1887
Volume 2025, Issue 1
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Reproductive technologies are used more widely today than ever before. This increase in the use of assisted reproductive technology (ART) is directly related to sociodemographic conditions that result in delayed childbirth among age groups with lower fertility. Infertility affects 17% of married couples, and in some countries 6% of children are born with in vitro fertilization (IVF). In this context, the aspect of the influence of reproductive technologies on hormonal indicators of offspring in relation to anthropometric data remains insufficiently examined. The purpose of this cohort study is to compare the hormonal panel and anthropometric data of ART-conceived children with the corresponding data of children conceived naturally.

Biochemical tests are used to determine the amount of free triiodothyronine (T3) and total thyroxine (T4), somatotropin, insulin, insulin-like growth factor, glucose, potassium, and sodium cations in blood samples from the experimental and control groups.

The results indicate that the use of assisted reproductive technologies neither altered the endocrine panel of the thyroid gland, nor affected other biochemical parameters. Variations in technologies – classical IVF, fresh or frozen embryo transfer, intracytoplasmic sperm injection – also did not affect the quantitative value of the above indicators. Artificial insemination also had no effect on puberty (in both boys and girls). Children born naturally had a greater body weight (3,453 vs 3,160 g,  < 0.001) and height (53 vs 51 cm,  = 0.002). ART children had significantly higher median free T3 levels (3.65 vs 3.48 mU/L,  = 0.002) and potassium levels (4.8 vs 4.7 mmol/L,  = 0.013), although within the reference ranges. Glucose levels were also higher in ART children (median 4.45 vs 4.29 mg/dl,  = 0.01).

Several relationships between biochemical and anthropometric indicators were identified: the correlation between body weight and blood levels of insulin-like growth factor was statistically significant, positive, and weak. The T3 level in the experimental group was found to be statistically significant and directly proportional to body height, and insulin content was inversely proportional to body weight. The data obtained make it possible to verify the safety of using a different range of reproductive technologies.

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2025-02-23
2025-07-16
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References

