Entendiendo la experiencia de las mujeres que viven con obesidad y patología reproductiva

4区医学 Q3 Nursing

Endocrinologia, Diabetes y Nutricion Pub Date : 2026-05-01 Epub Date: 2025-12-30 DOI:10.1016/j.endinu.2025.501746

Alba Andreu , Jessica Farré , Eva Palou , Gemma Casals , Olga Rubio , Violeta Moizé , Dolors Manau , Lilliam Flores , Eva Antúnez , Miriam Redondo , Josep Vidal , Joan Escarrabill

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引用次数: 0

Abstract

Introduction

Obesity in women of reproductive age is a significant risk factor for infertility. Current treatment strategies primarily focus on weight reduction through lifestyle modifications, pharmacological interventions, or surgical procedures. However, there is still a lack of consensus on the most effective approach. Moreover, such interventions have limited effectiveness in maintaining weight loss and optimizing assisted reproduction results following assisted reproductive techniques, which may lead to stigmatization and negative experiences for patients.

Although qualitative evidence regarding preconception and gestational stages has increased, literature specifically addressing women who simultaneously present obesity and infertility, as well as the impact of these conditions on their physical and emotional well-being, remains limited.

Aim

To explore the care trajectory of women with obesity and infertility.

Methods

We designed a mixed-methods study involving 10 healthcare professionals, a focus group and a co-creation workshop with 6 and 8 patients respectively, and an online survey was administered and completed by 33 out of a total of 150 women with obesity and reproductive pathology who were invited to participate (response rate 22%).

Results

While some aspects of preconception care were positively evaluated, the overall patient journey is complex. We identified four areas for improvement: providing personalized information, offering stigma-free emotional support, ensuring efficient time management, and promoting shared decision-making.

Conclusions

A comprehensive, multidisciplinary approach emerges as a key element to optimize care and enhance the experience of these women.

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了解患有肥胖和生殖疾病的妇女的经历

育龄妇女肥胖是不孕的重要危险因素。目前的治疗策略主要集中在通过改变生活方式、药物干预或外科手术来减轻体重。然而，对于最有效的方法仍缺乏共识。此外，这些干预措施在维持体重减轻和优化辅助生殖技术后的辅助生殖结果方面效果有限，这可能导致患者的污名化和负面体验。尽管关于孕前和妊娠阶段的定性证据有所增加，但专门针对同时出现肥胖和不孕的妇女的文献，以及这些情况对她们身心健康的影响，仍然有限。目的探讨女性肥胖合并不孕症的护理轨迹。方法我们设计了一项混合方法研究，包括10名医疗保健专业人员，一个焦点小组和一个共同创造研讨会，分别有6名和8名患者，并邀请了150名肥胖和生殖病理的女性参与，其中33名进行了在线调查，并完成了调查（回复率为22%）。结果虽然孕前护理的某些方面得到了积极的评价，但总体而言，患者的旅程是复杂的。我们确定了四个需要改进的领域：提供个性化信息，提供无耻辱感的情感支持，确保有效的时间管理，促进共同决策。结论综合、多学科的方法是优化护理和提高这些妇女经验的关键因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Endocrinologia, Diabetes y Nutricion Nursing-Nutrition and Dietetics

CiteScore

2.10

自引率

0.00%

发文量

169

审稿时长

35 days

期刊介绍： Endocrinología, Diabetes y Nutrición is the official journal of the Spanish Society of Endocrinology and Nutrition (Sociedad Española de Endocrinología y Nutrición, SEEN) and the Spanish Society of Diabetes (Sociedad Española de Diabetes, SED), and was founded in 1954. The aim of the journal is to improve knowledge and be a useful tool in practice for clinical and laboratory specialists, trainee physicians, researchers, and nurses interested in endocrinology, diabetes, nutrition and related disciplines. It is an international journal published in Spanish (print and online) and English (online), covering different fields of endocrinology and metabolism, including diabetes, obesity, and nutrition disorders, as well as the most relevant research produced mainly in Spanish language territories. The quality of the contents is ensured by a prestigious national and international board, and by a selected panel of specialists involved in a rigorous peer review. The result is that only manuscripts containing high quality research and with utmost interest for clinicians and professionals related in the field are published. The Journal publishes Original clinical and research articles, Reviews, Special articles, Clinical Guidelines, Position Statements from both societies and Letters to the editor. Endocrinología, Diabetes y Nutrición can be found at Science Citation Index Expanded, Medline/PubMed and SCOPUS.