体重对试管婴儿的影响:病理生理学,结果和临床考虑
Nicole M Sekula1, Murat Basar1,2, Lubna Pal1,2
1Department of Obstetrics, Gynecology and Reproductive Sciences.
Current opinion in obstetrics & gynecology
|April 2, 2025
概括
体重过重会对体外受精 (IVF) 的结果产生负面影响,特别是对三十多岁的女性来说,导致怀孕和活产率降低. 年龄显著影响这些不良影响,而炎症起着关键作用.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 肥胖医学 肥胖医学
- 在体外受精 (IVF)
背景情况:
- 过重的体重在生殖健康方面越来越令人担忧.
- 以前关于肥胖对试管婴儿结果的影响的研究已经产生了不一致的结果.
- 最近的研究表明,年龄可能是这种关联的一个关键因素.
研究的目的:
- 调查多余体重与试管婴儿治疗周期结果之间的关系.
- 澄清年龄对超重对试管婴儿成功率的影响的影响.
主要方法:
- 对最近分析试管婴儿结果的研究进行了综述,并按患者年龄分层.
- 检查潜在的生物学机制,将超重与生殖成功联系起来.
主要成果:
- 体重过重与IVF周期中的临床怀孕和活产率降低有关.
- 这些不良影响在生命的第三十年的女性中更为明显.
- 潜在的机制包括炎症,胰岛素耐药性和受损的DNA修复,影响卵细胞,精子和子宫受体.
结论:
- 体重过重对试管婴儿结果的不利影响取决于年龄.
- 炎症过程被认为是肥胖,脂肪和试管婴儿成功之间的关系的一个重要因素.
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