AI Article Synopsis

  • The study investigates the role of adipokines in the follicular fluid to predict the success of in vitro fertilization (IVF) in women with varying body weights.
  • Results show that the leptin/ghrelin ratio in pregnant women during IVF is significantly higher than in non-pregnant women with normal body weight, indicating its potential as a predictor of IVF outcomes.
  • For women with increased body weight, no adipokine measurements showed predictive value for IVF success, suggesting that the leptin/ghrelin ratio is a more reliable indicator for those with normal body weight.

Article Abstract

Introduction: Adipokines are involved in the regulation of the female reproductive system. The purpose was to study the possibility of using adipokines levels in the follicular fluid to predict IVF efficiency.

Materials And Methods: Four groups of women were studied: pregnant during IVF, with normal (PN,  = 9) and increased (BMI > 25 kg/m) body weight (BW) (PI,  = 7), and nonpregnant during IVF, with normal (nPN,  = 16) and increased BW (nPI,  = 21).

Results: In PN group, leptin level was higher than in nPN group ( < .05). In the PI and nPI groups, it did not differ, but was higher than in women with normal BW. In PN group, ghrelin level was lower than in nPN group ( < .05), while in the PI and nPI groups it was comparable. The leptin/ghrelin ratio in PN group was higher than in nPN group (18.10 ± 3.38 vs. 3.93 ± 0.60,  < .05), but lower than in the PI (31.70 ± 15.38) and nPI (24.30 ± 3.45) groups. The leptin/adiponectin ratio in PN group was also higher than in nPN group (6.97 ± 0.64 vs. 2.95 ± 0.39,  < .05), but lower than in the PI (13.60 ± 1.59) and nPI (10.86 ± 0.87) groups. Adiponectin levels differed only between the nPN and nPI groups. In women with normal BW, odds ratio showed that the leptin/ghrelin ratio has the greatest prognostic value for predicting the success of IVF outcomes (OR: 29.53; CI: 1.53-570.83,  =.025) among other indicators. In women with increased BW, none of the indicators had predictive value.

Conclusion: The follicular leptin/ghrelin ratio is a suitable indicator for predicting IVF outcomes in women with normal BW.

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Source
http://dx.doi.org/10.1080/09513590.2021.2006512DOI Listing

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