Cardio‐metabolic risk factors among young infertile women: a systematic review and meta‐analysis
Background There is currently no concise systematic review or meta‐analysis addressing cardio‐metabolic risk factors in women experiencing infertility. Objectives To determine whether infertile women have higher levels of cardiovascular risk factors compared with fertile women. Search strategy We pe...
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| Vydáno v: | BJOG : an international journal of obstetrics and gynaecology Ročník 127; číslo 8; s. 930 - 939 |
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| Hlavní autoři: | , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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England
Wiley Subscription Services, Inc
01.07.2020
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| ISSN: | 1470-0328, 1471-0528, 1471-0528 |
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| Abstract | Background
There is currently no concise systematic review or meta‐analysis addressing cardio‐metabolic risk factors in women experiencing infertility.
Objectives
To determine whether infertile women have higher levels of cardiovascular risk factors compared with fertile women.
Search strategy
We performed a systematic literature search using PubMed, Embase and CINAHL, Scopus and additional manual and bibliographic searches for relevant articles (end search date 6 November 2019).
Selection criteria
We selected studies that compared cardio‐metabolic risk factors in fertile and infertile women of reproductive age.
Data collection and analysis
At least two authors independently screened potentially eligible studies.
Main results
There was an increased presence of several cardio‐metabolic risk factors in infertile women compared with fertile women. Infertile women had statistically significant higher body mass index (BMI), increased total cholesterol (TC), low‐density lipoprotein cholesterol (LDL‐C) and triglycerides (TG) compared with fertile women. Fasting glucose, fasting insulin, homeostatic model assessment of insulin resistance (HOMA‐IR) and mean arterial pressure were not found to be different between fertile and infertile women. A subgroup analysis revealed that TC, fasting glucose and fasting insulin were increased, and high‐density lipoprotein was decreased only in women with polycystic ovarian syndrome compared with fertile women, whereas BMI, TG and LDL‐C were statistically significantly increased in women with any indication of infertility compared with fertile women.
Conclusions
Infertile women have a higher level of cardio‐metabolic risk factors compared with fertile women. This finding has clinical implications for infertile women in general, and those attempting to conceive through medically assisted reproduction.
Tweetable
Infertile women appear to have a higher level of cardio‐metabolic risk factors compared with fertile women.
Tweetable
Infertile women appear to have a higher level of cardio‐metabolic risk factors compared with fertile women. |
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| AbstractList | There is currently no concise systematic review or meta-analysis addressing cardio-metabolic risk factors in women experiencing infertility.BACKGROUNDThere is currently no concise systematic review or meta-analysis addressing cardio-metabolic risk factors in women experiencing infertility.To determine whether infertile women have higher levels of cardiovascular risk factors compared with fertile women.OBJECTIVESTo determine whether infertile women have higher levels of cardiovascular risk factors compared with fertile women.We performed a systematic literature search using PubMed, Embase and CINAHL, Scopus and additional manual and bibliographic searches for relevant articles (end search date 6 November 2019).SEARCH STRATEGYWe performed a systematic literature search using PubMed, Embase and CINAHL, Scopus and additional manual and bibliographic searches for relevant articles (end search date 6 November 2019).We selected studies that compared cardio-metabolic risk factors in fertile and infertile women of reproductive age.SELECTION CRITERIAWe selected studies that compared cardio-metabolic risk factors in fertile and infertile women of reproductive age.At least two authors independently screened potentially eligible studies.DATA COLLECTION AND ANALYSISAt least two authors independently screened potentially eligible studies.There was an increased presence of several cardio-metabolic risk factors in infertile women compared with fertile women. Infertile women had statistically significant higher body mass index (BMI), increased total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C) and triglycerides (TG) compared with fertile women. Fasting glucose, fasting insulin, homeostatic model assessment of insulin resistance (HOMA-IR) and mean arterial pressure were not found to be different between fertile and infertile women. A subgroup analysis revealed that TC, fasting glucose and fasting insulin were increased, and high-density lipoprotein was decreased only in women with polycystic ovarian syndrome compared with fertile women, whereas BMI, TG and LDL-C were statistically significantly increased in women with any indication of infertility compared