Menstrual Period and Anthropometric Characteristics of Women with Secondary Infertility and Age Matched Control

Adesola Ojo Ojoawo; Olamide Oladoyin Bamidele; Stephen Olumide Akinsomisoye; Babalola Adebanjo Adeyemi

doi:10.47277/JIRB/8(4)/84

Adesola Ojo Ojoawo Department of Medical Rehabilitation, Faculty of Basic Medical Sciences, College of Health Sciences, Obafemi Awolowo University, Ile Ife, Nigeria
Olamide Oladoyin Bamidele Department of Medical Rehabilitation, Faculty of Basic Medical Sciences, College of Health Sciences, Obafemi Awolowo University, Ile Ife, Nigeria
Stephen Olumide Akinsomisoye Department of Physiological Sciences, Faculty of Basic Medical Sciences, College of Health Sciences, Obafemi Awolowo University, Ile Ife, Nigeria
Babalola Adebanjo Adeyemi Department of Obstetrics and gynecology, Faculty of Clinical Sciences, College of Health Sciences, Obafemi Awolowo University, Ile Ife, Nigeria

DOI: https://doi.org/10.47277/JIRB/8(4)/84

Keywords: Infertility, Body Mass Index, Waist circumference, Neck circumference, Menstrual period

Abstract

The study investigated the anthropometric characteristics and menstrual cycle of women with secondary infertility and compared these with an aged matched control. Seventy six participants (38 women with secondary infertility and 38 aged matched fertile women participated in the study. The anthropometric parameters of weight, height, waist circumference (WC), hip circumference (HC), wrist circumference (WrC) and neck circumference (NC) were measured using standard protocol. Data was analyzed using IBM 23, descriptive and inferential statistics. Alpha level was set at 0.05. There was a significant difference in the body mass index of the women with secondary infertility and the control group (t = 4.642, p < 0.05). There was a significant difference in the waist-to-hip ratio (t = 3.496, p < 0.05) and waist to height ratio (t = 4.292, p< 0.05) of women with secondary infertility and the control group. There was also a significant difference in the average menstrual cycle length (t = 2.702, p < 0.05). There was a significant relationship between fertility and each of the anthropometric variables (p<0.05) except hip circumference. Those variables have a prediction of 54.8% and a predictive equation Y = 3.956 (Height) + 0.005(WC) +0.012 (NC) -0.216 (WrC) – 0.018 (Weight) – 1.076 was obtained. Women with secondary infertility carry more adiposity which contribute more that 50 % to the prediction of fertility and their menstrual cycle is longer than their fertile counterpart.

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References

Cong J, Li P, Zheng L, Tan J. Prevalence and risk factors for infertility at a rural site of Northern China. Plos One. 2016;11(5):e0155563.

Macaluso M, Wright-Schnapp TJ, Chandra A, et al. A public health focus on infertility prevention, detection and management. Fertility and sterility. 2010; 93(1):16-e1.

Trent M. Status of adolescent pelvic inflammatory disease management in the United States. Current opinion in obstetrics & gynecology. 2013; 25(5):350-6.

Mascarenhas MN, Flaxman SR, Boerma T, et al. National, regional and global trends in infertility: a systematic analysis of 277 health surveys. Plos Med (2012);9(12):e1001356.

Mirzaei M, Namiranian N, Firouzabadi RD, Gholami S. The prevalence of infertility in 20-49 years women in Yazd, 2014-2015: A cross-sectional study. International Journal of Reproductive Biomedicine. 2018;16(11):683.

Poddar S, Sanyal N, Mukherjee U. Psychological profile of women with infertility: A comparative study. Industrial psychiatry journal. 2014;23(2):117.

Tabong PTN, Adongo PB. Infertility and childlessness: a qualitative study of the experiences of infertile couples in Northern Ghana. BMC pregnancy and childbirth. 2013;13(1):72.

Larsen, U. Primary and secondary infertility in sub-Saharan Africa. International Journal of Epidemiology. 2000; 29(2):285-291.

Hasanpoor- Azghdy SB, Simbar M, Vedadhir A. The emotional-psychological consequences of infertility among infertile women seeking treatment: results of a qualitative study. Iran Journal of Reproductive medicine. 2014;12(2):131-138

Jordan CB, Ferguson RJ. Infertility-related concerns in two family practice sites. Families, Systems, & Health. 2006;24(1):28.

