Preliminary study on pre-treatment physical activity and quality of life in infertility

Viktória Prémusz ,
Viktória Prémusz

University of Pécs, MTA-PTE Human Reproduction Scientific Research Group, Pécs, Hungary

Alexandra Makai ,
Alexandra Makai

University of Pécs, Faculty of Health Sciences, Doctoral School of Health Sciences, Pécs, Hungary

Boróka Gács ,
Boróka Gács

University of Pécs, Faculty of Health Sciences, Institute of Sport Sciences and Physiotherapy, Pécs, Hungary

Ágnes Nagy ,
Ágnes Nagy

University of Pécs, Medical School, Department of Behavioural Sciences, Pécs, Hungary

Beatrix Perjés ,
Beatrix Perjés

University of Pécs, Faculty of Health Sciences, Doctoral School of Health Sciences, Pécs, Hungary

Pongrác Ács ,
Pongrác Ács

University of Pécs, Faculty of Health Sciences, Doctoral School of Health Sciences, Pécs, Hungary

Kinga Lampek ,
Kinga Lampek

University of Pécs, Faculty of Health Sciences, Doctoral School of Health Sciences, Pécs, Hungary

Ákos Várnagy
Ákos Várnagy

University of Pécs, Faculty of Health Sciences, Doctoral School of Health Sciences, Pécs, Hungary

Published: 01.12.2018.

Volume 11, Issue 2 (2019)

pp. 5-17;

https://doi.org/10.31382/eqol.191201

Abstract

The increasing incidence of infertility and contrary the remaining levels of success rate of assisted reproductive therapies (ART) justify expanding the biomedical approach and underline the importance of psychosocial and lifestyle factors. The aim of the study was to examine the effects of pre-treatment physical activity (PA) on the quality of life (QoL) in infertile women. A cross sectional cohort study was carried out involving 50 female patients with infertility diagnosis. Standardized QoL questionnaires and pre-treatment PA patterns were administrated during December 2018 – April 2019 in a university hospital-based fertility centre in South-Hungary. 43% of the women reported regular exercise. Regarding GPAQ moderate intensity PA in work and recreation was preferred. They spent 4.2 hours with active transportation weekly, and 4.5 hours sedentary daily. 68.89% reached the 150min/week MVPA recommendation and 18.2% spent more than 4 hours with exercise Respondents were less satisfied with Physical Domain (57.7±7.5) and most with Psychological Domain (72.2±12.1) of WHOQOL-BREF. Lower QoL by Emotional (56.46±18.12) and Mind-Body (56.84±19.67), mediate by Social (62.76±17.40) and better values by Relational Subscale (76.48±19.62) were measured with FertiQoL. Significant difference between active and inactive group was described for Psychological domain (Z=-2.240, p=0.025). Positive correlation was found between MVPA vs Total MET and Emotional Subscale (p=0.014, p=0.009) and between work-related PA and Mindbody Subscale (p=0.006). Pre-treatment PA could positively affect QoL undergoing ART. However, for more impressive results, objective assessment of physical activity, increased number of participants, and further examinations are needed.

