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• W2009932805 abstract "Obesity has become an epidemic in the US. Despite its adverse effects on reproductive health few women are successful in achieving weight loss prior to initiation of fertility treatment. It is unclear if this is due to a lack of knowledge regarding the adverse effects of obesity or lack of desire/resources to lose weight. We conducted a study to determine if overweight/obese women with infertility were aware of the effects of increased weight on reproductive outcomes and to assess their weight loss strategies to reduce these risks. Questionnaire. Infertile women (18–45 yrs) with BMI > 25 seen in the REI clinic were administered questionnaires during their office visit to obtain demographic information and assess knowledge of obesity with true/false questions. They were then given an educational packet on the adverse effects of obesity. 51 women with a mean age of 30.9 ± 0.6 yrs, BMI of 33.0 ± 0.8, and infertility of 37 ± 4.8 months participated in the study (projected recruitment 200). They were primarily Caucasian (96.1%) and 92.2% had some college education. Most subjects (>98%) knew that obesity affects menstrual regularity and fertility, but only 75% recognized its effect on miscarriage rate. Fewer women (39.2%) were aware of the increased risk of IVF cycle cancellation and medication needs in obese women. The majority (>90%) knew the increased obstetric risks of preeclampsia and gestational diabetes, whereas fewer were aware of the risks of stillbirth (41.2%), cesarean section (62.7%), maternal death (47.1%), and having a child with a birth defect (41.2%). Overall, the subjects were most well-informed (>90%) about the effects of obesity on general health (increase in overall morbidity and mortality, hypertension, and diabetes). Most women were concerned about their weight (86.2%) and had attempted weight loss (94%). Only 15.7% had seen a nutritionist and 3.9% were following the AHA recommended daily exercise regimen. Currently 51% were not interested in losing weight before initiating infertility treatment secondary to the immediate desire to have a child. Our pilot study shows that women understand the risks of obesity on general health but are less knowledgeable of its effects on reproduction and pregnancy. Given the significant obesity-related reproductive health risks, patients should be aggressively educated and information on nutrition and exercise should be provided." @default.
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• W2009932805 date "2007-09-01" @default.
• W2009932805 modified "2023-09-28" @default.
• W2009932805 title "Overweight and obese infertile women lack adequate knowledge of the effects of obesity on reproductive health" @default.
• W2009932805 doi "https://doi.org/10.1016/j.fertnstert.2007.07.646" @default.
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