孕前体重指数与成年女性生育能力的关系:系统回顾和荟萃分析。

IF 8 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Obesity Reviews Pub Date : 2024-07-25 DOI:10.1111/obr.13804
Jixing Zhou, Yi Zhang, Yuzhu Teng, Lianjie Dou, Huiru Chen, Fangbiao Tao, Kun Huang
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引用次数: 0

摘要

肥胖可能会降低生育能力,但缺乏系统性综述来总结现有文献。因此,我们根据现有的报道,系统地总结了孕前体重指数(BMI)与成年女性生育能力之间的关系。截至 2023 年 9 月,我们在不同的数据库中进行了文献检索,包括 Web of Science、PubMed、Wiley 和 ScienceDirect。最后,共纳入了 18 项研究。女性超重/肥胖(FOR = 0.85; 95% CI: 0.80, 0.90)、肥胖(FOR = 0.76; 95% CI: 0.69, 0.83)和超重(FOR = 0.93; 95% CI: 0.88, 0.99)与怀孕时间(TTP)显著延长(受孕率降低)有关。有趣的是,女性体重不足与受孕时间延长呈中度相关(FOR = 0.95;95% CI:0.91,0.99)。女性超重/肥胖与亚生育(OR = 1.44;95% CI:1.20,1.72)和不育(OR = 1.60,95% CI:1.31-1.94)风险增加有关。研究结果强调了在人群水平上考虑适当的孕前体重指数对女性生育结果的重要性。尤其是,女性孕前肥胖与 TTP 延长和亚育风险增加密切相关。科学管理孕前体重指数可提高生育能力。
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Association between preconception body mass index and fertility in adult female: A systematic review and meta-analysis

Obesity potentially reduces fertility, but systematic reviews are lacking to summarize the existing literature. Therefore, we systematically summarized the association between preconception body mass index (BMI) and fertility in adult female based on existing reports. Up to September 2023, we conducted literature retrievals in different databases, including Web of Science, PubMed, Wiley, and ScienceDirect. Finally, 18 studies were included. Female with overweight/obesity (FOR = 0.85; 95% CI: 0.80, 0.90), obesity (FOR = 0.76; 95% CI: 0.69, 0.83), and overweight (FOR = 0.93; 95% CI: 0.88, 0.99) was associated with the significant time-to-pregnancy (TTP) prolongation (reduced fecundability). Interestingly, underweight was moderately associated with prolonged TTP in females (FOR = 0.95; 95% CI: 0.91, 0.99). Female overweight/obesity was associated with an increased risk of subfecundity (OR = 1.44; 95% CI: 1.20, 1.72) and infertility (OR = 1.60, 95% CI: 1.31–1.94). The findings emphasize the importance of considering appropriate preconception BMI at the population level for female fertility outcomes. In particular, prepregnancy obesity in females is strongly associated with prolonged TTP and increased risk of subfecundity. Scientific management of preconception BMI may improve fertility.

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来源期刊
Obesity Reviews
Obesity Reviews 医学-内分泌学与代谢
CiteScore
19.30
自引率
1.10%
发文量
130
审稿时长
1 months
期刊介绍: Obesity Reviews is a monthly journal publishing reviews on all disciplines related to obesity and its comorbidities. This includes basic and behavioral sciences, clinical treatment and outcomes, epidemiology, prevention and public health. The journal should, therefore, appeal to all professionals with an interest in obesity and its comorbidities. Review types may include systematic narrative reviews, quantitative meta-analyses and narrative reviews but all must offer new insights, critical or novel perspectives that will enhance the state of knowledge in the field. The editorial policy is to publish high quality peer-reviewed manuscripts that provide needed new insight into all aspects of obesity and its related comorbidities while minimizing the period between submission and publication.
期刊最新文献
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