To the content
Спецвыпуск . 2023

Obesity is a risk factor of recurrent miscarriage

Abstract

Despite numerous scientific studies on the analysis of the causes of recurrent miscarriage, up to 40% of risk factors remain uncertain/unknown. This circumstance determined the direction of our study.

The aim of the study was to analyze and summarize the scientific data accumulated to date on the pathogenesis of recurrent miscarriage in obese women.

Material and methods. A search was made for scientific publications for 2012–2022 in the Cochrane Library, Science Direct, PubMed, ELibrary databases using the keywords: pathogenesis, miscarriage, obesity, risk factor. Obesity is a key trigger in the pathogenesis of recurrent miscarriage in women of fertile age.

Conclusion. To date, the pathogenesis has not been fully disclosed, which makes it difficult to predict the outcomes of the above disorders. There is an obvious need for well-designed, high-quality studies whose results will allow development of effective patient management algorithms and improve reproductive/perinatal outcomes.

Conflict of interest. The authors declare the absence of obvious and potential conflicts of interest related to the publication of this article.

Funding. The authors declare the absence of external funding for the study and publication of the article.

Contribution. The authors declare the compliance of their authorship according to the international ICMJE criteria. All authors made a substantial contribution to the conception of the work, acquisition, analysis, interpretation of data for the work, drafting and revising the work, final approval of the version to be published and agree to be accountable for all aspects of the work.

Keywords:miscarriage; obesity; risk factor; maternal obesity; high body mass index

Conflict of interest. The authors declare the absence of obvious and potential conflicts of interest related to the publication of this article.

Funding. The authors declare the absence of external funding for the study and publication of the article.

Contribution. The authors declare the compliance of their authorship according to the international ICMJE criteria. All authors made a substantial contribution to the conception of the work, acquisition, analysis, interpretation of data for the work, drafting and revising the work, final approval of the version to be published and agree to be accountable for all aspects of the work.

For citation: Mikhalev S.A., Masalimova D.N. Obesity is a risk factor of recurrent miscarriage. Akusherstvo i ginekologiya: novosti, mneniya, obuchenie [Obstetrics and Gynecology: News, Opinions, Training]. 2023; 11. Supplement: 105–8. DOI: https://doi.org/10.33029/2303-9698-2023-11-suppl-105-108 (in Russian)

REFERENCES

1. Recurrent pregnancy loss causes, controversies and treatment. 3rd ed. In: H.J.A. Carp. 2020.

2. Quenby S., Gallos I.D., Dhillon-Smith R.K., Podesek M., Stephenson M.D., Fisher J., et al. Miscarriage matters: the epidemiological, physical, psychological, and economic costs of early pregnancy loss. Lancet. 2021; 397 (10 285): 1658–67. DOI: https://doi.org/10.1016/s0140-6736(21)00682-6

3. Dimitriadis E., Menkhorst E., Saito S., Kutteh W.H., Brosens J.J. Recurrent pregnancy loss. Nat Rev Dis Primers. 2020; 6 (1): 98.

4. Magnus M.C., Wilcox A.J., Morken N.-H., Weinberg C.R., Haberg S.E. Role of maternal age and pregnancy history in risk of miscarriage: prospective register based study. BMJ. 2019; 364: l869.

5. Orazov M.R., Mikhaleva L.M., Semenov P.A. Chronic endometritis: pathogenesis, diagnosis, management and associated infertility. Klinicheskaya i eksperimental’naya morfologiya [Clinical and Experimental Morphology]. 2020; 9 (2): 16–25. DOI: https://doi.org/10.31088/CEM2020.9.2.16-25 (in Russian)

6. Li Y., et al. Evaluation of peripheral and uterine immune status of chronic endometritis in patients with recurrent reproductive failure. Fertil Steril. 2020; 113: 187–96.e1.

7. Volkova S.V., Abitova M.Z., Mikhaleva L.M., Khamoshina M.B., Orazov M.R. Reasons for infertility at endometriosis: versions and contraversions of the XXI century. Akusherstvo i ginekologiya: novosti, mneniya, obuchenie [Obstetrics and Gynecology: News, Opinions, Training]. 2020; 8 (3): 110–4. DOI: https://doi.org/10.24411/2303-9698-2020-13018 (in Russian)

8. Meroni P.L., et al. Obstetric and vascular antiphospholipid syndrome: same antibodies but different diseases? Nat Rev Rheumatol. 2018; 14: 433–40.

9. Rahman A., Khan N., Rahmana M. Maternal anaemia and risk of adverse obstetric and neonatal outcomes in South Asian countries: A systematic review and meta-analysis. Public Health Pract (Oxf). 2020; 1: 100021. DOI: https://doi.org/10.1016/j.puhip.2020.100021 Epub 2020 Jun 18.

10. Kida N., Matsuo Y., Hashimoto Y., Nishi K., Tsuzuki-Nakao T., Bono H., et al. Cigarette smoke extract activates hypoxia-inducible factors in a reactive oxygen species-dependent manner in stroma cells from human endometrium. Antioxidants (Basel). 2021; 10 (1): 48. DOI: https://doi.org/10.3390/antiox10010048 Epub 2021 Jan 3.

