Female obesity increases the risk of miscarriage of euploid embryos
Open accessAbstract
Objective To determine whether female body mass index (BMI) is associated with an increased risk of miscarriage after euploid embryo transfer. Design A retrospective, observational, multicenter cohort study. Setting University-affiliated in vitro fertilization center. Patient(s) In this study, 3,480 cycles of in vitro fertilization with preimplantation genetic testing for aneuploidy (PGT-A) in the blastocyst stage and euploid embryo transfer were divided into four groups according to patient BMI. Intervention(s) In vitro fertilization with PGT-A. Main outcome measure(s) The primary outcome was the miscarriage rate, which included both biochemical and clinical miscarriages. Secondary outcomes were implantation, pregnancy, clinical pregnancy, and live birth rates. Result(s) Cycles were divided into four groups according to BMI (kg/m 2): underweight (<18.5; n = 155), normal weight (18.5-24.9; n = 2,549), overweight (25-29.9; n = 591), and obese (≥30; n = 185). The number of PGT-A cycles per patient was similar in the four groups. Fertilization rate, day of embryo biopsy, technique of chromosomal analysis, number of euploid embryos, number of transferred embryos, and method of endometrial preparation for embryo transfer were similar in the four BMI groups. Miscarriage rates were significantly higher in women with obesity compared to women with normal weight, mainly due to a significant increase in the clinical miscarriage rates. Live birth rates also were lower in women with obesity. Obesity in women and day 6 trophectoderm biopsy were found to influence the reduced live birth rate. Conclusion(s) Women with obesity experience a higher rate of miscarriage after euploid embryo transfer than women with a normal weight, suggesting that other mechanisms than aneuploidy are responsible for this outcome.
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Among women undergoing ART there are greater rates of miscarriage with obesity.
“Among women undergoing ART there are greater rates of miscarriage with obesity. 40 , 41”
From Overweight, obesity and excessive weight gain in pregnancy as risk factors for adverse pregnancy outcomes: A narrative review (2022) · cites this paper as [41]
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- Authors
- Cozzolino, M., García-Velasco, J. A., Meseguer, M., Pellicer, A., & Bellver, J.
- Affiliations
- Universidad Rey Juan Carlos (ES)
- IVIRMA Global (ES)
- Corresponding author
- Cozzolino, Mauro
- Venue
- Fertility and Sterility
- Publisher
- Elsevier BV
- Published
- 2021-06
- Volume
- 115
- Issue
- 6
- Pages
- 1495-1502
- ISSN
- 0015-0282 (ISSN-L)
- OpenAlex
- W3108144574
- Cited by
- 111
- References
- 32
- Citations by year
- 2026: 8 · 2025: 20 · 2024: 36 · 2023: 21 · 2022: 18 · 2021: 8
- FWCI
- 11.29
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Fertility and Sterility (publishedVersion)
- PubMed (publishedVersion)
- Repository of Digital Objects for Teaching Research and Culture (University of Valencia) (submittedVersion)
- Funders
- Merck
- Gedeon Richter
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Assisted Reproductive Technology and Twin Pregnancy
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Screening and Diagnostics
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
- Keywords
- female obesity, body mass index, miscarriage, euploid embryo transfer, preimplantation genetic testing for aneuploidy, blastocyst, live birth rate, clinical pregnancy, implantation rate
- MeSH terms
- Abortion, Spontaneous, Gestational Weight Gain, Pregnancy in Obesity, Obesity, Maternal, Aneuploidy, Blastocyst, Embryo Transfer, Female, Fertilization in Vitro, Genetic Testing, Humans, Infertility, Embryo Implantation, Pregnancy, Retrospective Studies, Risk Factors, Spain, Body Mass Index, Treatment Outcome, Risk Assessment, Pregnancy Rate, Preimplantation Diagnosis, Live Birth
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