The effects of obesity on fertility

 

The reason why fertility rates are falling are many and varied. It could be that there are physical conditions that the couple face, environmental conditions or the  reluctance to bring additional children into the world, the latter viewpoint being espoused by Prince Harry and Megan.

There is an additional reason that follows on from the article written by Emma Friere, ‘An Overlooked Reason Fertility Rates May Be Falling,’ where she rightly points to the increase in wealth reducing people’s desire for any or more children. It is generally true that, as nations are getting richer, there is an increase in obesity and being overweight, although there are some instances of poorer countries also experiencing obesity..

The World Health Organisation (WHO) has stated that obesity has nearly tripled since 1975. It calculated that, in 2016, there were over 1.9 billion people (that is 18 years and over) were overweight. Within this statistic, more than 650 million adults were obese.

These figures are interpreted to be 39 per cent of adults (39 per cent of men and 40 per cent of women) were overweight and 13 per cent of all adults (11 per cent of men and 15 per cent of women) globally were obese.

For example, it has been estimated by the Centre for Disease Control and Prevention in the United Stated that one in three citizens eat fast food on a daily basis. Interestingly, those on higher incomes ate more takeaway than those on a lower income.

The impact of obesity on fertility is that the man’s sperm is affected adversely and so make it increasingly more difficult for couples to conceive. Obesity was associated with lower volume of semen, sperm count, concentration and motility, as well as increasing the risks for sperm defects.

Men who are overweight are 11 per cent more likely to have a low sperm count and 30 per cent are more likely to have no sperm in their ejaculation compared to men who were considered to be of a healthy weight.

Obese men were 42 per cent to have a low sperm count compared to those men who were of a healthy weight and 81 per cent more likely to produce no sperm.

It has been assessed that a man’s sperm has been irrevocably damaged by the time that they reach the age of 18 years, due to the culture of fast food and ready meals.

There is also a salutary reminder to women of a certain age, as scholars tell us that they were pre-pregnant if they were not so already. However, the lifestyle choices belie that (together smoking) many women were unprepared to conceive as they drank too much alcohol, were obese or overweight, and ate insufficient amounts of fruit and vegetables. The advice is that women should think about their lifestyle many years before they think about having a baby, not just about the folic acid in their breakfast cereal.

It does not get any better for the next generation as it has been suggested that it will be the first generation to die before their parents since the fatalities of World War One, due to the effects of obesity on our children. The infertility problems experienced by their parents caused by overeating will be perpetuated by their offspring, which will result in further reduction in the population.

Of the many factors involved in a decreasing population, this area of obesity and being overweight is one that is controllable and avoidable.

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