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Association of body mass index with serum anti-Mullerian hormone and inhibin B levels among 8323 women attending a reproductive medical center: a cross-sectional study

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单位: [1]Sun Yat Sen Univ, Dept Epidemiol, Sch Publ Hlth, 74 Zhongshan Second Rd, Guangzhou 510080, Guangdong, Peoples R China [2]Huazhong Univ Sci & Technol, Reprod Med Ctr, Tongji Hosp, Tongji Med Coll, 1095 Jiefang Ave, Wuhan 430030, Hubei, Peoples R China [3]Univ Melbourne, Melbourne Sch Populat & Global Hlth, 207 Bouverie St, Melbourne, Vic 3010, Australia [4]Univ Hong Kong, Shenzhen Key Lab Fertil Regulat, Ctr Assisted Reprod & Embryol, Shenzhen Hosp, 1 Haiyuan First Rd, Shenzhen 518053, Guangdong, Peoples R China [5]Hubei Prov Ctr Dis Control & Prevent, Hubei Prov Key Lab Appl Toxicol, 35 Zhuodaoquan North Rd, Wuhan 430079, Hubei, Peoples R China [6]Guangzhou Med Univ, State Key Lab Resp Dis, Affiliated Hosp 1, 151 Yanjiang Rd, Guangzhou 510120, Guangdong, Peoples R China [7]Guangzhou Med Univ, Sch Publ Hlth, 1 Xinzao Rd, Guangzhou 511436, Guangdong, Peoples R China [8]Univ Iowa, Coll Publ Hlth, Dept Epidemiol, 145 North Riverside Dr, Iowa City, IA 52242 USA
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关键词: BMI Anti-Mullerian hormone Inhibin B Overweight Obesity

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Purpose To assess the association of body mass index (BMI) with serum anti-Mullerian hormone (AMH) and inhibin B (InB) levels among women attending a reproductive medical center. Methods We conducted a cross-sectional study of 8323 women (96.4% were Han race) without polycystic ovary syndrome (PCOS) from the reproductive medical center of Tongji Hospital in Wuhan, China for assisted reproductive technology treatment between January 2016 and May 2018. For each participant, BMI and levels of serum AMH and InB were measured at entry by trained clinical technicians. Multivariate linear regression models were used to quantitatively estimate the associations of continuous and categorical BMI with serum AMH and InB levels. Results Each 1 kg/m(2) increase in BMI was significantly associated with a 1.02% (95% CI: 0.40, 1.65%) and 3.59% (3.11, 4.06%) reduction in AMH and InB levels, respectively. No departure from linearity was observed for either AMH or InB (both P for nonlinear trend >0.05). Overweight and obesity were significantly associated with a 6.01% (0.70, 11.04%) and 18.64% (2.29, 32.26%) reduction in AMH level, and were significantly associated with a 18.80% (15.23, 22.23%) and a 35.44% (25.47, 44.08%) reduction in InB level, respectively. In addition, the association between BMI and AMH level was significantly stronger among women >= 32 years. Conclusions BMI was linearly and inversely associated with AMH and InB levels among women without PCOS. Both overweight and obesity were significantly associated with lower AMH and InB levels.

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出版当年[2021]版:
大类 | 3 区 医学
小类 | 3 区 内分泌学与代谢
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 内分泌学与代谢
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出版当年[2020]版:
Q3 ENDOCRINOLOGY & METABOLISM
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Q2 ENDOCRINOLOGY & METABOLISM

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第一作者单位: [1]Sun Yat Sen Univ, Dept Epidemiol, Sch Publ Hlth, 74 Zhongshan Second Rd, Guangzhou 510080, Guangdong, Peoples R China
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