A systematic review and meta-analysis of lifestyle and body mass index predictors of successful assisted reproductive technologies

Article

Purewal, S., Chapman, S. and van den Akker, O. 2019. A systematic review and meta-analysis of lifestyle and body mass index predictors of successful assisted reproductive technologies. Journal of Psychosomatic Obstetrics and Gynecology. 40 (1), pp. 2-18. https://doi.org/10.1080/0167482X.2017.1403418
TypeArticle
TitleA systematic review and meta-analysis of lifestyle and body mass index predictors of successful assisted reproductive technologies
AuthorsPurewal, S., Chapman, S. and van den Akker, O.
Abstract

Objective: Lifestyle (smoking, drinking alcohol) and body mass index (BMI) predictors of successful outcomes in assisted reproductive technology (ART) treatments were examined in this meta-analysis.
Method: A bibliographic search was undertaken using six databases. The review was informed by PRISMA/MOOSE guidelines. Meta analytic data were analysed using random effects models.
Results: We included 77 studies examining effects of BMI, smoking and drinking alcohol. Patients with a BMI<24.9 were significantly more likely to achieve LB/pregnancy than with BMI>25 OR 1.219 (95% CI:1.128–1.319, z 4.971, p<.001; I2 53.779%, p .001). Non-smokers were significantly more likely to achieve a LB or pregnancy than smokers OR 1.457 (95% CI:1.228–1.727, z 4.324, p<.001; I2 51.883; p .001). Meta-regression revealed the number of embryos transferred significantly moderated the effects of smoking on ART outcomes, and there was a trend indicating primary infertility and high BMI were also significant moderators. The evidence for drinking alcohol was inconclusive due to the small number of studies.
Conclusions: This meta-analysis confirms that ART treatment success can be predicted with life-style factors. Further, non-smokers’ relative odds of pregnancy/live birth increase as more embryos were transferred but there was a trend that the odds of pregnancy/live birth decrease with primary infertility and high BMI.

Research GroupApplied Health Psychology group
PublisherTaylor and Francis
JournalJournal of Psychosomatic Obstetrics and Gynecology
ISSN0167-482X
Electronic1743-8942
Publication dates
Online27 Nov 2017
Print02 Jan 2019
Publication process dates
Submitted28 Apr 2016
Accepted05 Nov 2017
Deposited05 Dec 2017
Output statusPublished
Accepted author manuscript
File Access Level
Open
Copyright Statement

This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Psychosomatic Obstetrics & Gynecology on 27/11/2017, available online: http://www.tandfonline.com/10.1080/0167482X.2017.1403418

