Cited by 19Ovarian function and disordersReproductive Health and TechnologiesSperm and Testicular Function

The effect of obesity on human reproductive health and foetal life

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Incedal Irgat, Serap, Bakirhan, Hande·2022·Human Fertility

Abstract

Obesity in both women and men is regarded as one of the many factors that may contribute to impaired reproductive health. Obesity can be accompanied by several neuroendocrine and ovarian dysfunctions, including chronic oligo/anovulation, menstrual irregularities, subfertility, and the increased risk of pregnancy in women. Insulin resistance, elevated triglyceride and fatty acid levels, and the secretion of adipocytokines caused by the excessive accumulation of adipose tissue associated with obesity adversely affect reproductive functions. Alterations in sperm quality and motility and hormone levels related to a rise in body mass index (BMI) may predispose men to infertility. The mechanisms of action of obesity on male infertility include endocrinopathy, erectile dysfunction, epididymitis, increased leptin and adipocytes, increased aromatase, inflammatory cytokines secreted by fat tissue, and sperm DNA fragmentation. This study reports that an increased BMI may lead to low semen quality, poor sperm motility, and reduced fertilization rates in men as well as anovulation, pregnancy loss, diminished pregnancy, and low live birth rates in women. Having optimal weight with balanced nutrition enables one to maintain a continuity of reproductive health throughout the entire life cycle, which is extremely important in terms of having a healthy embryo, including pre-foetal life, in the continuity of pregnancy and having a live birth.

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Crossref · 10.1080/14647273.2021.1928774

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  • Excess fat, particularly in the abdominal region, can elevate estrogen levels in obese women, disrupting hormonal balance and causing irregularities in ovulation and menstrual cycles.

    “Excess fat, particularly in the abdominal region, can elevate estrogen levels in obese women, disrupting hormonal balance and causing irregularities in ovulation and menstrual cycles35,36.”

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Authors
Incedal Irgat, S., & Bakirhan, H.
Affiliations
  • Department of Nutrition and Dietetics, Karamanoğlu Mehmetbey University, Karaman, Turkey
  • Department of Nutrition and Dietetics, Istanbul Medipol University, Istanbul, Turkey
Venue
Human Fertility
Published
2021-05-21
Volume
25
Issue
5
Pages
860-871
ISSN
  • 1464-7273 (ISSN-L)
  • 1742-8149
OpenAlex
W3159999462
Cited by
19
References
1
Citations by year
2025: 6 · 2024: 6 · 2023: 4 · 2022: 2 · 2021: 1
FWCI
0.54
Type
journal article
Language
en
Open access
Licence
cc-by-nc-nd
Locations
  • Human Fertility (publishedVersion)
  • PubMed (publishedVersion)
  • eArşiv - KMÜ (Karamanoğlu Mehmetbey University) (submittedVersion, cc-by-nc-nd)
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
  • Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
  • Health Sciences › Medicine › Reproductive Medicine › Sperm and Testicular Function
Keywords
obesity, reproductive health, male infertility, female infertility, anovulation, insulin resistance, adipokines, semen quality, sperm motility, body mass index, miscarriage, live birth rate, adipose tissue, aromatase, sperm DNA fragmentation, erectile dysfunction, epididymitis, leptin
MeSH terms
Anovulation, Female, Humans, Infertility, Male, Male, Obesity, Pregnancy, Semen, Sperm Motility, Semen Analysis, Reproductive Health

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