A Case-Control study of Body Mass Index and Infertility in Algerian Women (Sidi Bel Abbes, West of Algeria)
Hichem Abdessalem MAÏ, Abbassia Demmouche
Citation Information :
MAÏ HA, Demmouche A. A Case-Control study of Body Mass Index and Infertility in Algerian Women (Sidi Bel Abbes, West of Algeria). Int J Infertil Fetal Med 2015; 6 (3):103-107.
The prevalence of obesity and female infertility in Algeria has increased in past decades, and recent study are showing a relationship between body mass index (BMI) and the risk of female infertility, suggesting that obesity is a risk factor for infertility. In order to evaluate the risk of infertility associated with BMI, we conducted a case-control study.
Materials and methods
The relationship between BMI and female infertility was investigated in a case-control study of 256 infertile cases and 326 fertile control subjects. The BMI of infertile women was compared with the BMI of the control fertile group. Odds ratios (ORs) was calculated as measures of relative risk of infertility associated with BMI.
Results
Multiple analyses showed significant association between various measures of BMI and female infertility in this population. An association between BMI and infertility was observed for the overweight (25.00–29.99 kg/m2; odds ratio = 2.23; p = 0.021; 95% confidence interval, 1.52–3.25) and obese group (> 30 kg/m2; odds ratio = 3.26; p = 0.019; 95% confidence interval, 1.62–6.58) compared to the normal weight group. However, no association was found between underweight and infertility (BMI < 20 Kg/m2, odds ratio = 0.96; p = 0.063; 95% confidence interval, 0.57–1.63).
Conclusion
The present study confirms the results that the previously reported research have shown and affirm that an negative association exist between obesity and overweight with fertility, this association might be influenced by other factors, that's why larger and more research in the Algerian population are needed.
How to cite this article
MAÏ HA, Demmouche A. A Case-Control study of Body Mass Index and Infertility in Algerian Women (Sidi Bel Abbes, West of Algeria). Int J Infertil Fetal Med 2015;6(3):103-107.
(Problem solving strategies and marital adjustment in infertile and fertile couples). J Reprod Infertil 2001;8(2):22-32.
(Infertility related stress and marital life in Iranian infertile women who referred to Isfahan infertility treatment clinic). J Reprod Infertil 2001;2(1):26-39.
Emotional and psychological problems of infertility and strategies to overcome them. J Reprod Infertil 2001;2(4):33-39.
A Primary care approach to the infertile couple: clinical review. J Am Board Family Pract 2001;14(1):33-45.
Infertility and the provision of infertility medical services in developing countries. Hum Reprod Update 2008;14(6):605-621.
Infecundity, infertility and childlessness in developing countries. Geneva, Switzerland: World Health Organization and ORC Calverton, MD, USA: Macro; 2004. DHS Comparative Reports No. 9.
Obesity and association with area of residence, gender and socioeconomic factors in Algerian and Tunisian adults. PLoS ONE 2013 2013;8(10). e75640.
Body mass index and lung cancer: a case-control study of subjects participating in a mass-screening program. Chest 2005;128(3):1490-1496.
A case-control study of body mass index and breast cancer risk in white and African-American women. Cancer Epidemiol Biomarkers Prev 2010;19(6):1532-1544.
Stephen H, Dan LL. Harrison ‘s principles of internal medicine, 16th ed. McGraw Hill, Medical Publishing Division 2005 2005;(1):423-425.
Hossein Z, Athar R. The relationship between body mass index and sexual function in infertile women: a cross-sectional survey. Iranian J Reproduct Med 2014;12(3): 189-198.
Improving reproductive performance in overweight/obese women with effective weight management. Hum Reprod Update 2004;10(3):267-280.
Negative lifestyle is associated with a significant reduction in fecundity. Fertil Steril 2004;81(2): 384-392.
The impact of obesity on female reproductive function. Obesity Reviews 2007;8(6):515-523.
Risk of ovulatory infertility in relation to body weight. Fertil Steril 1988;50(5):721-726.
Body mass index and ovulatory infertility. Epidemiol 1994;5(2):247-250.
Adolescent body mass index and infertility caused by ovulatory disorder. Am J Obstet Gynecol 1994;171(1):177.
Obesity: the worldwide epidemic. Clin Dermatol 2004;22(4):276-280.
Effect of body image and self-image on women's sexual behaviors. Int J Eat Disord 2000;82(4):422-429.
Physical attractiveness, body image and women's sexual selfschema. Psychol Women Q 1997; 21(4):567-580.
Obesity and sexual quality of life. Obesity 2006; 14(3):472-479.
Sexual function in obese women: impact of lower urinary tract dysfunction. Int J Obes (Lond) 2008;32(8):1312-1318.
Obesity in pregnancy. Obstet Gynecol 2005;106(3):671-675.
Obesity and reproductive disorders in women. Hum Reprod Update 2003 2003;9(4):359-372.
Metabolic effects of obesity on reproduction. Reprod Biomed Online 2006;12(5):542-551.
Impact of obesity on female fertility and fertility treatment. Women's Health 2008;4(2):183-194.
Endocrinology, diabetes, and obesity. Cur Opin Int Med 2007;14(6):482-487.
Obesity and the polycystic ovary syndrome. Int J Obes Relat Metab Disord 2002;26(7): 883-896.
The association of obesity with infertility and related menstrual abnormalities in women. Int J Obes 1979;3(1): 57-73.
Effect of overweight and obesity on assisted reproductive technology—a systematic review. Hum Reprod Update 2007;13(5):433-444.
Continuous spinal anesthesia: a comparative study of standard microcatheter and Spinocath. Reg Anesth Pain Med 1999;24(2):110-116.
Does body mass index of infertile women have an impact on IVF procedure and outcome? J Assist Reprod Genet 2000;17(10): 547-552.
Extremes of body mass do not adversely affect the outcome of superovulation and in vitro fertilization. Hum Reprod 1999;14(3):712-715.