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Journal of Assisted Reproduction and Genetics
Published in: Journal of Assisted Reproduction and Genetics 3/2019

01-03-2019 | Assisted Reproduction Technologies

Association between parental anthropometric measures and the outcomes of intracytoplasmic sperm injection cycles

Authors: Amanda Setti, Gabriela Halpern, Daniela Braga, Rita Figueira, Assumpto Iaconelli Jr, Edson Borges Jr

Published in: Journal of Assisted Reproduction and Genetics | Issue 3/2019

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Abstract

Purpose

To study the association between body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR), and response to controlled ovarian stimulation, semen quality, and intracytoplasmic sperm injection (ICSI) outcomes.

Methods

This prospective observational study included data from 402 couples undergoing ICSI between January/2010–September/2016. Participants had their weight, height, waist, and hip measured before ICSI treatment.

Results

Gonadotropin dose was positively associated with maternal WHR. Maternal WC and WHR negatively influenced the estradiol level, number of follicles, oocytes, and mature oocytes. Maternal BMI negatively influenced oocyte yield. Semen volume was negatively influenced by male BMI. Sperm concentration was negatively associated with WHR and WHtR. Progressive sperm motility was negatively influenced by all anthropometric measures (AMs). The TMSC was negatively affected by all AM but WC. Significant differences were observed in all ICSI outcomes except pregnancy and miscarriage rates, favoring women with AM below the cut off values compared to women above the cut off. It was observed that men with AM below the cut off values showed significantly higher rates of fertilization, embryo and blastocyst development, implantation, and pregnancy than men above the cut off. When combined maternal and paternal AM were analyzed, significant differences were observed in fertilization, embryo and blastocyst development and implantation rates, favoring couples with normal BMI, WC, and WHR.

Conclusions

Lower AMs have a protective effect on fertility. Awareness and counseling on how to minimize its impact in both partners could improve ICSI outcomes.
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Metadata
Title
Association between parental anthropometric measures and the outcomes of intracytoplasmic sperm injection cycles
Authors
Amanda Setti
Gabriela Halpern
Daniela Braga
Rita Figueira
Assumpto Iaconelli Jr
Edson Borges Jr
Publication date
01-03-2019
Publisher
Springer US
Published in
Journal of Assisted Reproduction and Genetics / Issue 3/2019
Print ISSN: 1058-0468
Electronic ISSN: 1573-7330
DOI
https://doi.org/10.1007/s10815-018-1381-4

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