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. 2023 Oct 24;23:235. doi: 10.1186/s12902-023-01490-4

Table 1.

General Characteristics of the included studies

References Country Population Study design sex Sample size Duration of follow up (Year) Exposure variable
Definition of Obesity
Outcome investigated Quality of the studies
Barclay 2020 Sweden 17–20 years old Men born in Sweden between 1965–1972 Retrospective Cohort Male 405,427 44

Overweight BMI : (25-29.99)

Obese

BMI ≥ 30

Fertility up to age 40 or older Good
Frisco 2012 United States 21–23 Years old females Retrospective cohort Female 3,977 20

Overweight BMI : (25-29.99)

Obese

BMI ≥ 30

Number of children:

No children : 0

1 or more live birth: 1

Good
He 2018 Australia Australian school children aged 7–15 years Prospective cohort Male and Female

8,498

4,191 Girls

4307 Boys

22.6

Overweight BMI : (25-29.99)

Obese

BMI ≥ 30,

Abdominal obesity was defined as WHtR

R0.5

Infertility (was defined as having difficulty conceiving (had tried for ≥ 12 months to become pregnant without succeeding) or having seen a doctor because of trouble becoming pregnant) Good
Jacobs 2016 United States Children aged 5 to 14 years old Prospective cohort Female 5,824 33

85 ≤ BMI percentile ≤ 94 : Overweight

BMI Percentile ≥ 95 : Obese

Subscapular and triceps skinfold thicknesses percentile:

High : 85 ≤ Percentile ≤ 94

Very high: 95 ≥ Percentile

Fertility difficulties:

The women who answered Yes two any of the 3 question below were considered infertility difficulty group:

1.Taking any fertility drugs

2.Trying to become pregnant and were unable to

3.visiting doctor for becoming pregnant

Good
Jokela 2008 United States 17–24 years old young adults Prospective cohort Male and Female

12,073

5982 women

6091 men

23

Overweight BMI : (25-29.99)

Obese

BMI ≥ 30

Number of children desired Good
Kahn 2019 United States Children from health and development cohort until 44 Years of old Prospective cohort Male 193 44

Overweight BMI : (25-29.99)

Obese

BMI ≥ 30

Sperm concentration, motility, and morphology Good
Lake 1997 United Kingdom Children born on 3rd to 9th of March 1958 Prospective cohort Female 5,799 26 Age specific BMI cut-off

Menstural problems, Subfertility, HTN

Subfertility defined as time

taken to conceive from cessation of contraception

Good
Laru 2021 Finland Women born in 1966 Prospective cohort Female 4,382 50

85 ≤ BMI percentile ≤ 94 : Overweight

BMI Percentile ≥ 95 : Obese

Impaired reproductive function defined as decreased fecundability, need for infertility assessment and treatment by 46 years of age.

Childlessness and number of children also extracted.

Good
Polotsky 2010 United States Women aged between 42–52 Retrospective cohort Female 3,302 NR

Overweight BMI : (25-29.99)

Obese

BMI ≥ 30

Nulliparity and nulligravidity Good
Ramlau-Hansen 2010 Denmark 5–8 Years Retrospective Cohort Males 260 22 High prepubertal BMI (16.21–22.58 kg/m2) Sperm Concentration, Sperm volume, Sperm total count, percent normal morphology sperm, percent motile sperm, Testosterone, Estradio, FSH, LH, SHBG, Inhibin B. Good
Rich-Edwards 1994 United States Females registered nurses 25 to 42 years old Nested case-control study Female

2,527 Case

46,718 Control

NR BMI categories Infertility due to ovulatory disorder Good

BMI: Body Mass Index, FSH: Follicle Stimulating Hormone, LH: Luteinizing Hormone, SHBG: Sex-Hormone Binding Globulin