Digital Object Identifier (DOI)https://doi.org/10.1080/0167482X.2017.1403418
LanguageEnglish
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Genetic and gestational surrogate mothers' experience of surrogacy
van den Akker, O. 2003. Genetic and gestational surrogate mothers' experience of surrogacy. Journal of Reproductive and Infant Psychology. 21 (2), pp. 145-161. https://doi.org/10.1080/0264683031000124091
The acceptable face of parenthood: the relative status of biological and cultural interpretations of offspring in infertility treatment
van den Akker, O. 2001. The acceptable face of parenthood: the relative status of biological and cultural interpretations of offspring in infertility treatment. Psychology, Evolution & Gender. 3 (2), pp. 137-153. https://doi.org/10.1080/14616660110067366
Leisure activities and adolescent sexual behaviour
van den Akker, O. and Lees, S. 2001. Leisure activities and adolescent sexual behaviour. Sex Education. 1 (2), pp. 137-147. https://doi.org/10.1080/14681810120052560
Adoption in the age of reproductive technology
van den Akker, O. 2001. Adoption in the age of reproductive technology. Journal of Reproductive and Infant Psychology. 19 (2), pp. 147-159. https://doi.org/10.1080/02646830125231
A review of family donor constructs: current research and future directions
van den Akker, O. 2006. A review of family donor constructs: current research and future directions. Human Reproduction Update. 12 (2), pp. 91-101. https://doi.org/10.1093/humupd/dmi038
Surrogate motherhood: demystifying the controversies
van den Akker, O. 1998. Surrogate motherhood: demystifying the controversies. British Journal of Midwifery. 6 (12), pp. 768-770.
Adolescent sexual behaviour and knowledge
van den Akker, O., Andre, J., Lees, S. and Murphy, T. 1999. Adolescent sexual behaviour and knowledge. British Journal of Midwifery. 7 (12), pp. 765-769.
Psychosocial aspects of surrogate motherhood
van den Akker, O. 2007. Psychosocial aspects of surrogate motherhood. Human Reproduction Update. 13 (1), pp. 53-62. https://doi.org/10.1093/humupd/dml039
Something old, something new, something borrowed, and something taboo
van den Akker, O. 1994. Something old, something new, something borrowed, and something taboo. Journal of Reproductive and Infant Psychology. 12 (3), pp. 179-188. https://doi.org/10.1080/02646839408408884
Psychophysiological responses in women reporting severe premenstrual symptoms
van den Akker, O. and Steptoe, A. 1989. Psychophysiological responses in women reporting severe premenstrual symptoms. Psychosomatic Medicine: Journal of Biobehavioral Medicine. 51 (3), pp. 319-328.
Menstrual cycle symptom reporting in three British ethnic groups
van den Akker, O., Eves, F., Service, S. and Lennon, B. 1995. Menstrual cycle symptom reporting in three British ethnic groups. Social Science & Medicine. 40 (10), pp. 1417-1423. https://doi.org/10.1016/0277-9536(94)00265-U
The retrospective diagnosis of postnatal depression by questionnaire
Stein, G. and van den Akker, O. 1992. The retrospective diagnosis of postnatal depression by questionnaire. Journal of Psychosomatic Research. 36 (1), pp. 67-75. https://doi.org/10.1016/0022-3999(92)90115-I
Comparison of the overall quality of life in 50 long-term survivors of autologous and allogeneic bone marrow transplantation
Molassiotis, A., Boughton, B., Burgoyne, T. and van den Akker, O. 1995. Comparison of the overall quality of life in 50 long-term survivors of autologous and allogeneic bone marrow transplantation. Journal of Advanced Nursing. 22 (3), pp. 509-516. https://doi.org/10.1046/j.1365-2648.1995.22030509.x
Symptom distress, coping style and biological variables as predictors of survival after bone marrow transplantation
Molassiotis, A., van den Akker, O., Milligan, D. and Goldman, J. 1997. Symptom distress, coping style and biological variables as predictors of survival after bone marrow transplantation. Journal of Psychosomatic Research. 42 (3), pp. 275-285. https://doi.org/10.1016/S0022-3999(96)00298-X
Perceived social support, family environment and psychosocial recovery in bone marrow transplant long-term survivors
Molassiotis, A., van den Akker, O. and Boughton, B. 1997. Perceived social support, family environment and psychosocial recovery in bone marrow transplant long-term survivors. Social Science & Medicine. 44 (3), pp. 317-325. https://doi.org/10.1016/S0277-9536(96)00101-3
The quality of life of renal dialysis patients: trying to find the missing measurement
