Dataset Information

Depression score mediate the association between a body shape index and infertility in overweight and obesity females, NHANES 2013-2018.

ABSTRACT:

Background

Overweight and obese females demonstrate a significantly increased risk of anovulatory infertility. This study aims to investigate whether depression score could mediate the association between a body shape index (ABSI) and infertility, especially in overweight and obese population.

Methods

We included 5431 adult female Americans from the National Health and Nutrition Examination Survey (NHANES, 2013-2018) database. ABSI manifested the body shape using waist circumference, weight, and height. Infertility or fertility status was defined by interviewing female participants aged ≥ 18 through the reproductive health questionnaires. Depression symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9) with total scores between 0 and 27. To investigate the association of infertility with ABSI and other individual components, survey-weighted multivariable logistic regression was performed. Mediation analysis of PHQ-9 score was conducted to disentangle the pathways that link ABSI to infertility among the NHANES participants.

Results

596 (10.97%) females were categorized with having infertility among 5431 participants. Participants with infertility showed higher ABSI and PHQ-9 score, appearing greater population proportion with depression symptoms. In the multivariable logistic regression model, ABSI (adjusted odds ratio = 0.14, 95% CI: 0.04 to 0.50) and PHQ-9 (adjusted odds ratio = 1.04, 95% CI: 1.01 to 1.07) were positively associated with infertility. PHQ-9 score was estimated to mediate 0.2% (P = 0.03) of the link between ABSI and infertility in all individuals, but to mediate 13.5% (P < 0.01) of the ABSI-infertility association in overweight and obese adult females.

Conclusion

The association between ABSI and infertility seems to be mediated by depression symptoms scored by PHQ-9, especially in those adult females with overweigh and obesity. Future studies should be implemented to further explore this mediator in ABSI-infertility link.

SUBMITTER: Pan Q

PROVIDER: S-EPMC10475194 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature

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Publications

Depression score mediate the association between a body shape index and infertility in overweight and obesity females, NHANES 2013-2018.

Pan Qiangwei Q Shen Xiaolu X Li Hongfeng H Zhu Bo B Chen Dake D Pan Jiajia J

BMC women's health 20230902 1

<h4>Background</h4>Overweight and obese females demonstrate a significantly increased risk of anovulatory infertility. This study aims to investigate whether depression score could mediate the association between a body shape index (ABSI) and infertility, especially in overweight and obese population.<h4>Methods</h4>We included 5431 adult female Americans from the National Health and Nutrition Examination Survey (NHANES, 2013-2018) database. ABSI manifested the body shape using waist circumferen ...[more]

PMID: 37660004

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Dataset Information

Depression score mediate the association between a body shape index and infertility in overweight and obesity females, NHANES 2013-2018.

Background

Methods

Results

Conclusion

Publications

Depression score mediate the association between a body shape index and infertility in overweight and obesity females, NHANES 2013-2018.

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