The effects of increased body mass index on preconception health
A scoping literature review
DOI:
https://doi.org/10.14528/snr.2023.57.3.3092Keywords:
increased body weight, family planning, fertility, health promotion, preconception periodAbstract
Introduction: The growing proportion of overweight and obese people worldwide is of great concern as it affects the overall health of people and consequently also their reproductive health. The aim of this literature review is to examine how increased body mass index affects fertility and preconception health in men and women.
Methods: A scoping literature review was conducted in February 2021 using PubMed and Medline databases, as well as the Google Scholar search engine. Inclusion criteria consisted of scientific literature, regardless of methodology, and articles published in Slovene and English.
Results: The literature search yielded 9 reviews and 5 original quantitative studies published in English in the last 15 years. The results suggest that there is compelling evidence that obese individuals are at increased risk of various health problems in the pre-conception period that may affect their fertility and ability to conceive.
Discussion and conclusion: The rising prevalence of high body mass index is changing the reproductive health of men and women. Growing obesity rates, particularly in the Western world, call for greater awareness of this metabolic syndrome and its impact on female and male reproduction. Health professionals working with couples in the pre-conception period should have sufficient knowledge to address the impact of high body mass index on reproductive health and promote a healthy lifestyle.
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Anifandis, G., Dafopoulos, K., Messini, C. I., Polyzos, N., & Messinis, I. E. (2013). The BMI of men and not sperm parameters impact on embryo quality and the IVF outcome. Andrology, 1(1), 85–89. https://doi.org/10.1111/j.2047-2927.2012.00012.x PMid:23258634
Barker, M., Dombrowski, S. U., Colbourn, T., Fall, C., Kriznik, N. M., Lawrence, W. T., Norris, S. A. … Stephenson, J. (2018). Intervention strategies to improve nutrition and health behaviours before conception. Lancet, 391(10132), 1853–1864. https://doi.org/10.1016/S0140-6736(18)30313-1 PMid:29673875
Bizjak, M., Peršolja, M., & Zadnik Stirn, L. (2016). Mnenje strokovnjakov o uporabi celostnega prehranskega protokola v praksi pri preprečevanju debelosti. Obzornik Zdravstvene Nege, 50(3), 224–231. https://doi.org/10.14528/snr.2016.50.3.97
Centers for Disease Control and Prevention [CDC]. (2022). Adult obesity facts. Retrieved September 13, 2022 from https://www.cdc.gov/obesity/data/adult.html Critical Appraisal Skills Programme [CASP]. (2020). CASP checklist. Retrieved October 20, 2022 from https://casp-uk.net/casp-tools-checklists/
Çekici, H. (2018). Current nutritional factors affecting fertility and infertility. Annals of Clinical and Laboratory Research, 6(1), 225. https://doi.org/10.21767/2386-5180.1000225
Chambers, T. J. G., & Anderson, R. A. (2015). The impact of obesity on male fertility. Hormones, 14(4) 563–568. https://doi.org/10.14310/horm.2002.1621 PMid:26732149
Creanga, A. A., Catalano, P. M., & Bateman, B. T. (2022). Obesity in Pregnancy. The New England Journal of Medicine, 387(3), 248–259. https://doi.org/10.1056/NEJMra1801040 PMid:35857661
Dachew, B.A., Ayano, G., Betts, K., & Alati, R. (2021). The impact of pre-pregnancy BMI on maternal depressive and anxiety symptoms during pregnancy and the postpartum period: A systematic review and meta-analysis. Journal of Affective Disorders, 281, 321–330. https://doi.org/10.1016/j.jad.2020.12.010 PMid:33341015
Du Plessis, S. S., Cabler, S., McAlister, D. A., Sabanegh, E., & Agarwal, A. (2010). The effect of obesity on sperm disorders and male infertility. Nature reviews. Urology, 7(3), 153–161. https://doi.org/10.1038/nrurol.2010.6 PMid:20157305
Fleming, T. P., Watkins, A. J., Velazquez, M. A., Mathers, J. C., Prentice, A. M., Stephenson, J. … Godfrey, K. M. (2018). Origins of lifetime health around the time of conception: Causes and consequences. Lancet, 391(10132), 1842–1852. https://doi.org/10.1016/S0140-6736(18)30312-X PMid:29673874
