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体脂肪含量、脂肪分布和脂肪细胞因子的产生及其与通过胞浆内单精子注射(ICSI)受孕的年轻成年男性和女性的生育标志物的相关性。

Body fat content, fat distribution and adipocytokine production and their correlation with fertility markers in young adult men and women conceived by intracytoplasmic sperm injection (ICSI).

机构信息

Centre for Medical Genetics, Universitair Ziekenhuis Brussel (UZ Brussel), Brussels, Belgium.

Pediatric Endocrinology, Universitair Ziekenhuis Brussel (UZ Brussel), Brussels, Belgium.

出版信息

Clin Endocrinol (Oxf). 2018 Jun;88(6):985-992. doi: 10.1111/cen.13571. Epub 2018 Mar 7.

Abstract

OBJECTIVE

Differences in body fat content during childhood and adolescence have been described in offspring conceived by in vitro fertilisation (IVF) and intracytoplasmic sperm injection (ICSI). However, data on body fat and its distribution as well as on adipocytokine production in young adults conceived by ICSI are nonexistent. We investigated if young adult men and women conceived by ICSI have a normal body fat patterning and adipocytokine production.

DESIGN

Cohort study.

PATIENTS

One hundred twenty-seven young adults conceived by ICSI and 138 peers born after spontaneous conception.

MEASUREMENTS

Anthropometric parameters (skinfold thickness, hip and waist circumferences), dual X-ray absorptiometry (whole body and regional) measurements and adipocytokine levels (leptin and adiponectin) were analysed in relation to fertility markers (serum anti-Mullerian hormone (AMH) and inhibin B).

RESULTS

While at age 18 years, a normal body fat distribution and normal leptin and adiponectin production was found in both male and female ICSI offspring, young men conceived by ICSI had a higher peripheral fat deposition in comparison with spontaneously conceived peers. No correlation between AMH and inhibin B with leptin or adiponectin was observed.

CONCLUSION

While men conceived by ICSI, but not women, had a higher peripheral fat deposition, body fat distribution as well as mean levels of adipocytokines were not affected by the mode of conception.

摘要

目的

体外受精(IVF)和胞浆内单精子注射(ICSI)受孕的后代在儿童和青少年时期的体脂含量存在差异。然而,目前尚无关于 ICSI 受孕的年轻成年人的体脂分布和脂联素产生的数据。我们研究了 ICSI 受孕的年轻成年男性和女性是否具有正常的体脂模式和脂联素产生。

设计

队列研究。

患者

127 名 ICSI 受孕的年轻成年人和 138 名自然受孕的同龄人。

测量

分析了与生育标志物(血清抗缪勒管激素(AMH)和抑制素 B)相关的人体测量参数(皮褶厚度、臀部和腰围)、双能 X 线吸收法(全身和局部)测量值和脂联素水平(瘦素和脂联素)。

结果

在 18 岁时,ICSI 受孕的男性和女性后代均具有正常的体脂分布和正常的瘦素和脂联素产生,但 ICSI 受孕的年轻男性与自然受孕的同龄人相比,外周脂肪沉积更高。AMH 和抑制素 B 与瘦素或脂联素之间没有相关性。

结论

尽管 ICSI 受孕的男性而非女性具有更高的外周脂肪沉积,但体脂分布和脂联素的平均水平不受受孕方式的影响。

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