2012년 미국불임학회 (ASRM) P-414 The influence of working status and regular exercise on in vitro fertilization outcomes. (시험관 시술의 임신율과 직업과 규칙적인 운동이 어떤 영향을 주게 되는가?)

Hong-Gil Sun1, K.H. Lee1, I.H. Park1, S.G. Kim1, Y.Y. Kim1 and Gyun-Ho Jeon2.
1 Mamapapa&baby OB&GY, 1367-5 Hwashin building 4th floor Dal-dong, Nam-gu Ulsan, X, Republic of Korea, 680-805
2 OBGY, Inje University, Haeundae Paik Hospital, Haeundaero 875, Haeundae-Gu Busan, X, Republic of Korea, 612-030.

OBJECTIVE

It has been well documented that lifestyle behaviors can have a significant impact on quality of life. But there was limited research on the actual lifestyle of women treated by assisted reproductive technology (ART). Patients wanted to know impact of working status and exercise to maximize the probability of conception. The goal of this study was to evaluate influence on a variety of lifestyle behaviors in women who underwent an IVF cycle, especially working status and exercises.

DESIGN

Prospective survey

MATERIALS AND METHODS

The study included 284 patients who underwent IVF cycles from September 2011 to February 2012. A survey was conducted by using questionnaire before starting ART treatment. The questionnaire included working status, working intensity (scale 0 to 10) and regular exercise (or not).

RESULTS

Among total 284 patients, average age was 35.4±4.4, there were 117 working patients (41.2%) and 167 non-working patients (58.8%). Other demographics (age, infertility causes, IVF protocols, oocyte numbers, etc.) had no differences between groups. The pregnancy rate of the working group and non-working group were 54.7% (60/117) and 47.3% (76/167) respectively, which showed statistically significant difference (P<0.05). When analyzing working intensity and pregnancy rate, there was no correlation between them. Patients who exercise regularly and do not exercise were 101 (35.6%) and 183 (64.4%) respectively. The pregnancy rate of the exercising group was 49.5% (48/101) and that of the non-exercising group was 50.8% (88/183), which showed no difference.

CONCLUSION

Working during ART treatment dose positively affect outcomes, but its intensity dose not affect. Regular exercise does not affect IVF outcomes. In conclusion, to quit working is not recommended and to continue working is preferable. It is not necessary to start new exercise for archive good outcomes. It is clear that more research is needed to assess the advisable lifestyle and make specific recommendations to achieve the highest pregnancy rates.