Obesity and recurrent spontaneous abortion: the crucial role of weight management in pregnancy

Abstract Recurrent spontaneous abortion (RSA), characterized by the loss of two or more pregnancies, impacts approximately 1–2% of couples and poses a significant challenge for individuals of childbearing age. The precise mechanisms underlying RSA remain incompletely understood. Concurrently, the gl...

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Main Authors: Rui-Qi Wang, Zhi-Min Deng, Gan-Tao Chen, Fang-Fang Dai, Liang-Bin Xia
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Reproductive Biology and Endocrinology
Subjects:
Online Access:https://doi.org/10.1186/s12958-024-01326-3
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author Rui-Qi Wang
Zhi-Min Deng
Gan-Tao Chen
Fang-Fang Dai
Liang-Bin Xia
author_facet Rui-Qi Wang
Zhi-Min Deng
Gan-Tao Chen
Fang-Fang Dai
Liang-Bin Xia
author_sort Rui-Qi Wang
collection DOAJ
description Abstract Recurrent spontaneous abortion (RSA), characterized by the loss of two or more pregnancies, impacts approximately 1–2% of couples and poses a significant challenge for individuals of childbearing age. The precise mechanisms underlying RSA remain incompletely understood. Concurrently, the global prevalence of obesity is on the rise, with obesity being closely associated with female reproductive disorders and infertility. This study initially examines the pathways through which obesity contributes to RSA, encompassing factors such as embryonic euploid miscarriage, endometrial development, immune function, among others. Furthermore, adipokines and the fat mass and obesity-related (FTO) are identified as potential contributors to RSA. The study also explores the enhancement of pregnancy outcomes through various weight management strategies, with a particular focus on the roles of dietary interventions, physical activity, and weight control during pregnancy. Obesity is closely related to RSA in multiple aspects. Additional clinical prospective and experimental studies are required to explore its precise pathogenesis. Through this review, we aim to provide strategies for improvement and treatment approaches for RSA related to obesity. Through this review, we suggest potential clinical management strategies and research avenues aimed at offering enhancements and therapeutic insights for miscarriages linked to obesity and its associated risk factors.
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institution Kabale University
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publishDate 2025-01-01
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series Reproductive Biology and Endocrinology
spelling doaj-art-a8379453eb7848889ede2c6769ccced32025-01-26T12:58:02ZengBMCReproductive Biology and Endocrinology1477-78272025-01-0123111910.1186/s12958-024-01326-3Obesity and recurrent spontaneous abortion: the crucial role of weight management in pregnancyRui-Qi Wang0Zhi-Min Deng1Gan-Tao Chen2Fang-Fang Dai3Liang-Bin Xia4Department of Gynecology, Renmin Hospital of Wuhan UniversityDepartment of Gynecology, Renmin Hospital of Wuhan UniversityDepartment of Gastroenterology, Renmin Hospital of Wuhan UniversityDepartment of Gynecology, Renmin Hospital of Wuhan UniversityDepartment of Gynecology, Renmin Hospital of Wuhan UniversityAbstract Recurrent spontaneous abortion (RSA), characterized by the loss of two or more pregnancies, impacts approximately 1–2% of couples and poses a significant challenge for individuals of childbearing age. The precise mechanisms underlying RSA remain incompletely understood. Concurrently, the global prevalence of obesity is on the rise, with obesity being closely associated with female reproductive disorders and infertility. This study initially examines the pathways through which obesity contributes to RSA, encompassing factors such as embryonic euploid miscarriage, endometrial development, immune function, among others. Furthermore, adipokines and the fat mass and obesity-related (FTO) are identified as potential contributors to RSA. The study also explores the enhancement of pregnancy outcomes through various weight management strategies, with a particular focus on the roles of dietary interventions, physical activity, and weight control during pregnancy. Obesity is closely related to RSA in multiple aspects. Additional clinical prospective and experimental studies are required to explore its precise pathogenesis. Through this review, we aim to provide strategies for improvement and treatment approaches for RSA related to obesity. Through this review, we suggest potential clinical management strategies and research avenues aimed at offering enhancements and therapeutic insights for miscarriages linked to obesity and its associated risk factors.https://doi.org/10.1186/s12958-024-01326-3ObesityRecurrent spontaneous abortionEndometriumOocytesImmune imbalanceBody mass index
spellingShingle Rui-Qi Wang
Zhi-Min Deng
Gan-Tao Chen
Fang-Fang Dai
Liang-Bin Xia
Obesity and recurrent spontaneous abortion: the crucial role of weight management in pregnancy
Reproductive Biology and Endocrinology
Obesity
Recurrent spontaneous abortion
Endometrium
Oocytes
Immune imbalance
Body mass index
title Obesity and recurrent spontaneous abortion: the crucial role of weight management in pregnancy
title_full Obesity and recurrent spontaneous abortion: the crucial role of weight management in pregnancy
title_fullStr Obesity and recurrent spontaneous abortion: the crucial role of weight management in pregnancy
title_full_unstemmed Obesity and recurrent spontaneous abortion: the crucial role of weight management in pregnancy
title_short Obesity and recurrent spontaneous abortion: the crucial role of weight management in pregnancy
title_sort obesity and recurrent spontaneous abortion the crucial role of weight management in pregnancy
topic Obesity
Recurrent spontaneous abortion
Endometrium
Oocytes
Immune imbalance
Body mass index
url https://doi.org/10.1186/s12958-024-01326-3
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