TABLE 6.
Effect of maternal BMI within race/ethnic groups on IVF outcomes.
BMI category (kg/m2) | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Alla | Normal weight (18.5–24.9) | Overweight (25.0–29.9) | Obese (30.0–46.0) | |||||||||
Race/ethnicity | AOR | 95% CI | P value | AOR | 95% CI | P value | AOR | 95% CI | P value | AOR | 95% CI | P value |
Treatment outcome: failure to achieve CIG | ||||||||||||
Allb | 1.00 | Reference | 1.03 | 0.97–1.10 | NS | 1.22 | 1.13–1.32 | *** | ||||
White | 1.00 | Reference | 1.00 | Reference | 1.00 | Reference | 1.00 | Reference | ||||
Non-Whitec | 1.30 | 1.22–1.39 | *** | 1.31 | 1.20–1.43 | *** | 1.17 | 1.03–1.33 | * | 1.36 | 1.16–1.59 | *** |
Asian | 1.38 | 1.25–1.52 | *** | 1.36 | 1.22–1.53 | *** | 1.21 | 0.98–1.50 | NS | 1.73 | 1.21–2.47 | ** |
Hispanic | 1.10 | 0.99–1.24 | NS | 1.21 | 1.03–1.42 | * | 0.92 | 0.75–1.13 | NS | 1.04 | 0.81–1.33 | NS |
Black | 1.43 | 1.27–1.61 | *** | 1.18 | 0.97–1.44 | NS | 1.34 | 1.10–1.65 | ** | 1.47 | 1.18–1.83 | *** |
Pregnancy outcome: failure to achieve live birth | ||||||||||||
Allb | 1.00 | Reference | 1.16 | 1.02–1.31 | * | 1.27 | 1.10–1.47 | *** | ||||
White | 1.00 | Reference | 1.00 | Reference | 1.00 | Reference | 1.00 | Reference | ||||
Non-Whitec | 1.38 | 1.22–1.56 | *** | 1.24 | 1.04–1.47 | ** | 1.52 | 1.20–1.93 | *** | 1.86 | 1.40–2.47 | *** |
Asian | 1.33 | 1.11–1.60 | ** | 1.21 | 0.96–1.51 | NS | 1.56 | 1.07–2.27 | * | 2.20 | 1.18–4.08 | ** |
Hispanic | 1.39 | 1.14–1.69 | *** | 1.14 | 0.84–1.56 | NS | 1.57 | 1.12–2.20 | ** | 1.76 | 1.16–2.67 | ** |
Black | 1.43 | 1.16–1.77 | *** | 1.45 | 1.02–2.06 | * | 1.35 | 0.92–1.98 | NS | 1.84 | 1.25–2.71 | ** |
Note: Models were adjusted for woman's age, gravidity, oocyte source, day of embryo transfer, number of embryos transferred, and infertility diagnoses. Adapted from: Luke B, Brown MB, Stern JE, Missmer SA, Fujimoto VY, Leach R. Racial and ethnic disparities in assisted reproductive technology pregnancy and live birth rates within body mass index categories. Fertil Steril 2011; 95:1661–6. CIG = clinical intrauterine pregnancy; other abbreviations as in Tables 2 and 3.
P<.05
P<.01
P<.001.
Models additionally adjusted for BMI.
Models additionally adjusted for race and ethnicity.
Non-White includes Asian, Hispanic, and Black.
Luke. Obesity and race and female fecundity. Fertil Steril 2017.