with fertile women.MAIN RESULTSThere was an increased presence of several cardio-metabolic risk factors in infertile women compared with fertile women. Infertile women had statistically significant higher body mass index (BMI), increased total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C) and triglycerides (TG) compared with fertile women. Fasting glucose, fasting insulin, homeostatic model assessment of insulin resistance (HOMA-IR) and mean arterial pressure were not found to be different between fertile and infertile women. A subgroup analysis revealed that TC, fasting glucose and fasting insulin were increased, and high-density lipoprotein was decreased only in women with polycystic ovarian syndrome compared with fertile women, whereas BMI, TG and LDL-C were statistically significantly increased in women with any indication of infertility compared with fertile women.Infertile women have a higher level of cardio-metabolic risk factors compared with fertile women. This finding has clinical implications for infertile women in general, and those attempting to conceive through medically assisted reproduction.CONCLUSIONSInfertile women have a higher level of cardio-metabolic risk factors compared with fertile women. This finding has clinical implications for infertile women in general, and those attempting to conceive through medically assisted reproduction.Infertile women appear to have a higher level of cardio-metabolic risk factors compared with fertile women.TWEETABLE ABSTRACTInfertile women appear to have a higher level of cardio-metabolic risk factors compared with fertile women. BackgroundThere is currently no concise systematic review or meta‐analysis addressing cardio‐metabolic risk factors in women experiencing infertility.ObjectivesTo determine whether infertile women have higher levels of cardiovascular risk factors compared with fertile women.Search strategyWe performed a systematic literature search using PubMed, Embase and CINAHL, Scopus and additional manual and bibliographic searches for relevant articles (end search date 6 November 2019).Selection criteriaWe selected studies that compared cardio‐metabolic risk factors in fertile and infertile women of reproductive age.Data collection and analysisAt least two authors independently screened potentially eligible studies.Main resultsThere was an increased presence of several cardio‐metabolic risk factors in infertile women compared with fertile women. Infertile women had statistically significant higher body mass index (BMI), increased total cholesterol (TC), low‐density lipoprotein cholesterol (LDL‐C) and triglycerides (TG) compared with fertile women. Fasting glucose, fasting insulin, homeostatic model assessment of insulin resistance (HOMA‐IR) and mean arterial pressure were not found to be different between fertile and infertile women. A subgroup analysis revealed that TC, fasting glucose and fasting insulin were increased, and high‐density lipoprotein was decreased only in women with polycystic ovarian syndrome compared with fertile women, whereas BMI, TG and LDL‐C were statistically significantly increased in women with any indication of infertility compared with fertile women.ConclusionsInfertile women have a higher level of cardio‐metabolic risk factors compared with fertile women. This finding has clinical implications for infertile women in general, and those attempting to conceive through medically assisted reproduction.Tweetable abstractInfertile women appear to have a higher level of cardio‐metabolic risk factors compared with fertile women. Background There is currently no concise systematic review or meta‐analysis addressing cardio‐metabolic risk factors in women experiencing infertility. Objectives To determine whether infertile women have higher levels of cardiovascular risk factors compared with fertile women. Search strategy We performed a systematic literature search using PubMed, Embase and CINAHL, Scopus and additional manual and bibliographic searches for relevant articles (end search date 6 November 2019). Selection criteria We selected studies that compared cardio‐metabolic risk factors in fertile and infertile women of reproductive age. Data collection and analysis At least two authors independently screened potentially eligible studies. Main results There was an increased presence of several cardio‐metabolic risk factors in infertile women compared with fertile women. Infertile women had statistically significant higher body mass index (BMI), increased total cholesterol (TC), low‐density lipoprotein cholesterol (LDL‐C) and triglycerides (TG) compared with fertile women. Fasting glucose, fasting insulin, homeostatic model assessment of insulin resistance (HOMA‐IR) and mean arterial pressure were not found to be different between fertile and infertile women. A subgroup analysis revealed that TC, fasting glucose and fasting insulin were increased, and high‐density lipoprotein was decreased only in women with polycystic ovarian syndrome compared with fertile women, whereas BMI, TG and LDL‐C were statistically significantly increased in women with any indication of infertility compared with fertile women. Conclusions Infertile women have a higher level of cardio‐metabolic risk factors compared with fertile women. This finding