Oocytes of women who are obese or overweight have lower levels of n-3 polyunsaturated fatty acids compared with oocytes of women with normal weight

There are remarkable differences in the oocyte fatty acid profile by body weight. Women who are obese or overweight have lower amounts of n-3 fatty acid.

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Volume 113, Issue 1, Pages 53–61

Authors:

Roberto Matorras, M.D., Ph.D., Antonia Exposito, Ph.D., Marcos Ferrando, M.D., Rosario Mendoza, B.S., Zaloa Larreategui, B.S., Lucía Laínz, B.S., Larraitz Aranburu, Ph.D., Fernando Andrade, Ph.D., Luis Aldámiz-Echevarria, M.D., Ph.D., Maria Begoña Ruiz-Larrea, Ph.D., Jose Ignacio Ruiz-Sanz, Ph.D.

Abstract:

Objective

To ascertain whether the oocytes of women who are obese or overweight have a different fatty acid (FA) profile than women with normal weight.

Design

Prospective case-control study.

Setting

Two IVF centers.

Patient(s)

A total of 205 women undergoing IVF and intracytoplasmic sperm injection (ICSI) were included in the study, totaling 922 oocytes.

Intervention(s)

The unfertilized and the immature oocytes from the women who underwent IVF/ICSI were subjected to FA analysis with capillary gas chromatography. Women were classified according their body mass index (BMI) as normal, overweight, or obese. Germinal vesicle oocytes, metaphase I oocytes, and unfertilized metaphase II oocytes were analyzed separately.

Main Outcome Measure(s)

Fatty acid profile.

Result(s)

A very different oocyte FA pattern was observed for each BMI. Women with normal weight had higher levels of saturated FAs, and lower levels of monosaturated FAs. Women who were obese had lower levels of n-3 polyunsaturated FA, and the lowest n-6:n-3 ratios. Regarding specific FAs, docosahexaenoic acid levels were lower in women with normal weight than in those who are overweight, and in women who are overweight than in those who are obese. The opposite occurred with eicosapentaenoic acid, with the highest levels in women who have normal weight followed by those who are overweight and lower levels in those women who were obese. When FA analysis was restricted to a subset of oocytes, many of these differences persisted.

Conclusion(s)

Our study shows that oocytes from women who are obese or overweight have a different FA composition. This difference in levels could be related to the IVF poor outcome in these women. Therefore, this different composition could suggest that offspring of women who are obese or overweight have an unfavorable milieu even before conception.


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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

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