Ectopic Fat Depots and Cardiometabolic Burden: A Possible Dangerous Liaison in Women Planning Assisted Reproduction

Michela Cirillo; Maria Boddi; Maria Elisabetta Coccia; Monica Attanasio; Cinzia Fatini

doi:10.18502/jfrh.v15i2.6453

Michela Cirillo Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
Maria Boddi Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
Maria Elisabetta Coccia Center for Assisted Reproductive Technology, Division of Obstetrics and Gynecology, Careggi University Hospital, Florence, Italy
Monica Attanasio Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
Cinzia Fatini Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy

DOI: https://doi.org/10.18502/jfrh.v15i2.6453

Keywords: Assisted reproductive techniques; Heart disease risk factors; Obesity; Metabolic syndrome; Women’s health

Abstract

Objective: We evaluated cardiometabolic burden in women planning assisted reproduction in order to identify subgroups at higher risk of pregnancy complications and cardiovascular disease.

Materials and methods: In this cross-sectional study we investigated 60 infertile women with BMI≥25 kg/m2 referred to the Center for Assisted Reproduction. All women underwent metabolic, anthropometric parameters and ultrasound evaluation of ectopic fat depots.

Results: All women had waist ≥80 cm. We found that 93.3% of women had pathological subcutaneous, 58.3% visceral and 80% para-perirenal fat; all women had fatty liver. Visceral fat and severity of steatosis were significantly related to the presence of metabolic syndrome (OR =5.7; p=0.03). A significant negative correlation between low HDL-c and para-perirenal fat (p<0.0001), a significant positive correlation with fasting plasma glucose and para-perirenal fat (p=0.001) were found. We observed a significant positive correlation between visceral fat and hs-CRP (p=0.002), HOMA-IR (p=0.04) and triglycerides (p=0.002), a significant negative correlation with HDL-c (p=0.05).

Conclusion: This study by highlighting a clinically “dangerous liaison” between ectopic fat depots and metabolic/inflammatory markers, might permit to identify women with a worse metabolic phenotype and encourage lifestyle changes for improving their general and reproductive health together.