The Relationship between Body Mass Index (BMI), Sleep Quality, and Fertility Quality of Life among Infertile Couples
DOI:
https://doi.org/10.31674/mjn.2024.v16isupp1.011Abstract
Background: Infertility can profoundly impact various aspects of a couple’s life, including their body mass index (BMI), sleep quality, and overall quality of life. This cross-sectional study aimed to explore the relationship between BMI, sleep quality, and quality of life among infertile couples. Methods: Conducted at a tertiary hospital in Selangor, the study involved 126 participants (63 couples). BMI, sleep quality (measured using the Pittsburgh Sleep Quality Index, PSQI), and quality of life (measured using the Fertility Quality of Life, FertiQoL) were assessed. Data were analysed using IBM SPSS version 29. Results: Poor sleep quality (PSQI score >5) was observed in 10.3% of participants, while 89.7% had good sleep quality (PSQI score <5). The mean BMI was 27.52 ± 6.48. This study revealed no significant relationship between all three variables (body mass index, sleep quality, and quality of life) among the infertile couple as the p-value was more than 0.05. Conclusion: These findings suggest that while BMI does not significantly impact the quality of life among infertile couples, sleep quality may have a minor influence; by addressing sleep quality issues and understanding their relationship with BMI and overall health, nurses can contribute to improving the quality of life for patients, particularly those struggling with infertility and related concerns.
Keywords:
BMI, Infertility, FertiQoL, Nursing Practice, PSQI, Quality of Life, Sleep QualityDownloads
References
Ariffin, F., Daud, S., & Ismail, Z. (2017). Validation of the Malay version fertility quality of life (FertiQoL). Journal of Clinical and Health Sciences, 2(2) (Supplementary). https://jchs-medicine.uitm.edu.my/images/manuscript/vol2issue2/supplementary/Supplementary-JCHS01-vol2issue2dec2017.pdf Accessed on 12th July, 2023.
Armah, D., Van der Wath, A. E., Yazbek, M., & Naab, F. (2022). Development of holistic health care interventions for women with infertility: A nominal group technique. Holistic Nursing Practice, 36(2), 85–92. https://doi.org/10.1097/HNP.0000000000000498
Campbell, J. M., Lane, M., Owens, J. A., & Bakos, H. W. (2015). Paternal obesity negatively affects male fertility and assisted reproduction outcomes: A systematic review and meta-analysis. Reproductive Biomedicine Online, 31(5), 593-604. https://doi.org/10.1016/j.rbmo.2015.07.012
Craig, J. R., Jenkins, T. G., Carrell, D. T., & Hotaling, J. M. (2017). Obesity, male infertility, and the sperm epigenome. Fertility and Sterility, 107(4), 848-859. https://doi.org/10.1016/j.fertnstert.2017.02.115
Dourou, P., Gourounti, K., Lykeridou, A., Gaitanou, K., Petrogiannis, N., & Sarantaki, A. (2023). Quality of life among couples with a fertility-related diagnosis. Clinics and Practice, 13(1), 251–263. https://doi.org/10.3390/clinpract13010023
Farah, N. M., Saw Yee, T., & Mohd Rasdi, H. F. (2019). Self-reported sleep quality using the malay version of the Pittsburgh Sleep Quality Index (PSQI-M) in Malaysian adults. International Journal of Environmental Research and Public Health, 16(23). https://doi.org/10.3390/ijerph16234750
Fry, A., & Rehman, D. A. (2022, April 18). Obesity and sleep. Sleep Foundation. Retrieved from: https://www.sleepfoundation.org/physical-health/obesity-and-sleep. Accessed on 12th July, 2023.