Hajshafiha, M., Ghareaghaji, R., Salemi, S., Sadegh-Asadi, N., & Sadeghi-Bazargani, H. (2013). Association of body mass index with some fertility markers among male partners of infertile couples. International Journal of General Medicine, 6, 447–451. https://doi.org/10.2147/IJGM.S41341 PMid:23785240; PMCid:PMC3682849
Imterat, M., Agarwal, A., Esteves, S. C., Meyer, J., & Harlev, A. (2019). Impact of body mass index on female fertility and ART outcomes. Panminerva Medica, 61(1), 58–67. https://doi.org/10.23736/S0031-0808.18.03490-0 PMid:29962181
Kort, H. I., Massey, J. B., Elsner, C. W., Mitchell-Leef, D., Shapiro, D. B., Witt, M. A., & Roudebush, W. E. (2006). Impact of body mass index values on sperm quantity and quality. Journal of Andrology, 27(3), 450–452. https://doi.org/10.2164/jandrol.05124 PMid:16339454
Lash, M. M., & Armstrong, A. (2009). Impact of obesity on women's health. Fertility and Sterility, 91(5), 1712–1716. https://doi.org/10.1016/j.fertnstert.2008.02.141 PMid:18410940
Lindqvist, M., Lindkvist, M., Eurenius, E., Persson, M., & Mogren, I. (2017). Change of lifestyle habits: Motivation and ability reported by pregnant women in northern Sweden. Sexual & Reproductive Healthcare, 13, 83–90. https://doi.org/10.1016/j.srhc.2017.07.001 PMid:28844363
Moussa, H. N., Alrais, M. A., Leon, M. G., Abbas, E. L., & Sibai, B. M. (2016). Obesity epidemic: Impact from preconception to postpartum. Future science OA, 2(3), Article FSO137. https://doi.org/10.4155/fsoa-2016-0035 PMid:28031980; PMCid:PMC5137925
Munn, Z., Peters, M., Stern, C., Tufanaru, C., McArthur, A., & Aromataris, E. (2018). Systematic review or scoping review: Guidance for authors when choosing between a systematic or scoping review approach. BMC Medical Research Methodology, 18(1), 143. https://doi.org/10.1186/s12874-018-0611-x PMid:30453902; PMCid:PMC6245623
National Institute for Health and Care Excellence Excellence [NICE]. (2023). Weight management before, during and after pregnancy: Public Health Guideline. Retrieved February 27, 2023 from https://www.nice.org.uk/guidance/ph27/resources/weight-management-before-during-and-after-pregnancypdf-1996242046405.
Palmer, N. O., Bakos, H. W., Fullston, T., & Lane, M. (2012). Impact of obesity on male fertility, sperm function and molecular composition. Spermatogenesis, 2(4), 253–263. https://doi.org/10.4161/spmg.21362 PMid:23248766; PMCid:PMC3521747
Pandey, S., Pandey, S., Maheshwari, A., & Bhattacharya, S. (2010). The impact of female obesity on the outcome of fertility treatment. Journal of Human Reproductive Sciences, 3(2), 62–67. https://doi.org/10.4103/0974-1208.69332 PMid:21209748; PMCid:PMC2970793
Sallmén, M., Sandler, D. P., Hoppin, J. A., Blair, A., & Baird, D. D. (2006). Reduced fertility among overweight and obese men. Epidemiology, 17(5), 520–523. https://doi.org/10.1097/01.ede.0000229953.76862.e5 PMid:16837825
Souter, I., Baltagi, L. M., Kuleta, D., Meeker, J. D., & Petrozza, J. C. (2011). Women, weight, and fertility: The effect of body mass index on the outcome of superovulation/intrauterine insemination cycles. Fertility and Sterility, 95(3), 1042–1047. https://doi.org/10.1016/j.fertnstert.2010.11.062 PMid:21195401
Stephenson, J., Heslehurst, N., Hall, J., Schoenaker, D., Hutchinson, J., Cade, J. E. … Mishra, G. D. (2018). Before the beginning: Nutrition and lifestyle in the preconception period and its importance for future health. Lancet, 391(10132), 1830–1841. https://doi.org/10.1016/S0140-6736(18)30311-8 PMid:29673873
Tsigga, M., Filis, V., Hatzopoulou, K., Kotzamanidis, C., & Grammatikopoulou, M. G. (2011). Healthy Eating Index during pregnancy according to pre-gravid and gravid weight status. Public Health Nutrition, 14(2), 290–296. https://doi.org/10.1017/S1368980010001989 PMid:20642871
World Health Organization [WHO]. (2019). Body mass index– BMI. Retrieved October 29, 2022 from http://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthylifestyle/body-mass-index-bmi
World Health Organization [WHO]. (2021). Obesity and overweight. Retrieved October 29, 2022 from https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
Zain, M. M., & Norman, R. J. (2008). Impact of obesity on female fertility and fertility treatment. Women's Health, 4(2), 183–194. https://doi.org/10.2217/17455057.4.2.183 PMid:19072520
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