Volume 20 Issue 3
Mar.  2022
Turn off MathJax
Article Contents
JIAO Xiao-ke, CAO Hong-xia, WANG Dan-dan, XING Jin-fang. Analysis of prepregnancy body quality control and its influencing factors in overweight/obese infertility patients[J]. Chinese Journal of General Practice, 2022, 20(3): 435-437. doi: 10.16766/j.cnki.issn.1674-4152.002371
Citation: JIAO Xiao-ke, CAO Hong-xia, WANG Dan-dan, XING Jin-fang. Analysis of prepregnancy body quality control and its influencing factors in overweight/obese infertility patients[J]. Chinese Journal of General Practice, 2022, 20(3): 435-437. doi: 10.16766/j.cnki.issn.1674-4152.002371

Analysis of prepregnancy body quality control and its influencing factors in overweight/obese infertility patients

doi: 10.16766/j.cnki.issn.1674-4152.002371
Funds:

 LHGJ20190398

  • Received Date: 2021-08-16
    Available Online: 2022-08-13
  •   Objective  To investigate the prepregnancy body quality control status of overweight/obese infertility patients and analysed the influencing factors.  Methods  A total of 116 cases of overweight/obese infertility patients who were treated in the Outpatient Department of the Reproductive Medicine Center of our hospital from June 2019 to June 2020 were selected as the research objects. General clinical data and relevant data before and after body weight control were collected, and relevant factors influencing the effect of body weight control were analysed.  Results  The time of body mass control was 8-24 weeks. The weight loss was 0-25 (7.43±0.62) kg on average, and the weight loss accounted for 0-26.83% of the original body weight. A total of 45 patients (38.79%) had weight loss/original body weight ≥10%. Whether the patients had controlled the body mass in the past, the way of body mass control in the past, basic metabolism, body mass control time, original BMI and general self-efficacy score had significant effects on the effect of body mass control (all P < 0.05). Multivariate logistic regression analysis showed that basic metabolism, body mass control time, BMI and general self-efficacy were the influential factors of body mass control effect.  Conclusion  The effect of body mass control in overweight/obese infertile patients is poor and needs to be further improved. Basal metabolic rate, lower BMI reduce, general self-efficacy scores are independent risk factors affecting the effects of patients' body quality control, weight control patients with longer belong to the protection of the body quality control effect factors, clinical should be aimed at the above factors intervention measures to improve the patients' body quality control effect, improve the pregnancy outcome.

     

  • loading
  • [1]
    姜璎钊, 刘均娥, 韩静. 女性不孕症患者病耻感水平及影响因素的调查研究[J]. 中华护理杂志, 2018, 53(6): 698-703. doi: 10.3761/j.issn.0254-1769.2018.06.011

    JIANG Y Z, LIU Y E, HAN J. The investigation on the status and relevant factors of stigma in female patients with infertility[J]. Chinese Journal of Nursing, 2018, 53(6): 698-703. doi: 10.3761/j.issn.0254-1769.2018.06.011
    [2]
    BEST D, AVENELL A, BHATTACHARYA S. How effective are weight-loss interventions for improving fertility in women and men who are overweight or obese?A systematic review and meta-analysis of the evidence[J]. Hum Reprod Update, 2017, 23(6): 681-705. doi: 10.1093/humupd/dmx027
    [3]
    马清光, 李慧敏, 程晓, 等. 妊娠超重孕妇肥胖抑制素与孕前体指数、胰岛素抵抗的相关性研究[J]. 实验与检验医学, 2019, 37(5): 865-867. doi: 10.3969/j.issn.1674-1129.2019.05.029

    MA Q G, LI H M, CHENG X, et al. Correlation of adiposin with prepregnancy body index and insulin resistance in overweight pregnant women[J]. Experimental and Laboratory Medicine, 2019, 37(5): 865-867. doi: 10.3969/j.issn.1674-1129.2019.05.029
    [4]
    刘丽, 郝苗苗, 张燕, 等. 不孕症女性体重指数对IVF/ICSI-ET妊娠结局的影响[J]. 宁夏医学杂志, 2019, 41(9): 807-809. https://www.cnki.com.cn/Article/CJFDTOTAL-NXYX201909018.htm

    LIU L, HAO M M, ZHANG Y, et al. Effect of body mass index on pregnancy outcome of IVF/ICSI-ET in infertile women[J]. Ningxia Medical Journal, 2019, 41(9): 807-809. https://www.cnki.com.cn/Article/CJFDTOTAL-NXYX201909018.htm
    [5]
    RYAN D H, YOCKEY S R. Weight loss and improvement in comorbidity: Differences at 5%, 10%, 15%, and Over[J]. Curr Obes Rep, 2017, 6(2): 187-194.
    [6]
    张宝玲. 牙周病患者口腔保健自我效能感水平及影响因素[J]. 航空航天医学杂志, 2021, 32(7): 874-875. doi: 10.3969/j.issn.2095-1434.2021.07.066