Keywords

References

Aarts, J., Van Empel, I., Boivin, J., Nelen, W., Kremer, J., & Verhaak, C. (2011). Relationship between quality of life and distress in infertility: a validation study of the Dutch FertiQoL. Hum Reprod, 5, 1112–1118. https://doi.org/10.1093/humrep/der051
Ács, P., Prémusz, V., Morvay-Sey, K., Kovács, A., Makai, A., & Elbert, G. (2018). A sporttal, testmozgással összefüggésben lévő mutatók változása Magyarországon és az Európai Unióban az elmúlt évek eredményeinek nyomán. [Changes of sport and physical activity indicators in Hungary.
Bernard, A., & Krizsa, F. (2006). Generally about infertility. Modern diagnostic and therapy in infertility. Medicina Könyvkiadó.
Boivin, J., Takefman, J., Braverman, A., Calhaz-Jorge, C., De Geyter, C., Kupka, M., De Mouzon, J., Erb, K., Mocanu, E., Goossens, ., & V. (2011). Assisted reproductive technology in Europe, 2012: results generated from European registers by ESHRE. Hum Reprod, 8, 1638–1652. https://doi.org/10.1093/humrep/dew151
Chachamovich, J., Chachamovich, E., Zachia, S., Knauth, D., & Passos, E. (2007). What variables predict generic and health-related quality of life in a sample of Brazilian women experiencing infertility? Hum Reprod, 7, 1946–1952. https://doi.org/10.1093/humrep/dem080
Cserepes, R., Korosi, T., & Bugan, A. (2014). Characteristics of infertility-specific quality of life.
Domar, A., Conboy, L., Denardo-Roney, J., & Rooney, K. (2012). Lifestyle behaviors in women undergoing in vitro fertilization: a prospective study. Fertil Steril, 3, 691. https://doi.org/10.1016/j.fertnstert.2011.12.012
Domar, A., Gross, J., Rooney, K., & Boivin, J. (2015). Exploratory randomized trial on the effect of a brief psychological intervention on emotions, quality of life, discontinuation, and pregnancy rates in in vitro fertilization patients. Fertil Steril, 2, 447. https://doi.org/10.1016/j.fertnstert.2015.05.009
Dural, O., Yasa, C., Keyif, B., Celiksoy, H., Demiral, I., Yuksel Ozgor, B., Bastu, ., & E. (2016). Effect of infertility on quality of life of women: a validation study of the Turkish FertiQoL. Hum Fertil (Camb), 3, 186–191. https://doi.org/10.1080/14647273.2016.1214754
Egészségtudományi, S.-É. (n.d.). 1, 61–76.
Evenson, K., Calhoun, K., Herring, A., Pritchard, D., Wen, F., & Steiner, A. (2014). Association of physical activity in the past year and immediately after in vitro fertilization on pregnancy. Fertil Steril, 4, 1047-U1482. https://doi.org/10.1016/j.fertnstert.2013.12.041
Green, B., Daling, J., Weiss, N., Liff, J., & Koepsell, T. (1986). Exercise as a risk factor for infertility with ovulatory dysfunction. American Journal of Public Health, 12, 1432–1436. https://doi.org/10.2105/ajph.76.12.1432
Gudmundsdottir, S., Flanders, W., & Augestad, L. (2009). Physical activity and fertility in women: the North-Trondelag Health Study. Human Reproduction, 12, 3196–3204. https://doi.org/10.1093/humrep/dep337
Manson, J. (2002). Physical activity, body mass index, and ovulatory disorder infertility. Epidemiology, 2, 184–190.
Mascarenhas, M., Flaxman, S., Boerma, T., Vanderpoel, S., & Stevens, G. (2012). National, regional, and global trends in infertility prevalence since 1990: a systematic analysis of 277 health surveys. PLoS Med, 12, 1001356. https://doi.org/10.1371/journal.pmed.1001356
Mclaren, J. (2012). Infertility Evaluation. Obstetrics and Gynecology Clinics of North America, 4, 453–463. https://doi.org/10.1016/j.ogc.2012.09.001
Mla: Prémusz, & Viktória. (2019). Preliminary study on pre-treatment physical activity and quality of life in infertility. Exercise and Quality of Life, 5–17.
Morris, S., Missmer, S., Cramer, D., Powers, R., Mcshane, P., & Hornstein, M. (2006). Effects of lifetime exercise on the outcome of in vitro fertilization. Obstetrics and Gynecology, 4, 938–945. https://doi.org/10.1097/01.AOG.0000235704.45652.0b
Palomba, S., Falbo, A., Valli, B., Morini, D., Villani, M., Nicoli, A., Sala, L., & G. (2014). Physical activity before IVF and ICSI cycles in infertile obese women: an observational cohort study. Reproductive BioMedicine Online, 1, 72–79. https://doi.org/10.1016/j.rbmo.2014.03.006
Paulik, E., Belec, B., Molnár, R., Müller, A., Belicza, É., Kullmann, L., & Nagymajtényi, L. (2007). Applicability of the brief version of the World Health Organization’s quality of life questionnaire in Hungary. Orvosi Hetilap, 4, 155–160.
Porat-Katz, A., Paltiel, O., Kahane, A., & Eldar-Geva, T. (2016). The effect of using complementary medicine on the infertility-specific quality of life of women undergoing in vitro fertilization. Int J Gynaecol Obstet, 2, 163–167. https://doi.org/10.1016/j.ijgo.2016.05.011
Prémusz, & Viktória. (2019). Preliminary study on pre-treatment physical activity and quality of life in infertility. Exercise and Quality of Life, 2, 5–17.
Rao, M., Zeng, Z., & Tang, L. (2018). Maternal physical activity before IVF/ICSI cycles improves clinical pregnancy rate and live birth rate: a systematic review and meta-analysis. Reprod Biol Endocrinol, 1, 11–11. https://doi.org/10.1186/s12958-018-0328-z
Rashidi, B., Montazeri, A., Ramezanzadeh, F., Shariat, M., Abedinia, N., & Ashrafi, M. (2008). Health-related quality of life in infertile couples receiving IVF or ICSI treatment. BMC Health Serv Res, 186. https://doi.org/10.1186/1472-6963-8-186
Rich-Edwards, J., Spiegelman, D., Garland, M., Hertzmark, E., Hunter, D., Colditz, G., & . (n.d.).
Who. (1995). Global action plan on physical activity 2018-2030: more active people for a healthier world. Soc Sci Med, 10, 1403–1409.
Who, W. (1998). The World Health Organization Quality of Life Assessment (WHOQOL): development and general psychometric properties. Soc Sci Med, 12, 1569–1585.
Wise, L., Rothman, K., Mikkelsen, E., Sorensen, H., Riis, A., & Hatch, E. (2012). Preliminary study on physical activity and quality of life in infertility. Fertil Steril, 5, 5–17. https://doi.org/10.1016/j.fertnstert.2012.02.025
(N.d.). Orv Hetil, 20, 783–788. https://doi.org/10.1556/oh.2014.29867

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