, 2010). Chavarro et al (2009) identificaram o consumo de 2 ou mais refrigerantes por dia (com açúcar ou diet) como fator de risco para infertilidade de causa ovulatória, independente de seu conteúdo de cafeína.…”

Section: Resultsunclassified

“…O estado nutricional reflete a saúde reprodutiva desde os primeiros estágios: o baixo peso causa desequilíbrio hormonal, afeta negativamente a ovulação e menstruação e desafia o início da gestação. Por outro lado, o excesso de gordura corporal afeta a ovulação devido à sensibilidade à insulina, excesso de androgênios e leptina (Cetin et al, 2010) Ferreira et al (2010 identificaram que a obesidade prejudica a qualidade oocitária e os resultados dos ciclos de ICSI. Dados de 436 pacientes sugerem que as mulheres obesas bebem mais refrigerantes e praticam menos exercício físico do que as mulheres eutróficas.…”

Section: Análise Estatísticaunclassified

Nutritional counseling impact on assisted reproduction treatment outcomes

Halpern¹,

Sardinha²,

Setti³

et al. 2013

JBRA Assisted Reproduction

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“…Other studies support the findings of an association between infertility and history of depressive disorder as well as associations between smoking and infertility and difficulty staying pregnant. 14–20 Additional female risk factors for infertility and difficulty staying pregnant reported in other studies that were not explored or not found to be associated with infertility with the BRFSS data include abnormal menstrual cycle patterns and menstrual cycle length, 21,22 obesity, 18,23–29 intense physical activity, 28,29 lower folate intake, 30 alcohol consumption, 17–19,28,31 diabetes, 23 cancer, 32–34 karyotypic disorders, 17 immunological rejection, 23 thrombophilias, 17,23 endocrinological issues, 17,35,36 infections, 18,23 environmental pollutants, 18 and delivery history. 19 …”

Section: Discussionmentioning

confidence: 97%

Risks Factors and Treatment Use Related to Infertility and Impaired Fecundity Among Reproductive-Aged Women

Crawford

Smith

Kuwabara

et al. 2017

Journal of Women's Health

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Introduction Population-level data on infertility and impaired fecundity are sparse. We explored the use of self-reported information provided by reproductive-aged women participating in the Centers for Disease Control and Prevention’s Behavioral Risk Factor Surveillance System (BRFSS). Materials and Methods Three out of 12 questions on reproductive history, family planning, and infertility that seven states included in the 2013 BRFSS were used for this study. In addition to descriptive statistics, we used multinomial logistic regression to identify factors associated with ever experiencing infertility only, difficulty staying pregnant only, and neither infertility nor difficulty staying pregnant. We also explored the association between healthcare coverage and type of treatment received among women ever experiencing infertility only or difficulty staying pregnant only. Results Compared with women reporting having never experienced either infertility or difficulty staying pregnant, women who reported ever experiencing difficulty staying pregnant only were significantly more likely to report a history of depressive disorders and smoking (adjusted odds ratio [aOR] = 1.69, 95% confidence interval [CI] = 1.07–2.68 and aOR = 1.98, 95% CI = 1.22–3.20, respectively). Women who ever experienced infertility only were also more likely to report a history of depressive disorders (aOR = 2.02, 95% CI = 1.14–3.59), but less likely to report healthcare coverage (aOR = 0.26, 95% CI = 0.14–0.46). Only 18.9% (95% CI = 11.4–29.9) of women who ever experienced difficulty staying pregnant only reported seeking infertility treatment compared with 49.6% (95% CI = 34.9–64.4) of women who ever experienced infertility only. Conclusions Ongoing public health surveillance systems of state-specific self-reported data, such as BRFSS, provide the opportunity to explore preventable risk factors and treatment use related to infertility and impaired fecundity.

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Physical Activity, Obesity and Eating Habits Can Influence Assisted Reproduction Outcomes

Abstract: Eating habits, physical activity and obesity could affect clinical outcomes of assisted reproduction.

Cited by 27 publications

References 44 publications

Influences of prior miscarriage and weight status on perinatal psychological well-being, exercise motivation and behavior

Influences of prior miscarriage and weight status on perinatal psychological well-being, exercise motivation and behavior

Nutritional counseling impact on assisted reproduction treatment outcomes

Risks Factors and Treatment Use Related to Infertility and Impaired Fecundity Among Reproductive-Aged Women

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