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Mirzaei, M., Namiranian, N., Bagheri-Fahraji, B., & Gholami, S. (2020). Infertility and physical activity: A cross-sectional study of women living in Yazd aged 20-49 yr, 2014-2015. International Journal of Reproductive BioMedicine (IJRM), 13(9), 795–803. https://doi.org/10.18502/ijrm.v13i9.7673
https://doi.org/10.18502/ijrm.v13i9.7673
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- Cited by 2 articles
authors
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Masoud Mirzaei
Masoud Mirzaei
Department of Biostatistics and Epidemiology, Faculty of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
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Nasim Namiranian
Nasim Namiranian
Diabetes Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
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Behnam Bagheri-Fahraji
Behnam Bagheri-Fahraji
Diabetes Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
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Somaye Gholami
Somaye Gholami
Diabetes Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Published Date
- Sep 21, 2020
Infertility and physical activity: A cross-sectional study of women living in Yazd aged 20-49 yr, 2014-2015
Abstract
Background: Changes in the state of energy balance owing to changes in physical activity (PA) may affect the reproductive system.
Objectives: the aim of this study was to assess the association between PA and infertility of women living in Yazd 2014 - 2015.
Materials and Methods: The study method was analytical cross-sectional on the Yazd Health Study (YaHS) data which was conducted on 10,000 people. We studied 2,611 women (20 and 49 yrs old), living in Greater Yazd area. PA information was collected using a physical activity questionnaire (IPAQ) short form. The standardized instruments were used for anthropometrics measurement.
Results: Totally 135 cases of infertility were documented. The overall prevalence of infertility was 4.73% (95% CI: 3.94-5.59%). The median of PA scores (METs) in women was 746.66 and 25-75% interquartile range was 361.25-1277.25. The relationship according to the Chi-square test between infertility and PA, as categorized variables, was significant (p = 0.015). It showed over 90% of those who suffered from infertility had a low or moderate PA.
Conclusion: The results of our study showed that there is a significant relationship between infertility and PA level in women living in Greater Yazd area. Also, women with infertility had lower activity levels, consistent with most previous studies.
Key words: Women, Infertility, Physical activity, Yazd, Iran.
References
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[18] Redman LM. Physical activity and its effects on reproduction. Reproductive biomedicine online. 2006; 12: 579–586.
[19] Mirzaei M, Salehi-Abargouei A, Mirzaei M, Mohsenpour MA. Cohort profile: the Yazd Health Study (YaHS): a population-based study of adults aged 20-70 years (study design and baseline population data). Int J Epidemiol 2018; 47: 697–698.
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[25] Wise LA, Rothman KJ, Mikkelsen EM, Sørensen HT, Riis AH, Hatch EE. A prospective cohort study of physical activity and time to pregnancy. Fertil Steril 2012; 97: 1136– 1142.
[26] DiPietro L, Seeman TE, Stachenfeld NS, Katz LD, Nadel ER. Moderate−intensity aerobic training improves glucose tolerance in aging independent of abdominal adiposity. J Am Geriat Soc 1998; 46: 875–879.
[27] Arciero PJ, Vukovich MD, Holloszy JO, Racette SB, Kohrt WM. Comparison of short-term diet and exercise on insulin action in individuals with abnormal glucose tolerance. J Appl Physiol 1999; 86: 1930–1935.
[28] Gudmundsdottir SL, Flanders WD, Augestad LB. Physical activity and fertility in women: the North-Trøndelag Health Study. Hum Reprod 2009; 24: 3196–3204.
[29] Otis CL, Drinkwater B, Johnson M, Loucks A, Wilmore J. American college of sports medicine position stand. The female athlete triad. Med Sci Sports Exerc 1997; 29: pi–ix.
[30] Green BB, Daling JR, Weiss NS, Liff JM, Koepsell T. Exercise as a risk factor for infertility with ovulatory dysfunction. Am J Public Health 1986; 76: 1432–1436.
[31] Homan GF, Davies M, Norman R. The impact of lifestyle factors on reproductive performance in the general population and those undergoing infertility treatment: a review. Hum Reprod Update 2007; 13: 209–223.
[32] Bonen A. Recreational exercise does not impair menstrual cycles: a prospective study. Int J Sports Med 1992; 13: 110– 120.
[33] Bonen A, Shaw SM. Recreational exercise participation and aerobic fitness in men and women: analysis of data from a national survey. J Sports Sci 1995; 13: 297–303.
