Institute of Family Medicine and Public Health, University of Tartu, Ravila 19, 50411 Tartu, Estonia.
Department of Nursing and Midwifery, Tartu Health Care College, Nooruse 5, 50411 Tartu, Estonia.
Int J Environ Res Public Health. 2021 Mar 8;18(5):2718. doi: 10.3390/ijerph18052718.
The aim of this study was to investigate the association of physical activity (PA) with assisted reproductive technology (ART) treatment and pregnancy outcomes among couples seeking infertility treatment.
This prospective cohort study was carried out among 128 infertile individuals (64 couples), entering the infertility clinic for ART procedures. Baseline PA (before entering any treatment) was assessed using accelerometry for both women and men. For every couple the infertility treatment outcomes were recorded.
The couples that required invasive ART procedures such as in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) spent less time in vigorous PA (-73 min/week per couple, woman + man) than those couples who became spontaneously pregnant after entering the study ( = 0.001). We observed no significant associations between the time spent in physical activities and positive pregnancy test or live birth.
Our results do not support a positive nor negative relation between the time the couples spent in physical activities and the chances of getting pregnant or having a baby among patients seeking infertility treatment. However, couples undergoing invasive ART procedures did less vigorous PA than couples that became spontaneously pregnant, suggesting that PA may interfere with their reproductive health.
本研究旨在探讨夫妇在接受不孕治疗时，体力活动（PA）与辅助生殖技术（ART）治疗和妊娠结局的关系。
本前瞻性队列研究纳入了 128 名（64 对）进入不孕诊所接受 ART 治疗的不孕个体。使用加速度计评估夫妇双方在进入任何治疗前的基础体力活动（PA）。记录每对夫妇的不孕治疗结局。
与那些进入研究后自然怀孕的夫妇相比，需要进行侵入性 ART 程序（如体外受精[IVF]或胞浆内精子注射[ICSI]）的夫妇进行剧烈 PA 的时间较少（每对夫妇减少 73 分钟/周，P < 0.001）。我们没有观察到夫妇进行体力活动的时间与阳性妊娠试验或活产之间存在显著关联。
我们的研究结果不支持夫妇进行体力活动的时间与接受不孕治疗的患者怀孕或生育机会之间存在正相关或负相关。然而，接受侵入性 ART 程序的夫妇进行的剧烈 PA 比自然怀孕的夫妇少，这表明 PA 可能会影响他们的生殖健康。
