{"id":13411,"date":"2020-02-24T11:30:22","date_gmt":"2020-02-24T11:30:22","guid":{"rendered":"https:\/\/fivclinic.es\/?p=2318"},"modified":"2024-12-22T17:55:55","modified_gmt":"2024-12-22T17:55:55","slug":"com-afecta-estil-de-vida-fertilitat","status":"publish","type":"post","link":"https:\/\/fivclinic.es\/ca\/com-afecta-estil-de-vida-fertilitat\/","title":{"rendered":"Com afecta l\u2019estil de vida a la fertilitat?"},"content":{"rendered":"\r\n

A FIVcl\u00ednic creiem fermament en l\u2019impacte dels diferents estils de vida en els resultats de les t\u00e8cniques de reproducci\u00f3 assistida aix\u00ed com en la fertilitat natural. Sabem que el factor m\u00e9s determinant en reproducci\u00f3 \u00e9s l\u2019edat de la dona, per\u00f2 tamb\u00e9 que altres factors com el tabac, l\u2019obesitat, la dieta, l\u2019alcohol, l\u2019estr\u00e8s o l\u2019exercici f\u00edsic tenen un impacte tant en la fertilitat femenina com masculina. En parlem amb l\u2019Anna Goday, ginec\u00f2loga especialista en reproducci\u00f3 assistida a FIVcl\u00ednic.<\/strong><\/p>\r\n\r\n\r\n\r\n

Tabac: fumar t\u00e9 efectes en la reproducci\u00f3?<\/strong><\/p>\r\n\r\n\r\n\r\n

Dades recollides a l\u2019Hospital Cl\u00ednic en un estudi on es va interrogar sobre l\u2019h\u00e0bit del tabac a m\u00e9s de 3500 pacients, van demostrar que el fet de tenir 37 anys o m\u00e9s i ser fumadora\u00a0donava lloc a pitjors resultats en l\u2019estimulaci\u00f3 ov\u00e0rica. A m\u00e9s a m\u00e9s, s’ha descrit\u00a0 que les pacients fumadores tamb\u00e9 presenten una taxa d\u2019avortament m\u00e9s alta i una major taxa d\u2019embarassos ect\u00f2pics (embarassos extrauterins).<\/p>\r\n\r\n\r\n\r\n

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Tot apunta que l’efecte negatiu del tabac seria dosi-depenent (m\u00e9s cigarretes al dia, m\u00e9s toxicitat) i reversible, per tant, m\u00e9s motius per deixar de fumar, ja que l’efecte t\u00f2xic sobre la fertilitat reverteix si es deixa l’h\u00e0bit.<\/p>\r\n<\/blockquote>\r\n\r\n\r\n\r\n

“Davant d\u2019aquestes dades, \u00e9s totalment desaconsellable consumir tabac, tant durant l\u2019estimulaci\u00f3 ov\u00e0rica com pensant en un futur embar\u00e0s \u2013diu Goday\u2013. Aix\u00ed doncs, creiem que iniciar un proc\u00e9s de reproducci\u00f3 assistida podria ser una bona motivaci\u00f3 i el moment idoni per deixar de banda aquest h\u00e0bit.”<\/p>\r\n\r\n\r\n\r\n

Exercici f\u00edsic: \u00e9s important estar en forma quan es busca l’embar\u00e0s?<\/strong><\/p>\r\n\r\n\r\n\r\n

S\u00ed. Segons els resultats obtinguts en el nostre centre, on valor\u00e0vem a trav\u00e9s de q\u00fcestionaris el tipus d\u2019exercici f\u00edsic que realitzaven les parelles, els par\u00e0metres de l\u2019estimulaci\u00f3 ov\u00e0rica (desenvolupament fol\u00b7licular o nivells d\u2019estradiol) s\u00f3n millors en aquelles pacients que realitzen de manera regular una activitat cardiovascular. Seria ideal, doncs, que tant la dona com l\u2019home realitzessin de manera regular una activitat f\u00edsica moderada. L’OMS la descriu com aquella activitat que consumeix entre 3-6 MET (unitat de mesura d\u2019energia). “La meva recomanaci\u00f3 seria caminar a pas r\u00e0pid uns 30 minuts al dia o b\u00e9 altres equivalents com ballar, caminar, sortir a passejar el gos…”, especifica la Dra Goday.<\/p>\r\n\r\n\r\n\r\n

