Paternal obesity negatively affects male fertility and assisted reproduction outcomes: a systematic review and meta-analysis
Abstract
This systematic review investigated the effect of paternal obesity on reproductive potential. Databases searched were Pubmed, Ovid, Web of Science, Scopus, Cinahl and Embase. Papers were critically appraised by two reviewers, and data were extracted using a standardized tool. Outcomes were: likelihood of infertility, embryo development, clinical pregnancy, live birth, pregnancy viability, infant development, sperm; concentration, morphology, motility, volume, DNA fragmentation, chromatin condensation, mitochondrial membrane potential (MMP), and seminal plasma factors. Thirty papers were included, with a total participant number of 115,158. Obese men were more likely to experience infertility (OR = 1.66, 95% CI 1.53-1.79), their rate of live birth per cycle of assisted reproduction technology (ART) was reduced (OR = 0.65, 95% CI 0.44-0.97) and they had a 10% absolute risk increase of pregnancy non-viability. Additionally, obese men had an increased percentage of sperm with low MMP, DNA fragmentation, and abnormal morphology. Clinically significant differences were not found for conventional semen parameters. From these findings it can be concluded that male obesity is associated with reduced reproductive potential. Furthermore, it may be informative to incorporate DNA fragmentation analysis and MMP assessment into semen testing, especially for obese men whose results suggest they should have normal fertility.
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Fertility treatment success is lower in overweight or obese men and women than in normal-weight couples.
“Indeed, fertility treatment is less successful in men and women who are overweight or obese as compared with normal weight couples (Campbell 2015, Rittenberg 2011).”
From Preconception lifestyle advice for people with infertility (2021) · cites this paper as Campbell 2015
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- Authors
- Campbell, J. M., Lane, M., Owens, J. A., & Bakos, H. W.
- Affiliations
- The University of Adelaide (AU)
- Corresponding author
- Campbell, Jared M.
- Venue
- Reproductive BioMedicine Online
- Publisher
- Elsevier BV
- Published
- 2015-11
- Volume
- 31
- Issue
- 5
- Pages
- 593-604
- ISSN
- 1472-6483 (ISSN-L)
- OpenAlex
- W2113519163
- Cited by
- 332
- References
- 69
- Citations by year
- 2026: 19 · 2025: 20 · 2024: 23 · 2023: 47 · 2022: 39 · 2021: 48 · 2020: 25 · 2019: 39 · 2018: 26 · 2017: 31 · 2016: 13 · 2015: 1 · 2014: 1
- FWCI
- 3.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Reproductive BioMedicine Online (publishedVersion)
- PubMed (publishedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- Own your potential (DEAKIN) (submittedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Sperm and Testicular Function
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Biology and Fertility
- Keywords
- paternal obesity, male infertility, assisted reproduction outcomes, live birth rate, miscarriage, sperm DNA fragmentation, mitochondrial membrane potential, sperm morphology, semen parameters, male reproductive potential
- MeSH terms
- Female, Fertility, Humans, Infertility, Male, Male, Obesity, Pregnancy, Sperm Motility, Spermatozoa, Reproductive Techniques, Assisted, DNA Fragmentation, Semen Analysis
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