Domar Alice D, Rooney Kristin L, Milstein Melissa, Conboy Lisa
a Boston IVF, Beth Israel Deaconess Medical Center, Harvard Medical School , Waltham , MA , USA.
b Osher Research Center, Harvard Medical School , Boston , MA , USA.
Hum Fertil (Camb). 2015;18(4):253-7. doi: 10.3109/14647273.2015.1071881. Epub 2015 Sep 28.
Lifestyle habits of women undergoing in vitro fertilization (IVF) treatment are largely unknown. Therefore, this prospective study aimed to determine the prevalence of negative lifestyle habits in women undergoing IVF and determine if habits are related to the region in the United States and/or by mandated insurance coverage. A total of 12,811 ART patients were surveyed in infertility clinics throughout the US. They took an online questionnaire added to the patient portal of electronic medical record eIVF, a fertility-specific electronic health record. Of the women surveyed, 17-23% of patients drank alcohol, 2-7% smoked, 62-68% drank caffeine, < 1% used recreational drugs, and 47-62% exercised during their IVF treatment. There were a few statistically significant regional differences in health habits (p < 0.001) but there were no differences in health habits between women who resided in a state with mandated insurance coverage versus those without insurance coverage. This is the first prospective assessment of lifestyle habits across regions in the USA and by insurance coverage. The study concluded that women undergoing IVF engage in behaviors which may negatively impact their cycle. Women in certain parts of the US had significantly worse habits than other regions, but the availability of mandated insurance coverage did not impact health habits.
接受体外受精（IVF）治疗的女性的生活方式习惯在很大程度上尚不明确。因此，这项前瞻性研究旨在确定接受IVF治疗的女性中不良生活方式习惯的流行情况，并确定这些习惯是否与美国的地区和/或强制保险覆盖范围有关。在美国各地的不孕不育诊所对总共12,811名辅助生殖技术（ART）患者进行了调查。他们通过电子病历eIVF（一种针对生育的电子健康记录）的患者门户网站填写了一份在线问卷。在接受调查的女性中，17 - 23%的患者饮酒，2 - 7%吸烟，62 - 68%饮用咖啡因，<1%使用消遣性药物，47 - 62%在IVF治疗期间进行锻炼。在健康习惯方面存在一些具有统计学意义的地区差异（p < 0.001），但在有强制保险覆盖的州居住的女性与没有保险覆盖的女性之间，健康习惯没有差异。这是美国首次按地区和保险覆盖范围对生活方式习惯进行的前瞻性评估。该研究得出结论，接受IVF治疗的女性的行为可能会对其周期产生负面影响。美国某些地区的女性的习惯明显比其他地区差，但强制保险覆盖的情况并未影响健康习惯。