Gameiro, S., & Finnigan, A. (2017). Long-term adjustment to unmet parenthood goals following ART: A systematic review and meta-analysis. Human Reproduction Update, 23(3), 322-337. https://doi.org/10.1093/humupd/dmx001
Khmil, M., Khmil, S., & Marushchak, M. (2020). Hormone imbalance in women with infertility caused by polycystic ovary syndrome: Is there a connection with body mass index? Open Access Macedonian Journal of Medical Sciences, 8(B), 731–737. https://doi.org/10.3889/oamjms.2020.4569
Kristicevic, T., Štefan, L., & Sporiš, G. (2018). The associations between sleep duration and sleep quality with body-mass index in a large sample of young adults. International Journal of Environmental Research and Public Health, 15(4), 1-10. https://doi.org/10.3390/ijerph15040758
Legro, R. S., Arslanian, S. A., Ehrmann, D. A., Hoeger, K. M., Murad, M. H., Pasquali, R., & Welt, C. K. (2013). Diagnosis and treatment of polycystic ovary syndrome: An Endocrine Society clinical practice guideline. The Journal of Clinical Endocrinology & Metabolism, 98(12), 4565-4592. https://doi.org/10.1210/jc.2013-2350
Muniandy, Y., & Yi Ying, C. (2021). A review of the assessment of sleep, body weight status, and their relationship in adults. Malaysian Journal of Medicine and Health Sciences, 17(4), 373–383. Retrieved from: https://medic.upm.edu.my/upload/dokumen/2021100810112450_MJMHS_0399.pdf. Accessed on 19th July, 2023
Nariya, D., & Khatri, S. (2021). Association between quality of sleep and body mass index: A brief narrative review. International Journal of Current Research and Review, 13(9), 95–98. http://dx.doi.org/10.31782/IJCRR.2021.13902
Ogboghodo, E. O., Osazuwa, I., & Ehigiegba, O. E. (2020). Gender differences in the health-related quality of life of couples receiving assisted reproduction treatment in Benin City: A comparative analysis. West African Journal of Medicine, 37(7), 769–775.
Ombelet, W. (2020). WHO fact sheet on infertility gives hope to millions of infertile couples worldwide. Facts, Views & Vision in ObGyn, 12(4), 249–251. Retrieved from: https://fvvo.eu/assets/870/FVVinObGyn-12-249.pdf Accessed on 12th July, 2023.
Pedro, J., Brandão, T., Fernandes, J., Barros, A., Xavier, P., Schmidt, L., Costa, M. E., & Martins, M. V. (2021). Perceived threat of infertility and women’s intention to anticipate childbearing: The mediating role of personally perceived barriers and facilitators. Journal of Clinical Psychology in Medical Settings, 28, 457–467. https://doi.org/10.1007/s10880-020-09743-3
Philipsen, M., Knudsen, U., Zachariae, R., Ingersle, H., Hvidt, J., & Frederiksen, Y. (2022). Sleep, psychological distress, and clinical pregnancy outcome in women and their partners undergoing in vitro or intracytoplasmic sperm injection fertility treatment. Journal of the National Sleep Foundation, 8(2), 242–248. https://doi.org/10.1016/j.sleh.2021.10.011
Reisi, M., Kazemi, A., Abedi, M. R., & Nazarian, N. (2023). Spouse's coping strategies mediate the relationship between women's coping strategies and their psychological health among infertile couples. Scientific Reports, 13, https://doi.org/10.1038/s41598-023-37380-x
Rittenberg, V., Seshadri, S., Sunkara, S. K., Sobaleva, S., Oteng-Ntim, E., & El-Toukhy, T. (2011). Effect of body mass index on IVF treatment outcome: An updated systematic review and meta-analysis. Reproductive Biomedicine Online, 23(4), 421-439. https://doi.org/10.1016/j.rbmo.2011.06.018
Szigeti, F. J., Kazinczi, C., Szabó, G., Sipos, M., Ujma, P. P., & Purebl, G. (2024). The clinical effectiveness of the mind/body program for infertility on wellbeing and assisted reproduction outcomes: A randomized controlled trial in search for active ingredients. Human Reproduction, 39(8), 1735-1751. https://doi.org/10.1093/humrep/deae119
Urata, Y., Harada, M., Komiya, S., Akiyama, I., Tuchida, C., Nakaoka, Y., ... & Osuga, Y. (2024). Lifestyle and fertility-specific quality of life affect reproductive outcomes in couples undergoing in vitro fertilization. Frontiers in Endocrinology, 15. https://doi.org/10.3389/fendo.2024.1346084
Wang, S., Wu, B., Wang, C., Ke, Z., Xiang, P., Hu, X., & Xiao, J. (2023). Influence of body mass index and waist-hip ratio on male semen parameters in infertile men in the real world: A retrospective study. Frontiers in Endocrinology, 14. https://doi.org/10.3389/fendo.2023.1148715
World Health Organization. (2020). Infertility: A global public health issue. Retrieved from: https://www.who.int/health-topics/infertility, Accessed on 17th July, 2023.
World Health Organization. (2023). 1 in 6 people globally affected by infertility. Human Reproduction Open, 2023(2). https://doi.org/10.1093/hropen/hoad007
World Health Organization. (2024). Obesity and overweight. Retrieved from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight, Accessed on 20th July, 2024.
Yang T, Wongpakaran N, Wongpakaran T, Saeng-Anan U, Singhapreecha C, Jenraumjit R., & Peisah C. (2023). Factors associated with depression in infertile couples: A study in Thailand. Healthcare. 11(14). https://doi.org/10.3390/healthcare11142004
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