11. Radzinsky V.E., Botasheva T.L., Kotaysh G.A. (eds). Fatness. Diabetes. Pregnancy. Versions and contraversions. Clinical practices. Prospects. Moscow: GEOTAR-Media; 2020: 528 p. (in Russian)

12. Inoue Y., Qin B., Poti J., Sokol R., Gordon-Larsen P. Epidemiology of obesity in adults: latest trends. Curr Obes Rep. 2018; 7: 276–88. DOI: https://doi.org/10.1007/s13679-018-0317-8

13. Weir C.B., Jan A. BMI Classification Percentile and Cut Off Points. In: StatPearls [Internet]. Treasure Island, FL : StatPearls Publishing, 2022 Jan.

14. Andreeva E.N., Sheremet’eva E.V., Fursenko V.A. Obesity – a threat to the reproductive potential of Russia. Ozhirenie i metabolism [Obesity and Metabolism]. 2019; 16 (3): 20–8. DOI: https://doi.org/10.14341/omet10340 (in Russian)

15. Leeners B., Geary N., Asarian L. Ovarian hormones and obesity. Hum Reprod Update. 2017; 23 (3)L: 300–21. DOI: https://doi.org/10.1093/humupd/dmw045 Epub 2017 Mar 2.

16. Blüher M. Metabolically healthy obesity. Endocr Rev. 2020; 41 (3): 405–20. DOI: https://doi.org/10.1210/endrev/bnaa004

17. Hunter T, Hart R. Reproductive consequences of obesity. In: IntechOpen. 2018.

18. Silvestris E., Pergola G.D., Rosania R., Loverro G. Obesity as disruptor of the female fertility. Reprod Biol Endocrinol. 2018; 16: 22.

19. Childs G.V., Odle A.K., MacNicol M.C., MacNicol A.M. The importance of leptin to reproduction. Endocrinology. 2021; 162 (2): bqaa204. DOI: https://doi.org/10.1210/endocr/bqaa204

20. Obstetrics: a national guide. In: G.M. Savel’eva, G.T. Sukhikh, V.N. Serov, V.E. Radzinsky. 2nd ed., reprint and additional. Moscow: GEOTAR-Media, 2018. (The series «National Guidelines») (in Russian)

21. Gambineri A., Laudisio D., Marocco C., Radellini S., Colao A., Savastano S. Female infertility: which role for obesity? Int J Obes Suppl. 2019; 9: 65–72.

22. Bellver J., Marín C., Lathi R.B., Murugappan G., Labarta E., Vidal C., et al. Obesity affects endometrial receptivity by displacing the window of implantation. Reprod Sci. 2021l; 28 (11): 3171–80. DOI: https://doi.org/10.1007/s43032-021-00631-1

23. Salamonsen L.A., Dimitriadis E. Infertility and the endometrium. Clin Exp Obstet Gynecol. 2022; 49 (9): 195. DOI: https://doi.org/10.31083/j.ceog4909195

24. Dedov I.I., Shestakova M.V., Mel’nichenko G.A., Mazurina N.V., Andreeva E.N., Bondarenko I.Z., et al. Interdisciplinary clinical recommendations «Treatment of obesity and comorbid diseases». Ozhirenie i metabolism [Obesity and Metabolism]. 2021; 18 (1): 5–99. DOI: https://doi.org/10.14341/omet12714 (in Russian)

25. Carlson M.J., Thiel K.W., Leslie K.K. Catch it before it kills: progesterone, obesity, and the prevention of endometrial cancer. Discov Med. 2012; 14 (76): 215–22.

26. Muscogiuri G., Barrea L., Savastano S., et al. Somatotropic axis and obesity: is there any role for the Mediterranean diet? Nutrients. 2019; 11 (9): 2228. DOI: https://doi.org/10.3390/nu11092228 Epub 2019 Sep 16.

27. Zhou Y., Li H., Zhang Y., Zhang L., Liu J., Liu J. Association of maternal obesity in early pregnancy with adverse pregnancy outcomes: a Chinese prospective cohort analysis. Obesity (Silver Spring). 2019; 27: 1030–6.

28. Ghimire P.R., Akombi-Inyang B.J., Tannous C., Agho K.E. Association between obesity and miscarriage among women of reproductive age in Nepal. PLoS One. 2020; 15 (8): e0236435. DOI: https://doi.org/10.1371/journal.pone.0236435 Epub 2020 Aug 6.

All articles in our journal are distributed under the Creative Commons Attribution 4.0 International License (CC BY 4.0 license)

CHIEF EDITORS
CHIEF EDITOR
Sukhikh Gennadii Tikhonovich
Academician of the Russian Academy of Medical Sciences, V.I. Kulakov Obstetrics, Gynecology and Perinatology National Medical Research Center of Ministry of Healthсаre of the Russian Federation, Moscow
CHIEF EDITOR
Kurtser Mark Arkadievich
Academician of the Russian Academy of Sciences, MD, Professor, Head of the Obstetrics and Gynecology Subdepartment of the Pediatric Department, N.I. Pirogov Russian National Scientific Research Medical University, Ministry of Health of the Russian Federation
CHIEF EDITOR
Radzinsky Viktor Evseevich
Corresponding Member of the Russian Academy of Sciences, MD, Professor, Head of the Subdepartment of Obstetrics and Gynecology with a Course of Perinatology of the Medical Department in the Russian People?s Friendship University

Journals of «GEOTAR-Media»