Infertilit é : moment clé pour entreprendre une prise en charge nutritionnelle médicale. Expérience lilloise sur 78 patientes

Conclusion Cette consultation nutritionnelle favorise la perte de poids chez les patientes infertiles obèses et en surpoids. Le désir de maternité est un levier motivationnel fort permettant d’atteindre l’objectif pondéral, et ainsi de donner des chances de grossesse satisfaisantes. Objectives The prevalence of female obesity is increasing. Obesity leads to increased infertility and difficulties in the management of Assisted Reproductive Technology (ART). A specialized nutritional consultation was created in 2008 at University Hospital of Lille, to support infertile obese and overweight patients and to achieve a BMI below 35kg/m2 before pregnancy. The aim of this retrospective study was to evaluate our practice of nutritional support on weight and pregnancy rate. Methods Seventy-eight obese or overweight patients, followed in nutrition and ART for at least two years, were compared to a control group of 119 normal weight patients. The nutritional strategy was mainly based on lifestyle changes, to establish healthier food and higher physical activity. Results The mean initial BMI was 37.5kg/m2 vs 35.6kg/m2 after nutritional support (significant weight loss, [P <0.001]). Obese or overweight patients had more frequently metabolic syndrome (P <0.01). The chances of pregnancy, after weight loss, were similar to the control group both in IUI and IVF/ICSI. However, gonadotropin doses were increased in the obese and overweight group (P =0.007). The hypocalo...
Source: Gynecologie Obstetrique and Fertilite - Category: OBGYN Source Type: research