Male obesity: Associated effects on fertility and the outcomes of offspring

Author:

Venigalla Greeshma1ORCID,Ila Vishal1,Dornbush James2,Bernstein Ari3,Loloi Justin4,Pozzi Edoardo56,Miller David1,Ramasamy Ranjith1ORCID

Affiliation:

1. Desai Sethi Urology Institute Miller School of Medicine University of Miami Miami Florida USA

2. Medical College of Georgia AU/UGA Medical Partnership Augusta Georgia USA

3. Department of Urology NYU Langone Health New York New York USA

4. Department of Urology Montefiore Medical Center Bronx New York USA

5. Division of Experimental Oncology/Unit of Urology URI, IRCCS Ospedale San Raffaele Milan Italy

6. University Vita‐Salute San Raffaele Milan Italy

Abstract

Obesity rates are increasing globally, making it imperative to comprehend the effects of parental obesity on human reproduction. This review aims to highlight the impact of male obesity on reproductive and offspring outcomes. Male obesity has been shown to affect fertility through various mechanisms, including changes in semen quality, difficulty with natural conception, and worsened assisted reproductive technology outcomes. The evidence regarding the impact of male obesity on success of sperm retrieval is conflicting, but all aforementioned adverse effects may be modifiable with weight loss. Moreover, paternal obesity may influence atypical offspring outcomes, such as placental abnormalities and disruptions in fetal development, which may be moderated by epigenetic pathways. Further research is needed to fully understand the complex relationships and underlying mechanisms involved. Gaining more insight into the impact of male obesity on fertility and offspring outcomes can aid in the development of targeted interventions to improve family planning and the health of future generations.

Publisher

Wiley

Subject

Urology,Endocrinology,Reproductive Medicine,Endocrinology, Diabetes and Metabolism

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