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不孕患者对肥胖对生殖健康结局影响的认识。

Infertility patients' knowledge of the effects of obesity on reproductive health outcomes.

机构信息

Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

出版信息

Am J Obstet Gynecol. 2012 Dec;207(6):509.e1-509.e10. doi: 10.1016/j.ajog.2012.08.020. Epub 2012 Aug 16.

Abstract

OBJECTIVE

The objective of the study was to assess the infertility patient knowledge of reproductive outcomes affected by obesity.

STUDY DESIGN

This was a prospective survey study of 150 female infertility patients in an academic medical center. Subjects were administered the Rapid Estimate of Adult Literacy in Medicine-Short Form and a questionnaire on the health risks of obesity, and investigators obtained height and weight measurements.

RESULTS

Subjects' age ranged from 21 to 45 years (mean 34.8 ± 4.94 SD) and body mass index ranged from 17.9 to 62.9 kg/m(2) (mean 26.5 ± 7.54 SD). The following percentages of women were aware that obesity increases the risk of infertility (82.7%), irregular periods (70.0%), miscarriage (60.7%), cesarean section (48.7%), breast cancer (38.7%), birth defects (29.3%), stillbirth (22.7%), and endometrial cancer (20.7%).

CONCLUSION

Among women with infertility, there is limited knowledge of reproductive outcomes affected by obesity. Public education is needed to increase awareness. Women undergoing fertility treatment are motivated for reproductive success and may be uniquely receptive to obesity education and weight loss intervention.

摘要

目的

本研究旨在评估肥胖对生殖结局的影响,使不孕患者对此有所了解。

研究设计

这是一项在学术医疗中心进行的 150 名女性不孕患者的前瞻性调查研究。受试者接受了医学成人简易速检法-简短版(Rapid Estimate of Adult Literacy in Medicine-Short Form)和一份关于肥胖健康风险的问卷评估,同时研究者还测量了身高和体重。

结果

受试者年龄在 21 岁至 45 岁之间(平均 34.8 ± 4.94 SD),体重指数在 17.9 千克/平方米至 62.9 千克/平方米之间(平均 26.5 ± 7.54 SD)。以下百分比的女性知道肥胖会增加不孕(82.7%)、月经不调(70.0%)、流产(60.7%)、剖腹产(48.7%)、乳腺癌(38.7%)、出生缺陷(29.3%)、死胎(22.7%)和子宫内膜癌(20.7%)的风险。

结论

不孕患者对肥胖影响生殖结局的认识有限。需要开展公众教育以提高认识。接受生育治疗的女性渴望获得妊娠成功,可能特别愿意接受肥胖教育和体重减轻干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51d2/3935017/8196158ceb23/nihms-401524-f0001.jpg

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