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Association between parental anthropometric measures and the outcomes of intracytoplasmic sperm injection cycles

  • Amanda Setti
  • Gabriela Halpern
  • Daniela Braga
  • Rita Figueira
  • Assumpto IaconelliJr
  • Edson BorgesJr
Assisted Reproduction Technologies
  • 8 Downloads

Abstract

Purpose

To study the association between body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR), and response to controlled ovarian stimulation, semen quality, and intracytoplasmic sperm injection (ICSI) outcomes.

Methods

This prospective observational study included data from 402 couples undergoing ICSI between January/2010–September/2016. Participants had their weight, height, waist, and hip measured before ICSI treatment.

Results

Gonadotropin dose was positively associated with maternal WHR. Maternal WC and WHR negatively influenced the estradiol level, number of follicles, oocytes, and mature oocytes. Maternal BMI negatively influenced oocyte yield. Semen volume was negatively influenced by male BMI. Sperm concentration was negatively associated with WHR and WHtR. Progressive sperm motility was negatively influenced by all anthropometric measures (AMs). The TMSC was negatively affected by all AM but WC. Significant differences were observed in all ICSI outcomes except pregnancy and miscarriage rates, favoring women with AM below the cut off values compared to women above the cut off. It was observed that men with AM below the cut off values showed significantly higher rates of fertilization, embryo and blastocyst development, implantation, and pregnancy than men above the cut off. When combined maternal and paternal AM were analyzed, significant differences were observed in fertilization, embryo and blastocyst development and implantation rates, favoring couples with normal BMI, WC, and WHR.

Conclusions

Lower AMs have a protective effect on fertility. Awareness and counseling on how to minimize its impact in both partners could improve ICSI outcomes.

Keywords

Anthropometric measures Infertility Intracytoplasmic sperm injection Lifestyle 

Notes

Compliance with ethical standards

A written informed consent was obtained in which patients agreed to share the outcomes of their own cycles for research purposes, and the study was approved by the local Institutional Review Board (410/2010).

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© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Fertility Medical GroupSao PauloBrazil
  2. 2.Sapientiae InstituteSao PauloBrazil

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