肥胖对女性不孕影响的激素和生化研究

Farah Kh. Al-Ttaie, Zea A.M. Aljawadi
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引用次数: 0

摘要

研究肥胖对女性不孕不育的影响。采用黄体酮、雌激素、促黄体激素、促卵泡激素、催乳素、胆固醇、甘油三酯、促甲状腺激素、极低密度脂蛋白、高密度脂蛋白和低密度脂蛋白质等11项生化指标对107例不孕妇女和54例对照组进行了检测。结果显示,与健康女性相比,不孕女性的雌激素、LH、泌乳素、TSH、胆固醇、TG、极低密度脂蛋白和LDL浓度显著升高,其显著水平为P=0.025(72.1±30.9 pg/mL)、P=0.016(6.19±3.0 mlU/mL)、P=0.02(32.7±21.5 pg/mL)、P=0.0013(2.09±1.04µlU/mL)和P=0.001(186.3±34.1mg/dL),P=0.001(162.5±83.7 mg/dL),P=0.008(32.5±16.6 mg/dL。肥胖与LH、胆固醇、TG、VLDL和LDL呈正相关,而与HDL呈正相关。此外,还发现激素和生化参数与WHR和BMI之间存在关联。WHR与HDL呈显著负相关。最后,研究表明,肥胖是通过BMI和WHR增加所有年龄段女性不孕风险的一个新指标。
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HORMONAL AND BIOCHEMICAL STUDY OF THE EFFECT OF OBESITY ON WOMEN INFERTILITY
Examining the impact of obesity on infertility among women. Via eleven biochemical parameters, such as progesterone, estrogen, Luteinizing Hormone, Follicle-Stimulating-Hormone, Prolactin, Cholesterol, Triglyceride, Thyroid-Stimulating-Hormone, Very-Low-Density-Lipoprotein, High-Density-Lipoprotein, and Low- DensityLipoprotein, were tested in 107 women with infertility and 54 control group. The Results showed There was a significant elevation in the concentration of estrogen, LH, prolactin, TSH, cholesterol, TG, VLDL and LDL in infertile women, compared to the healthy women at a significant level of P = 0.025 (72.1 ± 30.9 pg/mL), P = 0.016 (6.19 ± 3.0 mlU/mL), P = 0.02 (32.7 ± 21.5 pg/mL), P = 0.0013 (2.09 ± 1.04 µlU/mL), P = 0.001(186.3 ± 34.1mg/dL), P = 0.001 (162.5 ± 83.7 mg/dL), P = 0 008 (32.5 ± 16.6 mg/dL) and P = 0.007 (113.3 ± 34.4 mg/ dL), respectively. Obesity had a strong positive relationship with LH, cholesterol, TG, VLDL, and LDL, whereas an unwanted correlation with HDL was noted. Also, an association has been found between hormonal and biochemical parameters, and WHR and BMI. WHR demonstrated a significant negative correlation to HDL. Finally, the study showed that obesity is a new indicator of increasing the infertility risk for women of all ages through BMI and WHR.
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