[34] Yusuf S, Anand S. Body-mass index, abdominal adiposity, and cardiovascular risk. Lancet 2011; 378: 226–227.
[35] Palomba S, Falbo A, Di Cello A, Cappiello F, Tolino A, Zullo F. Does metformin affect the ovarian response to gonadotropins for in vitro fertilization treatment in patients with polycystic ovary syndrome and reduced ovarian reserve? A randomized controlled trial. Fertil Steril 2011; 96: 1128–1133.
[36] Mena GP, Mielke GI, Brown WJ. The effect of physical activity on reproductive health outcomes in young women: a systematic review and meta-analysis. Hum Reprod Update 2019; 25: 541–563.
[37] National Portal of Statistics of Iran (Census P, Population and Housing), 2015. Available at: https://www.amar.org.ir/Portals/0/census/1395/results/ tables/zanashui/tafsili/shahrestan/1-zanashui-21.xls.
[2] Rostad B, Schei B, Sundby J. Fertility in Norwegian women: results from a population-based health survey. Scand J Public Health 2006; 34: 5–10.
[3] Klemetti R, Raitanen J, Sihvo S, Saarni S, Koponen P. Infertility, mental disorders and well−being-a nationwide survey. Acta Obstet Gynecol Scand 2010; 89: 677–682.
[4] Bergström S. Reproductive failure as a health priority in the Third World: a review. East Afr Med J 1992; 69: 174–180.
[5] Janghorbani M, Amini M, Willett WC, Gouya MM, Delavari A, Alikhani S, et al. First nationwide survey of prevalence of overweight, underweight, and abdominal obesity in Iranian adults. Obesity 2007; 15: 2797–2808.
[6] Bahrami H, Sadatsafavi M, Pourshams A, Kamangar F, Nouraei M, Semnani S, et al. Obesity and hypertension in an Iranian cohort study; Iranian women experience higher rates of obesity and hypertension than American women. BMC Public Health 2006; 6: 158–166.
[7] Kelishadi R, Alikhani S, Delavari A, Alaedini F, Safaie A, Hojatzadeh E. Obesity and associated lifestyle behaviours in Iran: findings from the first national non-communicable disease risk factor surveillance survey. Public Health Nutr 2008; 11: 246–251.
[8] Esmaeilzadeh S, Delavar MA, Basirat Z, Shafi H. Physical activity and body mass index among women who have experienced infertility. Arch Med Sci 2013; 9: 499–505.
[9] Norman RJ, Noakes M, Wu R, Davies MJ, Moran L, Wang JX. Improving reproductive performance in overweight/obese women with effective weight management. Hum Reprod Update 2004; 10: 267–280.
[10] Bączyk G, Opala T, Kleka P. Quality of life in postmenopausal women with reduced bone mineral density: psychometric evaluation of the Polish version of QUALEFFO-41. Arch Med Sci 2011; 7: 476–485.
[11] Simeunovic S, Milincic Z, Nikolic D, Simeunovic D, Arandjelovic D, Novakovic I, et al. Physical activity evaluation in yugoslav study of the precursors of atherosclerosis in school children-YUSAD study. Arch Med Sci 2010; 6: 874–878.
[12] Warburton DE, Nicol CW, Bredin SS. Health benefits of physical activity: the evidence. CMAJ 2006; 174: 801–809.
[13] Bouchard C, Blair SN. Introductory comments for the consensus on physical activity and obesity. Med Sci Sports Exerc 1999; 31: S498–S501.
[14] Chavarro JE, Rich-Edwards JW, Rosner BA, Willett WC. Diet and lifestyle in the prevention of ovulatory disorder infertility. Obstet Gynecol 2007; 110: 1050–1058.
[15] Morris SN, Missmer SA, Cramer DW, Powers RD, McShane PM, Hornstein MD. Effects of lifetime exercise on the outcome of in vitro fertilization. Obstet Gynecol 2006; 108: 938–945.
[16] Rich-Edwards JW, Spiegelman D, Garland M, Hertzmark E, Hunter DJ, Colditz GA, et al. Physical activity, body mass index, and ovulatory disorder infertility. Epidemiology 2002; 13: 184–190.
[17] Clark AM, Ledger W, Galletly C, Tomlinson L, Blaney F, Wang X, et al. Weight loss results in significant improvement in pregnancy and ovulation rates in anovulatory obese women. Hum Reprod 1995; 10: 2705–2712.
