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العنوان
Obesity Index That Better Predict Ovarian Response: Body Mass Index, Waist Circumference, Waist Hip Ratio, or
Waist Height Ratio in Women
Undergoing ICSI
(A Pilot Study)/
المؤلف
Megahed,Ahmed Hamed Elmetwalli
هيئة الاعداد
باحث / أحمد حامد المتولي مجاهد
مشرف / علــي عليــان خلف الله
مشرف / شريف فتحي المكاوي
مشرف / أحمـد محمد القطـب
تاريخ النشر
2020
عدد الصفحات
217.p:
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
أمراض النساء والتوليد
تاريخ الإجازة
13/2/2020
مكان الإجازة
جامعة عين شمس - كلية الطب - Obstetrics & Gynaecology
الفهرس
Only 14 pages are availabe for public view

from 217

from 217

Abstract

Background: Obesity and overweight are common conditions that have consequences not only on general health but also to a great extent on reproductive health. There is a high prevalence of obese women in the infertile population and numerous studies have highlighted the link between obesity and infertility.
Objective: This study is designed to assess the accuracy of Body Mass Index, waist circumference, waist Hip Ratio or Waist Height Ratio as a predictor of ovarian response in women undergoing ICSI.
Methodology: This Pilot study was done at Clinical IVF & ART unit at Faculty of Medicine - Ain -Shams University Hospital, Number of Participant women 150.
Results and conclusion: The anthropometric measures, only the waist circumference, waist/hip ratio and waist/height ratio were related to ovarian response (p-value = 0.014, 0.004 and 0.020, respectively) and to the occurrence of clinical pregnancy (p-value = 0.017, 0.030 and 0.010, respectively). The measures, however, were modest predictors for either outcome. A waist circumference ≤0.81 cm could predict good ovarian response with a sensitivity of 35% and specificity of 100% (AUC = 0.656), and a waist circumference >98 cm could predict clinical pregnancy with a sensitivity of 61% and specificity of 80% (AUC = 0.609). A waist/hip ratio ≤0.82 could predict good ovarian response with a sensitivity of 62.4% and specificity of 68% (AUC = 0.652), and a ratio >0.84 could predict clinical pregnancy with a sensitivity of 56.3% and specificity of 70.9% (AUC = 0.612).On the other hand, a waist/height ratio ≤0.54 could predict good ovarian response with a sensitivity of 48% and specificity of 92% (AUC = 0.651), while a waist/height ratio >0.62 cm could predict clinical pregnancy with a sensitivity of 61% and specificity of 80% (AUC = 0.609).