Killingworth, A. and van den Akker, O. 1996. The quality of life of renal dialysis patients: trying to find the missing measurement. International Journal of Nursing Studies. 33 (1), pp. 107-120. https://doi.org/10.1016/0020-7489(95)00040-2
Dysmenorrhoea, mental attitude and GP consultation
Hewison, A. and van den Akker, O. 1996. Dysmenorrhoea, mental attitude and GP consultation. British Journal of Nursing. 5 (8), pp. 480-484.
Service provision for sickle-cell disease: school-based education
Eboh, W. and van den Akker, O. 1996. Service provision for sickle-cell disease: school-based education. British Journal of Nursing. 5 (1), pp. 30-33.
eHealth as a challenge to ‘expert’ power: a focus group study of internet use for health information and management
Donnelly, L., Shaw, R. and van den Akker, O. 2008. eHealth as a challenge to ‘expert’ power: a focus group study of internet use for health information and management. Journal of the Royal Society of Medicine. 101 (10), pp. 501-506. https://doi.org/10.1258/jrsm.2008.080156
Developing a Year 9 safe-sun programme: adolescents form a particularly high-risk group, in need of specific skin-protective information and advice
Colley, K. and van den Akker, O. 1998. Developing a Year 9 safe-sun programme: adolescents form a particularly high-risk group, in need of specific skin-protective information and advice. Education and Health. 16 (3), pp. 42-47.
Disclosing donor information: a new code of silence?
Blyth, E., Crawshaw, M. and van den Akker, O. 2009. Disclosing donor information: a new code of silence? BioNews.
Attitudes and intentions towards volunteer oocyte donation
Purewal, S. and van den Akker, O. 2009. Attitudes and intentions towards volunteer oocyte donation. Reproductive BioMedicine Online. 19, pp. 19-26. https://doi.org/10.1016/S1472-6483(10)60059-4
Systematic review of oocyte donation: investigating attitudes, motivations and experiences
Purewal, S. and van den Akker, O. 2009. Systematic review of oocyte donation: investigating attitudes, motivations and experiences. Human Reproduction Update. 15 (5), pp. 499-515. https://doi.org/10.1093/humupd/dmp018
A study of the effect of message framing on oocyte donation
Purewal, S. and van den Akker, O. 2009. A study of the effect of message framing on oocyte donation. Human Reproduction. 24 (12), pp. 3136-3143. https://doi.org/10.1093/humrep/dep342
'I feel like they were mine and I should be looking after them': an exploration of non-patient women's attitudes towards oocyte donation
Purewal, S. and van den Akker, O. 2009. 'I feel like they were mine and I should be looking after them': an exploration of non-patient women's attitudes towards oocyte donation. Journal of Psychosomatic Obstetrics and Gynecology. 30 (4), pp. 215-222. https://doi.org/10.3109/01674820903348732
Psychological trait and state characteristics, social support and attitudes to the surrogate pregnancy and baby
van den Akker, O. 2007. Psychological trait and state characteristics, social support and attitudes to the surrogate pregnancy and baby. Human Reproduction. 22 (8), pp. 2287-2295. https://doi.org/10.1093/humrep/dem155
The socio-cultural and biological meaning of parenthood
Purewal, S. and van den Akker, O. 2007. The socio-cultural and biological meaning of parenthood. Journal of Psychosomatic Obstetrics and Gynecology. 28 (2), pp. 79-86. https://doi.org/10.1080/01674820701409918
A longitudinal pre-pregnancy to post-delivery comparison of genetic and gestational surrogate and intended mothers: confidence and genealogy
van den Akker, O. 2005. A longitudinal pre-pregnancy to post-delivery comparison of genetic and gestational surrogate and intended mothers: confidence and genealogy. Journal of Psychosomatic Obstetrics and Gynecology. 26 (4), pp. 277-284. https://doi.org/10.1080/01674820500165745
The importance of a genetic link in mothers commissioning a surrogate baby in the UK
van den Akker, O. 2000. The importance of a genetic link in mothers commissioning a surrogate baby in the UK. Human Reproduction. 15 (8), pp. 1849-1855. https://doi.org/10.1093/humrep/15.8.1849
Functions and responsibilities of organizations dealing with surrogate motherhood in the UK
van den Akker, O. 1998. Functions and responsibilities of organizations dealing with surrogate motherhood in the UK. Human Fertility. 1 (1), pp. 10-13. https://doi.org/10.1080/1464727982000198031
The pattern and prevalence of symptoms during the menstrual cycle
van den Akker, O. and Steptoe, A. 1985. The pattern and prevalence of symptoms during the menstrual cycle. The British Journal of Psychiatry. 147 (2), pp. 164-169. https://doi.org/10.1192/bjp.147.2.164