Dieta i obesitat: quin paper juga el pes en la reproducci\u00f3?<\/strong><\/p>\r\n\r\n\r\n\r\n

“\u00c9s habitual que en la primera visita fem una valoraci\u00f3 de l\u2019\u00edndex de massa corporal (IMC) i, en cas de sobrepes, i, especialment d\u2019obesitat, recomanem la p\u00e8rdua controlada de pes”, diu la Dra Goday. Un IMC per sobre de 25 redueix les probabilitats d\u2019embar\u00e0s i, a m\u00e9s, augmenta la taxa d\u2019avortaments. De vegades, l\u2019obesitat precisament \u00e9s el que est\u00e0 redu\u00efnt la nostra fertilitat natural, ja que altera el nostre cicle menstrual.<\/p>\r\n\r\n\r\n\r\n

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“En aquests casos, pot ser que la soluci\u00f3 no sigui un tractament de reproducci\u00f3 assistida, sin\u00f3 que el metge valori si el tractament ha de ser la p\u00e8rdua de pes en el cas que es tracti d\u2019una esterilitat amb clara causa endocrina”.<\/p>\r\n<\/blockquote>\r\n\r\n\r\n\r\n

Val a dir tamb\u00e9 que una dona obesa que queda embarassada t\u00e9 m\u00e9s riscos de tenir complicacions durant l\u2019embar\u00e0s i pitjors resultats perinatals. \u00c9s a dir, l\u2019exc\u00e9s de pes \u00e9s un factor fonamental que hem de controlar.<\/p>\r\n\r\n\r\n\r\n

D\u2019altra banda, fent refer\u00e8ncia a alguns components de la dieta com \u00e9s la cafe\u00efna, en concret el consum de caf\u00e9, vam analitzar el consum de caf\u00e8 a un total de 400 parelles del nostre centre i vam veure que el consum alt de m\u00e9s de 3 caf\u00e8s al dia podia alterar la qualitat embrion\u00e0ria. Per tant, recomanem un consum moderat de caf\u00e9, \u00e9s a dir, prendre idealment 1 o 2 caf\u00e8s al dia.<\/p>\r\n\r\n\r\n\r\n

Alcohol: no passa res si bec una mica?<\/strong><\/p>\r\n\r\n\r\n\r\n

L\u2019alcohol \u00e9s un altre factor que afecta negativament la fertilitat d\u2019una parella: repercuteix tant en la qualitat esperm\u00e0tica com en la qualitat dels o\u00f2cits. I si es consumeix durant un embar\u00e0s podria tenir repercussions molt negatives per al fetus. D\u2019aquesta manera, recomanem no consumir alcohol mentre es busca l’embar\u00e0s, doncs empitjora la taxa de recuperaci\u00f3 oocit\u00e0ria i, en conseq\u00fc\u00e8ncia, la taxa d\u2019embar\u00e0s. Un cop s\u2019ha aconseguit l\u2019embar\u00e0s, aqu\u00ed no hi ha dubtes: toler\u00e0ncia 0 amb l’alcohol.<\/a><\/p>\r\n\r\n\r\n\r\n

Estr\u00e8s i embar\u00e0s: mala combinaci\u00f3<\/strong><\/p>\r\n\r\n\r\n\r\n

Hi ha d\u2019altres factor, com l\u2019estr\u00e8s, per exemple, que podrien afectar negativament als resultats d\u2019un cicle de fecundaci\u00f3 in vitro. L\u2019estr\u00e8s que aquests tractaments poden generar en la parella o la frustraci\u00f3 de no aconseguir l’embar\u00e0s s\u00f3n, a vegades, causes que fan que algunes parelles abandonin el tractament. \u00c9s, doncs, imprescindible un bon suport psicol\u00f2gic i emocional en aquests tipus de tractaments.<\/p>\r\n\r\n\r\n\r\n