  1. Isenova SSh, Aripkhanova AS, Sultanmuratova DD, Kazybaeva AS, Tileukul NA, Boran AM. Management strategies for thrombophilic patients undergoing assisted reproductive technologies. Obstet Gynecol. 2023;11:5–10. doi: 10.18565/aig.2023.177.
    [Google Scholar]
  2. Opdahl S, Henningsen A-KA, Bergh C, Gissler M, Romundstad LB, Petzold M, et al. Data resource profile: Committee of Nordic Assisted Reproductive Technology and Safety (CoNARTaS) cohort. Int J Epidemiol. 2020 Apr 1; 49:(2):365–366f. doi: 10.1093/ije/dyz228.
    [Google Scholar]
  3. European Society of Human Reproduction and Embryology. Factsheets and infographics [online]. 2024 [cited 2024 May 10]. Available from: https://www.eshre.eu/Europe/Factsheets-and-infographics .
  4. European IVF-monitoring Consortium (EIM)3 for the European Society of Human Reproduction and Embryology (ESHRE), Wyns C, Bergh C, Calhaz-Jorge C, De Geyter C, Kupka MS, et al. ART in Europe, 2016: Results generated from European registries by ESHRE. Hum Reprod Open. 2021 Aug 5;3:hoaa032. doi: 10.1093/hropen/hoaa032.
  5. Lokshin VN. Practical reproductology. Almaty: KazMedPrint; 2023.
    [Google Scholar]
  6. Lokshin VN, Ilmuratova SK. Cognitive development and neuropsychic health of children conceived by assisted reproductive technologies. Obstet Gynecol. 2022 Nov;11:31–36. doi: 10.18565/aig.2022.11.31-36.
    [Google Scholar]
  7. Lv P-P, Meng Y, Lv M, Feng C, Liu Y, Li J-Y, et al. Altered thyroid hormone profile in offspring after exposure to high estradiol environment during the first trimester of pregnancy: a cross-sectional study. BMC Med. 2014 Dec 16;12:240. doi: 10.1186/s12916-014-0240-0.
    [Google Scholar]
  8. Coussa A, Hasan HA, Barber TM. Impact of contraception and IVF hormones on metabolic, endocrine, and inflammatory status. J Assist Reprod Genet. 2020 Jun; 37:(6):1267–1272. doi: 10.1007/s10815-020-01756-z.
    [Google Scholar]
  9. Simbulan RK, Liu X, Feuer SK, Maltepe E, Donjacour A, Rinaudo P. Adult male mice conceived by in vitro fertilization exhibit increased glucocorticoid receptor expression in fat tissue. J Dev Orig Health Dis. 2016 Feb; 7:(1):73–82. doi: 10.1017/S2040174415007825.
    [Google Scholar]
  10. Mohammadi M, Morasae EK, Maroudizadeh S, Almasi-Hashiani A, Navid B, Amini P, et al. Assisted reproductive technology and the risk of gestational diabetes mellitus: a systematic review and meta-analysis. Middle East Fertil Soc J. 2020 Feb 5;25:6. doi: 10.1186/s43043-020-0018-6.
    [Google Scholar]
  11. Bosdou JK, Anagnostis P, Goulis DG, Lainas GT, Tarlatzis BC, Grimbizis GF, et al. Risk of gestational diabetes mellitus in women achieving singleton pregnancy spontaneously or after ART: a systematic review and meta-analysis. Hum Reprod Update. 2020 Jun 18; 26:(4):514–544. doi: 10.1093/humupd/dmaa011.
    [Google Scholar]
  12. Dayan N, Fell DB, Guo Y, Wang H, Velez MP, Spitzer K, et al. Severe maternal morbidity in women with high BMI in IVF and unassisted singleton pregnancies. Hum Reprod. 2018 Aug 1; 33:(8):1548–1556. doi: 10.1093/humrep/dey224.
    [Google Scholar]
  13. Fauser BCJM, Devroey P, Diedrich K, Balaban B, Bonduelle M, Delemarre-van de Waal HA, et al. Health outcomes of children born after IVF/ICSI: a review of current expert opinion and literature. Reprod Biomed Online. 2014 Feb; 28:(2):162–182. doi: 10.1016/j.rbmo.2013.10.013.
    [Google Scholar]
  14. Guo X-Y, Liu X-M, Jin L, Wang T-T, Ullah K, Sheng J-Z, et al. Cardiovascular and metabolic profiles of offspring conceived by assisted reproductive technologies: a systematic review and meta-analysis. Fertil Steril. 2017 Mar; 107:(3):622–631.e5. doi: 10.1016/j.fertnstert.2016.12.007.
    [Google Scholar]
  15. Zandstra H, van Montfoort APA, Dumoulin JCM, Zimmermann LJI, Touwslager RNM. Increased blood pressure and impaired endothelial function after accelerated growth in IVF/ICSI children. Hum Reprod Open. 2020 Jan 7; 2020:(1):hoz037. doi: 10.1093/hropen/hoz037.
    [Google Scholar]
  16. Cui L, Zhou W, Xi B, Ma J, Hu J, Fang M, et al. Increased risk of metabolic dysfunction in children conceived by assisted reproductive technology. Diabetologia. 2020 Oct; 63:(10):2150–2157. doi: 10.1007/s00125-020-05241-1.
    [Google Scholar]
  17. Norrman E, Petzold M, Gissler M, Spangmose AL, Opdahl S, Henningsen A-K, et al. Cardiovascular disease, obesity, and type 2 diabetes in children born after assisted reproductive technology: a population-based cohort study. PLoS Med. 2021 Sep 7; 18:(9):e1003723. doi: 10.1371/journal.pmed.1003723.
    [Google Scholar]
  18. Yeung EH, Mendola P, Sundaram R, Lin T-C, Broadney MM, Putnick DL, et al. Conception by fertility treatment and cardiometabolic risk in middle childhood. Fertil Steril. 2022 Aug; 118:(2):349–359. doi: 10.1016/j.fertnstert.2022.04.030.
    [Google Scholar]
