Relationship Between Decreased Ovarian Reserve And Body Fat Percentage,Body Mass Index And Influencing Factors

Objective: To explore the relationship between the onset of ovarian reserve dysfunction and body fat,body mass index,maternal status,mental factors,lifestyle,etc.,and provide prevention and clinical treatment of ovarian reserve dysfunction reference.Methods: A questionnaire was used to select the patients with ovarian reserve dysfunction between the ages of 18 and 39 who were diagnosed in the gynecology clinic of the First Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine from March 2016 to March 2018 as the observation group.In the same period,healthy women of the same age who had physical examination in our hospital were selected as the control group.Investigate the problems of body fat,body mass index,maternal status,mental factors,lifestyle and other issues in 200 cases of ovarian dysfunction patients meeting the inclusion criteria and 100 cases of physical examination at the same time.Factors associated with diminished ovarian reserve.Results: 1.There was a significant difference in body weight between the observation group and the control group(P<0.05).The average body weight of the control group(59.32±5.00)was significantly higher than that of the observation group(53.46±4.92).The weight of the DOR patients was significantly lower than that of the healthy subjects.2.The incidence of DOR was associated with body fat percentage(P<0.05).There were 74BF% <20% in the observation group,7% BF% <20% in the control group,and an average BF% in the observation group(21.40±2.44).)Mean BF%(23.68± 1.97)lower than the control group.Body fat percentage is a protective factor for decreased ovarian reserve(OR: 0.657,95% C.I: 0.532 to 0.810).3.DOR incidence and body mass index were related(P<0.05).There were49 BMI% <18.5 during observation,and there were 3 BMI<18.5 in the control group.The average BMI% in the observation group(20.36±1.80)was significantly lower than the control group.The average BMI%(21.97±1.85).The incidence of DOR was related to weight loss history(P<0.05).The shorter the weight loss time or no weight loss was the protective factor of ovarian reserve dysfunction(OR: 0.564,95%C.I:0.409~0.779).5.Menarche time was associated with the onset of DOR(P<0.05).The earlier the menarche,the higher the risk of ovarian reserve dysfunction.6.Anxiety was present in 12% of patients in the observation group and irritability in 31.5% of patients.The ratio of these two emotions was significantly higher than that in the control group.The average number of abortions in the observation group(1.10±1.12)and the average number of induced ovulation(0.79±1.09)were higher than those in the control group.The number of abortions,number of induced ovulation and irregular sleep,day and night,poor sleep quality are risk factors for ovarian reserve dysfunction(OR>1).Conclusions: 1.The lower the body fat rate and the longer the weight loss,the higher the incidence of ovarian reserve dysfunction.2.The more abortions,the more ovulation induction times,the more regular sleep,the worse the quality of sleep,the more likely the ovarian reserve to decline.2.Multivariate logistic regression analysis showed that the body mass index was not significant,which was probably due to the significant correlation between the two indicators of body fat index and body mass index.3.To increase women's awareness of self-care,maintain normal body fat rate,reasonably lose weight,regular meals and night rests,and feel comfortable,correctly and cautiously choose to induce ovulation treatment,reduce the number of abortions,and prevent and slow the decline of ovarian reserve.