    ZHANG B L. Level and influencing factors of oral health care self-efficacy in patients with periodontal disease[J]. Journal of Aerospace Medicine, 2021, 32(7): 874-875. doi: 10.3969/j.issn.2095-1434.2021.07.066
    [7]
    陈艳, 张智峰, 张亚杰, 等. 肥胖对女性生殖功能的影响及其防治[J]. 中国计划生育学杂志, 2018, 26(8): 759-761. https://www.cnki.com.cn/Article/CJFDTOTAL-JHSY201808036.htm

    CHEN Y, ZHANG Z F, ZHANG Y J, et al. ffects of obesity on female reproductive function and its prevention and treatment[J]. Chinese Journal of Family Planning, 2018, 26(8): 759-761. https://www.cnki.com.cn/Article/CJFDTOTAL-JHSY201808036.htm
    [8]
    牛金蕾. 减重对超重及肥胖不孕患者辅助生殖结局及围产期结局的影响[D]. 济南: 山东大学, 2019.

    NIU J L. Effect of weight loss on assisted reproductive outcomes and perinatal outcomes in overweight and obese infertile patients[D]. Jinan: Shandong University, 2019.
    [9]
    邵洁, 郭静波, 廖娟, 等. 不孕症超重/肥胖患者孕前体质量控制情况及影响因素研究[J]. 国际生殖健康/计划生育杂志, 2020, 39(6): 460-464. https://www.cnki.com.cn/Article/CJFDTOTAL-GWJS202006006.htm

    SHAO J, GUO J B, LIAO B, et al. Study on pre-pregnancy BMI control and influencing factors in infertile women with overweight / obesity[J]. Journal of International Reproductive Health/Family Planning, 2020, 39(6): 460-464. https://www.cnki.com.cn/Article/CJFDTOTAL-GWJS202006006.htm
    [10]
    张佳月, 田征文, 谭红专. 人类基础代谢率测量方法的研究进展[J]. 中南大学学报(医学版), 2018, 43(7): 805-810. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYD201807020.htm

    ZHANG J Y, TIAN Z W, TAN H Z. Research progress in measurement of human basal metabolic rate[J]. Journal of Central South University (Medical Science), 2018, 43(7): 805-810. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYD201807020.htm
    [11]
    简妙如. 电针结合有氧运动对单纯性肥胖基础代谢率的影响[D]. 南京: 南京中医药大学, 2017.

    JIAN M R. Effect of electroacupuncture combined with aerobic exercise on basal metabolic rate in simple obesity[D]. Nanjing: Nanjing University of Traditional Chinese Medicine, 2017.
    [12]
    张莹, 吴景欢, 洪平, 等. 北京市超重和肥胖成人基础代谢率的研究[J]. 卫生研究, 2016, 45(5): 739-742, 748. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ201605036.htm

    ZHANG Y, WU J H, HONG P, et al. Basal metabolic rate of overweight and obese adults in Beijing[J]. Journal of Hygiene Research, 2016, 45(5): 739-742, 748. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ201605036.htm
    [13]
    RASHAD N M, SAYED S E, SHERIF M H, et al. Effect of a 24 -week weight management program on serum leptin level in correlation to anthropometric measures in obese female: A randomized controlled clinical trial[J]. Diabetes Metab Syndr, 2019, 13(3): 2230-2235.
    [14]
    叶娅琼, 蒋瑶枝, 陈君霞, 等. 子宫内膜预处理对多囊卵巢综合征不孕患者的促排卵疗效[J]. 中华全科医学, 2020, 18(9): 1530-1533. doi: 10.16766/j.cnki.issn.1674-4152.001552

    YE Y Q, JIANG Y Z, CHEN J X, et al. Effect of endometrial pretreatment on ovulation induction in infertile patients with polycystic ovary syndrome[J]. Chinese Journal of General Practice, 2020, 18(9): 1530-1533. doi: 10.16766/j.cnki.issn.1674-4152.001552
    [15]
    杨石慧, 王玮. 归芍地黄汤联合人绒毛膜促性腺激素治疗黄体功能不全性不孕症疗效观察[J]. 中华全科医学, 2020, 18(7): 1204-1206. doi: 10.16766/j.cnki.issn.1674-4152.001465

    YANG S H, WANG W. The clinical efficacy of Yellow soup of paeoniae combined with human chorionic gonadotropin in the treatment of female infertility caused by luteal phase defect[J]. Chinese Journal of General Practice, 2020, 18(7): 1204-1206. doi: 10.16766/j.cnki.issn.1674-4152.001465
    [16]
    SACHA C R, PAGE C M, GOLDMAN R H, et al. Are women with obesity and infertility willing to attempt weight loss prior to fertility treatment?[J]. Obes Res Clin Pract, 2018, 12(1): 125-128. doi: 10.1016/j.orcp.2017.11.004
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(3)

    Article Metrics

    Article views (171) PDF downloads(11) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return