Impact of Obesity Visceral Adiposity and Metabolic Syndrome on Male Fertility

OBJECTIVE: The study aimed to assess the association between the separate anthropometric indexes including visceral adiposity and metabolic syndrome on male fertility. STUDY DESIGN: In a cross-sectional study, the visceral and subcutaneous fat thickness of 162 participants were measured by ultras...

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Main Authors: Esra Bahar Gur, Ebru Sahin Gulec, Sadik Ince, Mehmet Zeynel Keskin, Ahmet Demir, Baris Sengul, Mehmet Serkan Gur
Format: Article
Language:English
Published: Medical Network 2021-12-01
Series:Gynecology Obstetrics & Reproductive Medicine
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Online Access:https://gorm.com.tr/index.php/GORM/article/view/1156
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author Esra Bahar Gur
Ebru Sahin Gulec
Sadik Ince
Mehmet Zeynel Keskin
Ahmet Demir
Baris Sengul
Mehmet Serkan Gur
author_facet Esra Bahar Gur
Ebru Sahin Gulec
Sadik Ince
Mehmet Zeynel Keskin
Ahmet Demir
Baris Sengul
Mehmet Serkan Gur
author_sort Esra Bahar Gur
collection DOAJ
description OBJECTIVE: The study aimed to assess the association between the separate anthropometric indexes including visceral adiposity and metabolic syndrome on male fertility. STUDY DESIGN: In a cross-sectional study, the visceral and subcutaneous fat thickness of 162 participants were measured by ultrasonography. Participants' body mass index, waist circumference, and waist/hip ratio were determined. Participants' biochemical metabolic parameters and reproductive hormones were measured and semen parameters were recorded. Participants were divided into groups according to body mass index and different percentiles of the visceral fat thickness. Differences between groups were investigated by One-way ANOVA, Kruskal-Wallis H, and Pearson Chi-Square test. The relationship between anthropometric measurements and sperm parameters was evaluated by Pearson and Spearman’s rank correlation test. The effect of anthropometric indexes on sperm parameters was evaluated using multivariate regression analysis. RESULTS: It was seen that only total testosterone of sex hormones decreased significantly in the obesity group (p=0.003). There was a significant and reverse association between visceral fat thickness with sperm morphology (rho=–0.2, p=0.01). There was no significant correlation between semen parameters and other anthropometric measurements. In multiple regression analysis, the effect of anthropometric measurements, including visceral fat thickness, on semen parameters was not found, but only smoking was found to be a factor affecting sperm concentration, progressive motility, and morphology (p=0.03, p=0.03, and p=0.01). CONCLUSION: In this study, it was shown that increased obesity was associated with low testosterone levels and increased visceral fat was associated with abnormal sperm morphology. More extensive studies are required on this subject.
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publishDate 2021-12-01
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series Gynecology Obstetrics & Reproductive Medicine
spelling doaj-art-2263d4d2ee6c48d997c77ee8b9b94aba2025-02-11T21:13:44ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182021-12-0127310.21613/GORM.2021.1156Impact of Obesity Visceral Adiposity and Metabolic Syndrome on Male FertilityEsra Bahar Gur0Ebru Sahin Gulec1Sadik Ince2Mehmet Zeynel Keskin3Ahmet Demir4Baris Sengul5Mehmet Serkan Gur6İzmir Katip Çelebi UniversityTepecik Education and Research HospitalTepecik Education and Research HospitalTepecik Education and Research HospitalTepecik Education and Research HospitalTepecik Education and Research Hospitalİzmir Katip Çelebi University OBJECTIVE: The study aimed to assess the association between the separate anthropometric indexes including visceral adiposity and metabolic syndrome on male fertility. STUDY DESIGN: In a cross-sectional study, the visceral and subcutaneous fat thickness of 162 participants were measured by ultrasonography. Participants' body mass index, waist circumference, and waist/hip ratio were determined. Participants' biochemical metabolic parameters and reproductive hormones were measured and semen parameters were recorded. Participants were divided into groups according to body mass index and different percentiles of the visceral fat thickness. Differences between groups were investigated by One-way ANOVA, Kruskal-Wallis H, and Pearson Chi-Square test. The relationship between anthropometric measurements and sperm parameters was evaluated by Pearson and Spearman’s rank correlation test. The effect of anthropometric indexes on sperm parameters was evaluated using multivariate regression analysis. RESULTS: It was seen that only total testosterone of sex hormones decreased significantly in the obesity group (p=0.003). There was a significant and reverse association between visceral fat thickness with sperm morphology (rho=–0.2, p=0.01). There was no significant correlation between semen parameters and other anthropometric measurements. In multiple regression analysis, the effect of anthropometric measurements, including visceral fat thickness, on semen parameters was not found, but only smoking was found to be a factor affecting sperm concentration, progressive motility, and morphology (p=0.03, p=0.03, and p=0.01). CONCLUSION: In this study, it was shown that increased obesity was associated with low testosterone levels and increased visceral fat was associated with abnormal sperm morphology. More extensive studies are required on this subject. https://gorm.com.tr/index.php/GORM/article/view/1156Male fertilityObesitySperm parameters,Visceral adiposity
spellingShingle Esra Bahar Gur
Ebru Sahin Gulec
Sadik Ince
Mehmet Zeynel Keskin
Ahmet Demir
Baris Sengul
Mehmet Serkan Gur
Impact of Obesity Visceral Adiposity and Metabolic Syndrome on Male Fertility
Gynecology Obstetrics & Reproductive Medicine
Male fertility
Obesity
Sperm parameters,
Visceral adiposity
title Impact of Obesity Visceral Adiposity and Metabolic Syndrome on Male Fertility
title_full Impact of Obesity Visceral Adiposity and Metabolic Syndrome on Male Fertility
title_fullStr Impact of Obesity Visceral Adiposity and Metabolic Syndrome on Male Fertility
title_full_unstemmed Impact of Obesity Visceral Adiposity and Metabolic Syndrome on Male Fertility
title_short Impact of Obesity Visceral Adiposity and Metabolic Syndrome on Male Fertility
title_sort impact of obesity visceral adiposity and metabolic syndrome on male fertility
topic Male fertility
Obesity
Sperm parameters,
Visceral adiposity
url https://gorm.com.tr/index.php/GORM/article/view/1156
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