Obesity and ultrasound-estimated visceral fat deposits in women undergoing Assisted Reproductive Technology (ART) procedures. (2nd December 2017)

• Record Type: Journal Article
• Authors: Ciavattini, Andrea; Montik, Nina; Clemente, Nicolò; Santoni, Fabrizia; Moriconi, Lorenzo; Serri, Matteo; Barbadoro, Pamela; Sabbatinelli, Jacopo; Vignini, Arianna
• Is Part Of: Gynecological endocrinology. Volume 33:Number 12(2017)
• Page Start: 972
• Page End: 976
• Publication Date: 2017-12-02
• Subjects: Embryo quality -- obesity -- oocyte quality -- preperitoneal fat thickness -- visceral fat; Endocrine gynecology -- Periodicals; Generative organs, Female -- Diseases -- Periodicals; 618.1
• DOI: 10.1080/09513590.2017.1323858
• Languages: English
• ISSNs: 0951-3590

Abstract

Abstract: The aim of this study was to evaluate the influence of body mass index (BMI) and ultrasound-estimated visceral adipose tissue deposits on oocyte quality and pregnancy rate in women undergoing Assisted Reproductive Technology (ART) procedures. The study included 58 women who underwent ART procedures. According to their BMI, the women were divided into normal weight and overweight/obese; an ultrasound evaluation of preperitoneal fat thickness (PFT) was also performed for each patient. The oocyte quality was then assessed, and samples of follicular fluid were collected from each woman, in order to evaluate the intrafollicular concentration of reactive oxygen species (ROS) as markers of oxidative stress and pro-inflammatory cytokines (IL-1β and IL-6) as markers of chronic inflammation. A negative correlation was found between BMI (as well as PFT) and the number of retrieved oocytes ( r = −0.3; p <0.05 and r = −0.5; p < 0.001, respectively), good quality oocytes ( r = −0.4; p = <0.05) and obtained embryos ( r = −0.3; p < 0.05). In women undergoing ART procedures, BMI and PFT negatively influence the number of oocytes retrieved and their quality. However, on multivariable analysis, only age, PFT and number of retrieved oocytes affect the success rate of ART procedures.