Dropout is a problem in lifestyle intervention programs for overweight and obese infertile women: A systematic review
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STUDY QUESTION: What are the dropout rates in lifestyle intervention programs (LIPs) for overweight and obese infertile women and can intervention- or patient-related baseline factors associated with dropout be identified in these women? SUMMARY ANSWER: The median dropout rate was 24% in overweight and obese infertile women who participated in a LIP; clinical useful intervention or patient-related factors associated with dropout could not be identified. WHAT IS KNOWN ALREADY: Overweight and obese infertile women might improve their chance of conception when they improve their lifestyle and lose weight. Dropout from LIPs reduces the chance of losing considerable weight and is therefore considered to be an important limiting factor of the success of LIPs. STUDY DESIGN, SIZE, DURATION: This systematic review included 15 studies published between January 1980 and December 2012. PARTICIPANTS/MATERIALS, SETTING, METHODS: The included studies investigated the effect of LIPs for overweight and obese infertile women with infertility. From these studies, dropout rates and intervention- and patient-related baseline factors associated with dropout, as well as weight loss and pregnancy rates, were recorded. MAIN RESULTS AND THE ROLE OF CHANCE: There were 15 studies identified, of which 10 reported dropout rates. The median dropout rate was 24% (range: 0-31%). Four studies reported baseline characteristics of women who dropped out, but modifiable predictors of dropout could not be identified. Weight loss and pregnancy rates were lower in women who dropped out than in women who completed the LIPs. LIMITATIONS, REASONS FOR CAUTION: There were limited numbers of studies investigating patient-related factors associated with dropout. The heterogeneity in the studies precluded us from drawing firm conclusions on the relation between the type of intervention and dropout. WIDER IMPLICATIONS OF THE FINDINGS: Dropout from LIPs is a major drawback because it predisposes to less weight loss and lower pregnancy rates. Identification of predictors of dropout is needed to identify overweight and obese infertile women who are prone for dropout. These women might benefit from extra support and monitoring, to potentially increasing adherence rates, weight loss and pregnancy chances. STUDY FUNDING/COMPETING INTEREST(S): M.A.Q.M. was supported by a research grant from the Dutch Organization for Health Research and Development (ZonMw). The department of obstetrics and gynaecology received research grants from Merck Sharpe and Dohme BV, feering pharmaceuticals, Merck Serono, the Netherlands.
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A systematic review of dropout rates in women with infertility, overweight and obesity reported a median dropout rate of 24%.
“A systematic review of dropout rates in women with infertility, overweight and obesity reported a median dropout rate of 24% (Mutsaerts et al., 2013).”
From Improvements in PCOS characteristics and phenotype severity during a randomized controlled lifestyle intervention (2021) · cites this paper as Mutsaerts et al., 2013
Study duration, especially longer lasting lifestyle intervention programmes, seems to be a factor that negatively contributes to compliance; however, other participant-related factors that predict dropout at baseline have not yet been identified.
“Study duration, especially longer lasting lifestyle intervention programmes, seems to be a factor that negatively contributes to compliance; however, other participantrelated factors that predict dropout at baseline have not yet been identified (Mutsaerts et al., 2013).”
From Improvements in PCOS characteristics and phenotype severity during a randomized controlled lifestyle intervention (2021) · cites this paper as Mutsaerts et al., 2013
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Lifestyle Intervention in Men With Abnormal Semen Analysis who Desire Fertility: A Feasibility Study
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- Authors
- Mutsaerts, M. A. Q., Kuchenbecker, W. K. H., Mol, B. W., Land, J. A., & Hoek, A.
- Affiliations
- University Medical Center Groningen (NL)
- Isala (NL)
- Amsterdam UMC Location University of Amsterdam (NL)
- Corresponding author
- Mutsaerts, M.A.Q.
- Venue
- Human Reproduction
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-02-20
- Volume
- 28
- Issue
- 4
- Pages
- 979-986
- ISSN
- 0268-1161 (ISSN-L)
- 1460-2350
- OpenAlex
- W2160890483
- Cited by
- 100
- References
- 43
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 7 · 2023: 13 · 2022: 8 · 2021: 8 · 2020: 15 · 2019: 4 · 2018: 6 · 2017: 11 · 2016: 8 · 2015: 5 · 2014: 4 · 2013: 2
- FWCI
- 1.02
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Human Reproduction (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, other-oa)
- Funders
- ZonMw (50‐50110‐96‐518)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- dropout, lifestyle intervention, overweight, obesity, female infertility, weight loss, pregnancy rate, predictors of dropout, intervention adherence, predictors of treatment response, weight gain during pregnancy, gestational diabetes mellitus, gestational hypertension, gestational diabetes screening
- MeSH terms
- Adult, Female, Humans, Infertility, Female, Obesity, Patient Compliance, Pregnancy, Weight Loss, Pregnancy Rate, Overweight, Weight Reduction Programs
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