Tarleton HP, Smith LV, Zhang ZF, Kuo T. Utility of anthropometric measures in a multiethnic population: their association with prevalent diabetes, hypertension and other chronic disease comorbidities. J Community Health. 2014;39(3): 471-9.

Casadei K, Kiel J. Anthropometric measurement. “In StatPearls [Internet). StatPearls Publishing. 2019.

Ashtary-Larky D, Daneghian S, Alipour M, et al. Waist Circumference to Height Ratio: Better Correlation with Fat Mass than Other Anthropometric Indices during Dietary Weight Loss in Different Rates. International journal of endocrinology and metabolism. 2018;16(4).

Ashwell M, Gunn P, Gibson S. Waist-to-height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors: systematic review and meta-analysis. Obesity Reviews. 2011;13(3):275-286.

Henneberg M, Ulijaszek SJ. Body frame dimensions are related to obesity and fatness: Lean trunk size, skinfolds, and body mass index. American Journal of Human Biology. 2010;22(1):83-91.

Öztürk A, Çiçek B, Mazıcıoğlu MM, et al. Wrist circumference and frame size percentiles in 6-17-year-old turkish children and adolescents in Kayseri. Journal of clinical research in pediatric endocrinology. 2017;9(4):329.

Hingorjo MR, Qureshi MA, Mehdi A. Neck circumference as a useful marker of obesity: a comparison with body mass index and waist circumference. JPMA-Journal of the Pakistan Medical Association. 2012;62(1):36.

Rosner, B. Fundamentals of biostatistics 5th ed. Pacific Grove, Calif: Duxbury, 2000;308.

Marfell MJ, Olds T, Stewart A, Carter L. Girth measurement. In International Standards for Anthropometric Assessment. International Society for the Advancement of Kinanthropometry Publication. 2006; Revised edition.

WHO: Physical status: the use and interpretation of anthropometry. WHO Technical report. 1995.

Talmor A, Dunphy B. Female obesity and infertility. Best Practice & Research Clinical Obstetrics & Gynaecology. 2015; 29(4):498-506.

Seth B, Arora S, Singh R. Association of obesity with hormonal imbalance in infertility: a cross-sectional study in north Indian women. Indian Journal of Clinical Biochemistry. 2013; 28(4):342-347.

Dag, ZO.,& Dilbaz, B. Impact of obesity on infertility in women. Journal of the Turkish German Gynecological Association, 2015; 16(2):111.

Pasquali R. Obesity and androgens: facts and perspectives. Fertility and sterility. 2006;85(5): 1319-1340.

Kirchengast S, Huber J. Body composition characteristics and fat distribution patterns in young infertile women. Fertility and sterility. 2004;81(3): 539-544.

Nelson LR, Bulun SE. Estrogen production and action. Journal of the American Academy of Dermatology. 2001; 45(3):S116-S124.

Sharma R, Biedenharn KR, Fedor JM, Agarwal A. Lifestyle factors and reproductive health: taking control of your fertility. Reproductive Biology and Endocrinology. 2013;11(1): 66.

Rachoń D, Teede H. Ovarian function and obesity-interrelationship, impact on women's reproductive lifespan and treatment options. Molecular and cellular endocrinology. 2010;316(2):172-179.

Moran LJ, Norman RJ, Teede HJ. Metabolic risk in PCOS: phenotype and adiposity impact. Trends in Endocrinology & Metabolism. 2015; 26(3):136-143.

Escobar-Morreale HF. Surgical management of metabolic dysfunction in PCOS. Steroids. 2012; 77(4):312-316.

Yildiz BO, Knochenhauer ES, Azziz R. Impact of obesity on the risk for polycystic ovary syndrome. The Journal of Clinical Endocrinology & Metabolism. 2008; 93(1):162-168.

Aladashvilli-Chikvaidze N, Kristesashvili J, Gegechkori M. Types of reproductive disorders in underweight and overweight young females and correlations of respective hormonal changes in BMI. Iranian journal of reproductive medicine. 2015; 13(3):135-140.

Kakarla N, Bradshaw K, Glob. libr. women's med., (ISSN: 1756-2228) 2008; DOI 10.3843/GLOWM.10321.

Gnoth C, Godehardt E, Frank-Herrmann P, et al. Definition and prevalence of subfertility and infertility. Human reproduction. 2005: 20(5):1144-1147.

Akther N, Jebunnaher S. Evaluation of female infertility. Journal of Medicine. 2012;13(2):200-209.