ROLE OF WEIGHT LOSS IN THE TREATMENT OF REPRODUCTIVE DISORDERS IN WOMEN


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Abstract

Objective. To analyze current scientific data on the impact of adipose tissue on female reproductive function in obesity. Subject and methods. Scientific sources dealing with the pathogenesis of metabolic disorders associated with obesity and the role of overweight in the development of menstrual and reproductive dysfunctions were reviewed. Results. The current scientific sources describe the theoretical and clinical aspects confirming the relationship between adipose tissue metabolism and hormonal disorders. Anti-obesity medication is shown to be needed in women at the pregnancy preparation stage. Conclusion. Prior to therapy directly aimed at achieving pregnancy, it is absolutely necessary to correct weight and metabolic parameters. The co-use of sibutramine and metformin to treat obesity and to reduce insulin resistance can enhance the efficiency of therapy aimed at recovering reproductive function.

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About the authors

Irina V. Kuznetsova

Research Department of Women's Health, I.M. Sechenov First Moscow State Medical University; Peoples Friendship University of Russia

MD, professor, senior researcher Moscow 119991, Bolshaya Pirogovskaya str. 2, bld. 4, Russia

Yulia B. Uspenskaya

Research Department of Women's Health, I.M. Sechenov First Moscow State Medical University

PhD, a leading researcher Moscow 119991, Bolshaya Pirogovskaya str. 2, bld. 4, Russia

Elina R. Vedzizheva

Research Department of Women's Health, I.M. Sechenov First Moscow State Medical University

a graduate student Moscow 119991, Bolshaya Pirogovskaya str. 2, bld. 4, Russia

Irina V. Vasilyeva

Research Department of Women's Health, I.M. Sechenov First Moscow State Medical University

PhD, a leading researcher Moscow 119991, Bolshaya Pirogovskaya str. 2, bld. 4, Russia