  19. Steiner N, Wainstock T, Sheiner E, Walfisch A, Segal I, Haim A, et al. Long-term endocrine disorders in children born from pregnancies conceived following fertility treatments. Early Hum Dev. 2020 Sep;148:105132. doi: 10.1016/j.earlhumdev.2020.105132.
    [Google Scholar]
  20. Belva F, Bonduelle M, Provyn S, Painter RC, Tournaye H, Roelants M, et al. Metabolic syndrome and its components in young adults conceived by ICSI. Int J Endocrinol. 2018 May 3;2018:8170518. doi: 10.1155/2018/8170518.
    [Google Scholar]
  21. Juonala M, Lewis S, McLachlan R, Hammarberg K, Kennedy J, Saffery R, et al. American Heart Association ideal cardiovascular health score and subclinical atherosclerosis in 22-35-year-old adults conceived with and without assisted reproductive technologies. Hum Reprod. 2020 Jan 1; 35:(1):232–239. doi: 10.1093/humrep/dez240.
    [Google Scholar]
  22. Penova-Veselinovic B, Wijs LA, Yovich JL, Burton P, Hart RJ. Cohort profile: the Growing Up Healthy Study (GUHS) – a prospective and observational cohort study investigating the long-term health outcomes of offspring conceived after assisted reproductive technologies. PLoS One. 2022 Jul 22; 17:(7):e0272064. doi: 10.1371/journal.pone.0272064.
    [Google Scholar]
  23. World Health Organization. WHO Child Growth Standards. Growth velocity based on weight, length and head circumference: methods and development. Geneva: World Health Organization; 2009. 242 p.
    [Google Scholar]
  24. Miles HL, Hofman PL, Peek J, Harris M, Wilson D, Robinson EM, et al. In vitro fertilization improves childhood growth and metabolism. J Clin Endocrinol Metab. 2007 Sep; 92:(9):3441–3445. doi: 10.1210/jc.2006-2465.
    [Google Scholar]
  25. Ueno K, Kojima J, Suzuki K, Kuwahara A, Higuchi Y, Tanaka A, et al. Anthropometric measurements of term singletons at 6 years of age born from fresh and frozen embryo transfer: A multicenter prospective study in Japan. Reprod Med Biol. 2023 Feb 9; 22:(1):e12506. doi: 10.1002/rmb2.12506.
    [Google Scholar]
  26. Ono M, Kuji N, Ueno K, Kojima J, Nishi H. The long-term outcome of children conceived through assisted reproductive technology. Reprod Sci. 2024 Mar; 31:(3):583–590. doi: 10.1007/s43032-023-01339-0.
    [Google Scholar]
  27. Laugesen K, Veres K, Hernandez-Diaz S, Chiu Y-H, Oberg AS, Hsu J, et al. Overweight or obesity in children born after assisted reproductive technologies in Denmark: a population-based cohort study. PLoS Med. 2023 Dec 19; 20:(12):e1004324. doi: 10.1371/journal.pmed.1004324.
    [Google Scholar]
  28. Heslehurst N, Vieira R, Akhter Z, Bailey H, Slack E, Ngongalah L, et al. The association between maternal body mass index and child obesity: a systematic review and meta-analysis. PLoS Med. 2019 Jun 11; 16:(6):e1002817. doi: 10.1371/journal.pmed.1002817.
    [Google Scholar]
  29. Ivashko M, Burmei S, Yusko L, Chaikovska T, Boyko N. Microbiological diagnostics: from traditional to molecular genetic methods: a literature review. Bull Med Biol Res. 2023 Nov; 5:(4):34–41. doi: 10.61751/bmbr/4.2023.34.
    [Google Scholar]
  30. Berntsen S, Pinborg A. Large for gestational age and macrosomia in singletons born after frozen/thawed embryo transfer (FET) in assisted reproductive technology (ART). Birth Defects Res. 2018 May 1; 110:(8):630–643. doi: 10.1002/bdr2.1219.
    [Google Scholar]
  31. Makhijani R, Bartels C, Godiwala P, Bartolucci A, Nulsen J, Grow D, et al. Maternal and perinatal outcomes in programmed versus natural vitrified-warmed blastocyst transfer cycles. Reprod Biomed Online. 2020 Aug; 41:(2):300–308. doi: 10.1016/j.rbmo.2020.03.009.
    [Google Scholar]
  32. Ernstad EG, Wennerholm U-B, Khatibi A, Petzold M, Bergh C. Neonatal and maternal outcome after frozen embryo transfer: Increased risks in programmed cycles. Am J Obstet Gynecol. 2019 Aug; 221:(2):126.e1–126.e18. doi: 10.1016/j.ajog.2019.03.010.
    [Google Scholar]
  33. Zhang Z, Liu X, Wei C, Luo J, Shi Y, Lin T, et al. Assisted reproductive technologies and the risk of congenital urogenital tract malformations: A systematic review and meta-analysis. J Pediatr Urol. 2021 Feb; 17:(1):9–20. doi: 10.1016/j.jpurol.2020.11.005.
    [Google Scholar]
  34. Massaro PA, MacLellan DL, Anderson PA, Romao RLP. Does intracytoplasmic sperm injection pose an increased risk of genitourinary congenital malformations in offspring compared to in vitro fertilization? A systematic review and meta-analysis. J Urol. 2015 May; 193:(5 Suppl.):1837–1842. doi: 10.1016/j.juro.2014.10.113.
    [Google Scholar]
  35. Belva F, Bonduelle M, Roelants M, Michielsen D, Van Steirteghem A, Verheyen G, et al. Semen quality of young adult ICSI offspring: The first results. Hum Reprod. 2016 Dec; 31:(12):2811–2820. doi: 10.1093/humrep/dew245.
    [Google Scholar]
  36. Komar TV, Khmara T-V, Tsyhykalo OV, Hrechko DI, Khmara AB. Features of the blood supply of some areas of the head in human fetuses. Bull Med Biol Res. 2023; 5:(1):10–14. doi: 10.11603/bmbr.2706-6290.2023.1.13337.
    [Google Scholar]
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