[18] Redman LM. Physical activity and its effects on reproduction. Reproductive biomedicine online. 2006; 12: 579–586.
[19] Mirzaei M, Salehi-Abargouei A, Mirzaei M, Mohsenpour MA. Cohort profile: the Yazd Health Study (YaHS): a population-based study of adults aged 20-70 years (study design and baseline population data). Int J Epidemiol 2018; 47: 697–698.
[20] Rowe P, Comhaire F, Hargreave T, Mellows H. WHO manual for the standardized investigation and diagnosis of the infertile couple. Cambridge: Press Syndicate of the University of Cambridge; 1993.
[21] Tierney M, Fraser A, Kennedy N. Criterion validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF) for use in patients with rheumatoid arthritis: comparison with the SenseWear Armband. Physiotherapy 2015; 101: 193-197.
[22] Committee IR. Guidelines for data processing and analysis of the International Physical Activity Questionnaire (IPAQ)- short and long forms. Available at: http://wwwipaqkise/ scoringpdf. 2005.
[23] Lee PH, Macfarlane DJ, Lam TH, Stewart SM. Validity of the international physical activity questionnaire short form (IPAQ-SF): A systematic review. Int J Behav Nutr Phys Act 2011; 8: 115–125.
[24] Moreau KL, Degarmo R, Langley J, Mcmahon C, Howley ET, Bassett DR Jr, et al. Increasing daily walking lowers blood pressure in postmenopausal women. Med Sci Sports Exerc 2001; 33: 1825–1831.
[25] Wise LA, Rothman KJ, Mikkelsen EM, Sørensen HT, Riis AH, Hatch EE. A prospective cohort study of physical activity and time to pregnancy. Fertil Steril 2012; 97: 1136– 1142.
[26] DiPietro L, Seeman TE, Stachenfeld NS, Katz LD, Nadel ER. Moderate−intensity aerobic training improves glucose tolerance in aging independent of abdominal adiposity. J Am Geriat Soc 1998; 46: 875–879.
[27] Arciero PJ, Vukovich MD, Holloszy JO, Racette SB, Kohrt WM. Comparison of short-term diet and exercise on insulin action in individuals with abnormal glucose tolerance. J Appl Physiol 1999; 86: 1930–1935.
[28] Gudmundsdottir SL, Flanders WD, Augestad LB. Physical activity and fertility in women: the North-Trøndelag Health Study. Hum Reprod 2009; 24: 3196–3204.
[29] Otis CL, Drinkwater B, Johnson M, Loucks A, Wilmore J. American college of sports medicine position stand. The female athlete triad. Med Sci Sports Exerc 1997; 29: pi–ix.
[30] Green BB, Daling JR, Weiss NS, Liff JM, Koepsell T. Exercise as a risk factor for infertility with ovulatory dysfunction. Am J Public Health 1986; 76: 1432–1436.
[31] Homan GF, Davies M, Norman R. The impact of lifestyle factors on reproductive performance in the general population and those undergoing infertility treatment: a review. Hum Reprod Update 2007; 13: 209–223.
[32] Bonen A. Recreational exercise does not impair menstrual cycles: a prospective study. Int J Sports Med 1992; 13: 110– 120.
[33] Bonen A, Shaw SM. Recreational exercise participation and aerobic fitness in men and women: analysis of data from a national survey. J Sports Sci 1995; 13: 297–303.
[34] Yusuf S, Anand S. Body-mass index, abdominal adiposity, and cardiovascular risk. Lancet 2011; 378: 226–227.
[35] Palomba S, Falbo A, Di Cello A, Cappiello F, Tolino A, Zullo F. Does metformin affect the ovarian response to gonadotropins for in vitro fertilization treatment in patients with polycystic ovary syndrome and reduced ovarian reserve? A randomized controlled trial. Fertil Steril 2011; 96: 1128–1133.
[36] Mena GP, Mielke GI, Brown WJ. The effect of physical activity on reproductive health outcomes in young women: a systematic review and meta-analysis. Hum Reprod Update 2019; 25: 541–563.
[37] National Portal of Statistics of Iran (Census P, Population and Housing), 2015. Available at: https://www.amar.org.ir/Portals/0/census/1395/results/ tables/zanashui/tafsili/shahrestan/1-zanashui-21.xls.