has clinical implications for infertile women in general, and those attempting to conceive through medically assisted reproduction. Tweetable Infertile women appear to have a higher level of cardio‐metabolic risk factors compared with fertile women. Tweetable Infertile women appear to have a higher level of cardio‐metabolic risk factors compared with fertile women. Infertile women appear to have a higher level of cardio‐metabolic risk factors compared with fertile women. There is currently no concise systematic review or meta-analysis addressing cardio-metabolic risk factors in women experiencing infertility. To determine whether infertile women have higher levels of cardiovascular risk factors compared with fertile women. We performed a systematic literature search using PubMed, Embase and CINAHL, Scopus, and additional manual and bibliographic searches for relevant articles (end search date 6 November 2019). We selected studies that compared cardio-metabolic risk factors in fertile and infertile women of reproductive age. At least two authors independently screened potentially eligible studies. There was an increased presence of several cardio-metabolic risk factors in infertile women compared with fertile women. Infertile women had statistically significant higher body mass index (BMI), increased total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C) and triglycerides (TG) compared with fertile women. Fasting glucose, fasting insulin, homeostatic model assessment of insulin resistance (HOMA-IR) and mean arterial pressure were not found to be different between fertile and infertile women. A subgroup analysis revealed that TC, fasting glucose and fasting insulin were increased, and high-density lipoprotein was decreased only in women with polycystic ovarian syndrome compared with fertile women, whereas BMI, TG and LDL-C were statistically significantly increased in women with any indication of infertility compared with fertile women. Infertile women have a higher level of cardio-metabolic risk factors compared with fertile women. This finding has clinical implications for infertile women in general, and those attempting to conceive through medically assisted reproduction. Infertile women appear to have a higher level of cardio-metabolic risk factors compared with fertile women. |
| Author | Andraweera, PH Ali, A Roberts, CT Jankovic‐Karasoulos, T Lassi, ZS Grieger, JA Mulder, CL |
| Author_xml | – sequence: 1 givenname: CL orcidid: 0000-0001-9160-7585 surname: Mulder fullname: Mulder, CL organization: University of Amsterdam – sequence: 2 givenname: ZS surname: Lassi fullname: Lassi, ZS organization: University of Adelaide – sequence: 3 givenname: JA surname: Grieger fullname: Grieger, JA organization: University of Adelaide – sequence: 4 givenname: A surname: Ali fullname: Ali, A organization: The University of Adelaide – sequence: 5 givenname: T surname: Jankovic‐Karasoulos fullname: Jankovic‐Karasoulos, T organization: University of Adelaide – sequence: 6 givenname: CT surname: Roberts fullname: Roberts, CT organization: University of Adelaide – sequence: 7 givenname: PH orcidid: 0000-0003-2434-8370 surname: Andraweera fullname: Andraweera, PH email: prabha.andraweera@adelaide.edu.au organization: University of Adelaide |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32048421$$D View this record in MEDLINE/PubMed |
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| Keywords | cardiovascular disease female infertility Cardio-metabolic risk factors |
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| Notes | Linked article https://doi.org/10.1111/1471-0528.16222 This article is commented on by C Nelson‐Piercy, p. 940 in this issue. To view this mini commentary visit . ObjectType-Article-2 SourceType-Scholarly Journals-1 content type line 14 ObjectType-Feature-3 ObjectType-Evidence Based Healthcare-1 ObjectType-Article-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3 |
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There is currently no concise systematic review or meta‐analysis addressing cardio‐metabolic risk factors in women experiencing infertility.... Infertile women appear to have a higher level of cardio‐metabolic risk factors compared with fertile women. There is currently no concise systematic review or meta-analysis addressing cardio-metabolic risk factors in women experiencing infertility. To determine... BackgroundThere is currently no concise systematic review or meta‐analysis addressing cardio‐metabolic risk factors in women experiencing... There is currently no concise systematic review or meta-analysis addressing cardio-metabolic risk factors in women experiencing infertility.BACKGROUNDThere is... |
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| SubjectTerms | Blood pressure Body mass index cardiovascular disease Cardiovascular diseases Cardio‐metabolic risk factors Cholesterol Fasting female infertility Infertility Insulin Laboratory testing Low density lipoprotein Meta-analysis Metabolism Polycystic ovary syndrome Risk factors Statistical analysis Systematic review Triglycerides Womens health |
| Title | Cardio‐metabolic risk factors among young infertile women: a systematic review and meta‐analysis |
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