References

  1. Crujeiras A.B., Casanueva F.F. Obesity and the reproductive system disorders: epigenetics as a potential bridge. Hum. Reprod. Update. 2015; 21(2): 249-61.
  2. Косыгина А.В., Васюкова О.В. Новое в патогенезе ожирения: адипокины - гормоны жировой ткани. Проблемы эндокринологии. 2009; 55(1): 44-50. [Kosyigina A.V., Vasyukova O.V. New in the pathogenesis of obesity: adipokines - adipose tissue hormones. Problemyi endokrinologii. 2009; 55(1): 44-50. (in Russian)]
  3. Fischer-Posovszky P., Wabitsch M., Hochberg Z. Endocrinology of adipose tissue - an update. Horm. Metab. Res. 2007; 39(5): 314-21.
  4. Michalakis K., Mintziori G., Kaprara A. The complex interaction between obesity, metabolic syndrome and reproductive axis: a narrative review. Metabolism. 2013; 62(4): 457-78.
  5. Pehlivanov B., Mitko M. Serum leptin levels correlate with clinical and biochemical indices of insulin resistance in women with polycystic ovary syndrome. Eur. J. Contracept. Reprod. Health Care. 2009; 14(2): 153-9.
  6. Lee J.M., Kim S.R., Yoo S.J., Hong O.K., Son H.S., Chang S.A. The relationship between adipokines, metabolic parameters and insulin resistance in patients with metabolic syndrome and type 2 diabetes. J. Int. Med. Res. 2009; 37(6): 1803-12.
  7. Donato J. Jr., Cravo R.M., Frazão R., Elias C.F Hypothalamic sites of leptin action linking metabolism and reproduction. Neuroendocrinology. 2011; 93(1): 9-18.
  8. Jungheim E.S., Travieso J.L., Hopeman M.M. Weighing the impact of obesity on female reproductive function and fertility. Nutr. Rev. 2013; 71: 3-8.
  9. Angelidis G., Dafopoulos K., Messini C.I., Valotassiou V., Georgoulias P., Messinis I.E. Ghrelin: new insights into female reproductive system-associated disorders and pregnancy. Reprod. Sci. 2012; 19(9): 903-10.
  10. Roa J., Tena-Sempere M. Connecting metabolism and reproduction: roles of central energy sensors and key molecular mediators. Mol. Cell. Endocrinol. 2014; 397(1-2): 4-14. doi: 10.1016/ j.mce.2014.09.027.
  11. Repaci A., Gambineri A., Pagotto U. Ghrelin and reproductive disorders. Mol. Cell. Endocrinol. 2011; 340(1): 70-9.
  12. Rak-Mardyla A. Ghrelin role in hypothalamus-pituitary-ovarian axis. J. Physiol. Pharmacol. 2013; 64(6): 695-704.
  13. Pasquali R. Obesity and androgens: facts and perspectives. Fertil. Steril. 2006; 85(5): 1319-40.
  14. Bellemare V., Laberge P., Noël S., Tchernof A., Luu-The V. Differential estrogenic 17beta-hydroxysteroid dehydrogenase activity and type 12 17beta-hydroxysteroid dehydrogenase expression levels in preadipocytes and differentiated adipocytes. J. Steroid Biochem. Mol. Biol. 2009; 114(3-5): 129-34.
  15. Xita N., Lazaros L., Georgiou I., Tsatsoulis A. CYP19 gene: a genetic modifier of polycystic ovary syndrome phenotype. Fertil. Steril. 2010; 94(1): 250-4.
  16. Metwally M., Li T.C., Ledger W.L. The impact of obesity on female reproductive function. Obes. Rev. 2007; 8(6): 515-23.
  17. Payette C., Blackburn P., Lamarche B., Tremblay A., Bergeron J., Lemieux I. et al. Sex differences in postprandial plasma tumor necrosis factor-alpha, interleukin-6, and C-reactive protein concentrations. Metabolism. 2009; 58(11): 1593-601.
  18. Freeman E.W., Gracia C.R., Sammel M.D., Lin H., Lim L.C., Strauss J.F. 3rd. Association of anti-mullerian hormone levels with obesity in late reproductive-age women. Fertil. Steril. 2007; 87(1): 101-6.
  19. Gesink Law D.C., Maclehose R.F., Longnecker M.P. Obesity and time to pregnancy. Hum. Reprod. 2007; 22(2): 414-20.
  20. van der Steeg J.W., Steures P., Eijkemans M.J., Habbema J.D., Hompes P.G., Burggraaff J.M. et al. Obesity affects spontaneous pregnancy chances in subfertile, ovulatory women. Hum. Reprod. 2008; 23(2): 324-8.
  21. Dokras A., Baredziak L., Blaine J., Syrop C., VanVoorhis B.J., Sparks A. Obstetric outcomes after in vitro fertilization in obese and morbidly obese women. Obstet. Gynecol. 2006; 108(1): 61-9.
  22. Baien A.H., Rutherford A.J. Managing anovulatory infertility and polycystic ovary syndrome. Br. Med. J. 2007; 335(7621): 663-6.
  23. Nelson S.M., Fleming R. Obesity and reproduction: impact and interventions. Curr. Opin. Obstet. Gynecol. 2007; 19(4): 384-9.
  24. Baranowska B., Wolinska-Witort E., Martynska L., Chmielowska M., Mazurczak-Pluta T., Boguradzka A., Baranowska-Bik A. Sibutramine therapy in obese women - effects on plasma neuropeptide Y (NPY), insulin, leptin and beta-endorphin concentrations. Neuro Endocrinol. Lett. 2005; 26(6): 675-9.
  25. Выдрыч А.Н. Ожирение в практике врача-гинеколога: клинический случай. Consilium medicum. 2015; 17(6): 49-55.
  26. Чеботникова Т.В., Мельниченко Г.А., Семичева Т.В. Принципы восстановления фертильности у больных с синдромом поликистозных яичников. Вестник репродуктивного здоровья. 2008; 1-2: 38-51
  27. Сметник В.П. Значение жировой ткани в формировании гормонального статуса у женщин. Эффективная фармакотерапия в акушерстве и гинекологии. 2007; 4: 6-13
  28. Florakis D., Diamanti-Kandarakis E., Katsikis I., Nassis G.P., Karkanaki A., Georgopoulos N., Panidis D. Effect of hypocaloric diet plus sibutramine treatment on hormonal and metabolic features in overweight and obese women with polycystic ovary syndrome: a randomized, 24-week study. Int. J. Obes. (Lond.). 2008; 32(4): 692-9.
  29. Lindholm A., Bixo M., Björn I., Wölner-Hanssen P., Eliasson M., Larsson A. et al. Effect of sibutramine on weight reduction in women with polycystic ovary syndrome: a randomized, double-blind, placebo-controlled trial. Fertil. Steril. 2008; 89(5): 1221-8.
  30. Савельева И.В., Баринов С.В. Прегравидарная подготовка и ее влияние на гестационные исходы у беременных с метаболическим синдромом. Русский медицинский журнал. 2014; 19: 1412-6.
  31. National Collaborating Centre for Women’s and Children’s Health. Fertility: assessment and treatment for people with fertility problems. London (UK): National Institute for Health and Clinical Excellence (NICE); Feb. 2013. (Clinical guideline; no. 156)

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