Fatemezahra Infertility and Reproductive Health Research Center, Department of Obstetrics and Gynecology, Babol University of Medical Sciences, Babol, Iran.
Arch Med Sci. 2013 Jun 20;9(3):499-505. doi: 10.5114/aoms.2013.35342. Epub 2013 May 27.
The experience of infertility is a common medical condition in the developing countries. The aim of this retrospective epidemiologic study was to determine fertility status and parity in Babol, Iran and then identify physical activity and body mass index (BMI) among women who have experienced infertility.
A total of 1,081 women aged 20-45 years were selected using cluster sampling. The current physical activity was measured using the original International Physical Activity Questionnaire short form. Lifestyle factors were compared between those who had experienced infertility (n = 168) and the rest of the women. A face-to-face household interview was conducted using a specially designed interview questionnaire.
After adjusting for suspected confounding factors, women with infertility experience had a 4.8-fold increased risk of obesity (OR = 2.02, CI = 0.70, 5.84) and almost a 3.8-fold increased risk of being overweight (OR = 2.11, CI = 0.72, 6.17) compared to women without infertility. No significant differences were found in Met-minutes of sedentary activity, intensity of walking, moderate, vigorous, and total physical activity, self-reported dietary intake, exercise, and level of physical activity between women with and without experience of infertility.
Since both obesity and infertility are increasing public health issues in Iranian women, more attention should be paid to lifestyle behaviors, especially gaining weight in women who have experienced infertility.
不孕不育是发展中国家常见的医学病症。本回顾性流行病学研究旨在确定伊朗博尔布尔的生育状况和生育胎次，并确定不孕不育女性的身体活动和体重指数（BMI）。
采用整群抽样方法选取了 1081 名 20-45 岁的女性。采用原始国际体力活动问卷短表测量当前的体力活动。对经历过不孕不育（n=168）的女性和其余女性的生活方式因素进行了比较。通过专门设计的访谈问卷进行面对面的家庭访谈。
在调整可疑混杂因素后，与无不孕不育的女性相比，有不孕不育经历的女性肥胖的风险增加了 4.8 倍（OR=2.02，CI=0.70，5.84），超重的风险增加了近 3.8 倍（OR=2.11，CI=0.72，6.17）。经历过不孕不育的女性与无不孕不育的女性在静坐活动的代谢分钟数、步行强度、中等强度、高强度和总体力活动、自我报告的饮食摄入、运动和体力活动水平方面没有显著差异。
由于肥胖和不孕不育都是伊朗女性日益严重的公共卫生问题，应更加关注生活方式行为，特别是对经历过不孕不育的女性体重增加的问题。