Factors inmodificables: l’edat i la reserva ov\u00e0rica<\/strong><\/p>\r\n\r\n\r\n\r\n

Hi ha factors que no podrem modificar com ara l\u2019edat o la reserva ov\u00e0rica, per\u00f2 tenir h\u00e0bits de vida saludables (no fumar, consum moderat de caf\u00e9, exercici f\u00edsic moderat, etc) s\u00f3n factors modificables que podem intentar seguir i que poden millorar els resultats d\u2019un cicle de fecundaci\u00f3 in vitro.<\/p>\r\n\r\n\r\n\r\n

Investigaci\u00f3 en marxa sobre els efectes de l’estil de vida i la fertilitat<\/strong><\/p>\r\n\r\n\r\n\r\n

A FIVcl\u00ednic creiem fermament en l\u2019impacte dels diferents estils de vida en els resultats de les t\u00e8cniques de reproducci\u00f3 assistida, aix\u00ed com en la fertilitat natural. Per aquest motiu estem realitzant un estudi on volem determinar com el tabac, alcohol, drogues, dieta, estr\u00e8s i exercici f\u00edsic afecten els resultats d\u2019un cicle de fecundaci\u00f3 in vitro. De manera volunt\u00e0ria els pacients que desitgen participar responen uns q\u00fcestionaris validats per a determinar l\u2019estil de vida que segueix cada parella. Aix\u00f2 ens d\u00f3na informaci\u00f3 que despr\u00e9s podem relacionar amb la fol\u00b7liculog\u00e8nesi, amb la qualitat dels o\u00f2cits, amb l\u2019evoluci\u00f3 embrion\u00e0ria en el laboratori, les taxes d\u2019embar\u00e0s i, fins i tot, valorar si aquests factors poden actuar durant l’embar\u00e0s o en la vida del futur nad\u00f3.<\/p>\r\n\r\n\r\n\r\n

La recerca \u00e9s una part molt important en el nostre centre i creiem que \u00e9s imprescindible seguir investigant en aquesta l\u00ednia. Tamb\u00e9 volem promoure uns h\u00e0bits de vida el m\u00e9s saludables possibles, que ens ajudaran tant en la nostra salut en general, com en la fertilitat.<\/p>\r\n\r\n\r\n\r\n

Anna Goday.<\/strong> Ginec\u00f2loga especialista en reproducci\u00f3 assistida de FIVcl\u00ednic.<\/em><\/p>\r\n\r\n\r\n\r\n

 <\/p>\r\n","protected":false},"excerpt":{"rendered":"

A FIVcl\u00ednic creiem fermament en l\u2019impacte dels diferents estils de vida en els resultats de les t\u00e8cniques de reproducci\u00f3 assistida aix\u00ed com en la fertilitat natural. Sabem que el factor m\u00e9s determinant en reproducci\u00f3 \u00e9s l\u2019edat de la dona, per\u00f2 tamb\u00e9 que altres factors com el tabac, l\u2019obesitat, la dieta, l\u2019alcohol, l\u2019estr\u00e8s o l\u2019exercici f\u00edsic… Continueu llegint Com afecta l\u2019estil de vida a la fertilitat?<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[282],"tags":[],"autores":[],"tipo_de_blog":[],"class_list":["post-13411","post","type-post","status-publish","format-standard","hentry","category-estil-de-vida","entry"],"acf":[],"yoast_head":"\nCom afecta l\u2019estil de vida a la fertilitat? - fivcl\u00ednic | barnacl\u00ednic+<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/fivclinic.es\/ca\/com-afecta-estil-de-vida-fertilitat\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Com afecta l\u2019estil de vida a la fertilitat? - fivcl\u00ednic | barnacl\u00ednic+\" \/>\n<meta property=\"og:description\" content=\"A FIVcl\u00ednic creiem fermament en l\u2019impacte dels diferents estils de vida en els resultats de les t\u00e8cniques de reproducci\u00f3 assistida aix\u00ed com en la fertilitat natural. 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