The impact of lifestyle factors on reproductive performance in the general population and those undergoing infertility treatment: a review
Abstract
This evidence-based review focuses on the impact of potentially modifiable, non-communicable lifestyle factors on reproductive performance in the general population and the infertile population undergoing assisted reproductive technology (ART) treatment. The impact of several lifestyle factors including; age, weight, smoking, diet, exercise, psychological stress, caffeine consumption, alcohol consumption and exposure to environmental pollutants are included in the review. The databases of Medline, PubMed and Cinahl were searched to identify relevant publications. There is strong evidence that age, weight and smoking impact on general health and adversely on reproductive performance. However there is a need for further research focusing specifically on the relationship between diet and various levels of exercise on reproductive performance. There are several other factors such as psychological stress, caffeine consumption, alcohol consumption and exposure to environmental pollutants that have been implicated but the evidence is equivocal. It is concluded that lifestyle modification can assist couples to conceive spontaneously or optimize their chances of conception with ART treatment.
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Several modifiable lifestyle factors-weight, diet, alcohol, caffeine, physical activity, smoking, and other substance abuse-may influence fertility and the likelihood of live birth in people with infertility.
“Modifiable lifestyle factors such as weight, diet, alcohol intake, caffeine intake, physical activity, smoking, and other substance abuse may affect the chance of people with infertility having a live birth (Homan 2007, Rooney 2014).”
From Preconception lifestyle advice for people with infertility (2021) · cites this paper as Homan 2007
Moderate physical activity is positively associated with male and female fertility.
“Besides these substantial health benefits, evidence suggests a positive association between moderate physical activity and male and female fertility (Homan 2007, Ibanez-Perez 2019, McKinnon 2016).”
From Preconception lifestyle advice for people with infertility (2021) · cites this paper as Homan 2007
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- Authors
- Homan, G. F., Davies, M., & Norman, R.
- Affiliations
- The University of Adelaide (AU)
- Venue
- Human Reproduction Update
- Publisher
- Oxford University Press (OUP)
- Published
- 2007-01-05
- Volume
- 13
- Issue
- 3
- Pages
- 209-223
- ISSN
- 1355-4786 (ISSN-L)
- 1460-2369
- OpenAlex
- W2108216951
- Cited by
- 546
- References
- 139
- Citations by year
- 2026: 9 · 2025: 15 · 2024: 21 · 2023: 28 · 2022: 36 · 2021: 28 · 2020: 79 · 2019: 26 · 2018: 27 · 2017: 36 · 2016: 31 · 2015: 35 · 2014: 37 · 2013: 31 · 2012: 32
- FWCI
- 2.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Human Reproduction Update (publishedVersion)
- PubMed (publishedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- 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 › Reproductive Biology and Fertility
- Keywords
- lifestyle factors, reproductive performance, infertility, assisted reproduction, age, body weight, smoking, diet, physical activity, psychological stress, caffeine consumption, alcohol consumption, environmental pollutants, lifestyle modification, conception
- MeSH terms
- Female, Humans, Infertility, Female, Life Style, Risk Factors, Reproductive Techniques, Assisted
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