Authors :
Ishani Sarkar; Joydeep Das; Banani Bindhani
Volume/Issue :
Volume 11 - 2026, Issue 2 - February
Google Scholar :
https://tinyurl.com/5arzu3c2
Scribd :
https://tinyurl.com/34jm9ksy
DOI :
https://doi.org/10.38124/ijisrt/26feb812
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Obesity, largely driven by high-fat diet (HFD) consumption, is a significant global health concern that adversely
impacts female reproductive health. This review explores the effect of HFD on ovarian morphology, oocyte quality and in
vitro fertilisation (IVF) rates. Evidence shows that HFD exposure reduces primordial follicle reserves, increases follicular
atresia, and induces lipotoxicity and mitochondrial dysfunction withing oocytes, leading to impaired maturation and
fertilization potential. Additionally, HFD alters hypothalamic-pituitary-ovarian axis signalling, disrupts steroidogenesis, and
promotes oxidative stress and chronic inflammation, collectively compromising fertility. IVF studies in both animal models
and humans reveal that HFD-associated obesity lowers oocyte competence, fertilization rates and pregnancy success, despite
sometimes unaffected embryo quality. Mechanistically, endocrine, endocrine and metabolic disturbances underlie these
reproductive impairments. Understanding the pathways affected by HFD highlights the need for targeted nutritional and
therapeutic interventions to mitigate fertility decline in obese female individuals.
Keywords :
Oocyte, Fertilization, Diet, Estrogen, Progesterone.
References :
- Sharma Y, Galvão AM. Maternal obesity and ovarian failure: is leptin the culprit? Anim Reprod. 2022;19(4):e20230007.
- NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults. Lancet Lond Engl. 2024 Mar 16;403(10431):1027–50.
- Brewer CJ, Balen AH. The adverse effects of obesity on conception and implantation. REPRODUCTION. 2010 Sep;140(3):347–64.
- Yong W, Wang J, Leng Y, Li L, Wang H. Role of Obesity in Female Reproduction. Int J Med Sci. 2023;20(3):366–75.
- Schon SB, Cabre HE, Redman LM. The impact of obesity on reproductive health and metabolism in reproductive-age females. Fertil Steril. 2024 Aug;122(2):194–203.
- Zheng Y, Dong X, Chen B, Dai J, Yang W, Ai J, et al. Body mass index is associated with miscarriage rate and perinatal outcomes in cycles with frozen-thawed single blastocyst transfer: a retrospective cohort study. BMC Pregnancy Childbirth. 2022 Dec;22(1):118.
- Jungheim ES, Schoeller EL, Marquard KL, Louden ED, Schaffer JE, Moley KH. Diet-Induced Obesity Model: Abnormal Oocytes and Persistent Growth Abnormalities in the Offspring. Endocrinology. 2010 Aug 1;151(8):4039–46.
- Shah DK, Missmer SA, Berry KF, Racowsky C, Ginsburg ES. Effect of Obesity on Oocyte and Embryo Quality in Women Undergoing In Vitro Fertilization. Obstet Gynecol. 2011 Jul;118(1):63–70.
- Schwingshackl L, Hoffmann G. Comparison of Effects of Long-Term Low-Fat vs High-Fat Diets on Blood Lipid Levels in Overweight or Obese Patients: A Systematic Review and Meta-Analysis. J Acad Nutr Diet. 2013 Dec;113(12):1640–61.
- Han Y, Wu H, Sun S, Zhao R, Deng Y, Zeng S, et al. Effect of High Fat Diet on Disease Development of Polycystic Ovary Syndrome and Lifestyle Intervention Strategies. Nutrients. 2023 May 8;15(9):2230.
- Wang N, Luo LL, Xu JJ, Xu MY, Zhang XM, Zhou XL, et al. Obesity accelerates ovarian follicle development and follicle loss in rats. Metabolism. 2014 Jan;63(1):94–103.
- Sohrabi M, Mohammadi Roushandeh A, Alizadeh Z, Vahidinia A, Vahabian M, Hosseini M. Effect of a high fat diet on ovary morphology, in vitro development, in vitro fertilisation rate and oocyte quality in mice. Singapore Med J. 2015 Oct;56(10):573–9.
- Wittemer C, Ohl J, Bailly M, Bettahar-Lebugle K, Nisand I. Does Body Mass Index of Infertile Women Have an Impact on IVF Procedure and Outcome?
- Cordier AG, Léveillé P, Dupont C, Tarrade A, Picone O, Larcher T, et al. Dietary Lipid and Cholesterol Induce Ovarian Dysfunction and Abnormal LH Response to Stimulation in Rabbits. Franks S, editor. PLoS ONE. 2013 May 14;8(5):e63101.
- Balasubramanian P, Jagannathan L, Mahaley RE, Subramanian M, Gilbreath ET, MohanKumar PS, et al. High Fat Diet Affects Reproductive Functions in Female Diet‐Induced Obese and Dietary Resistant Rats. J Neuroendocrinol. 2012 May;24(5):748–55.
- Lai H, Jia X, Yu Q, Zhang C, Qiao J, Guan Y, et al. High-Fat Diet Induces Significant Metabolic Disorders in a Mouse Model of Polycystic Ovary Syndrome1. Biol Reprod [Internet]. 2014 Nov 1 [cited 2025 Mar 23];91(5). Available from: https://academic.oup.com/biolreprod/article-lookup/doi/10.1095/biolreprod.114.120063
- Hohos NM, Skaznik-Wikiel ME. High-Fat Diet and Female Fertility. Endocrinology. 2017 Aug 1;158(8):2407–19.
- Zhang X mei, Li L, Xu J jie, Wang N, Liu W juan, Lin X hao, et al. Rapamycin preserves the follicle pool reserve and prolongs the ovarian lifespan of female rats via modulating mTOR activation and sirtuin expression. Gene. 2013 Jul;523(1):82–7.
- Luzzo KM, Wang Q, Purcell SH, Chi M, Jimenez PT, Grindler N, et al. High Fat Diet Induced Developmental Defects in the Mouse: Oocyte Meiotic Aneuploidy and Fetal Growth Retardation/Brain Defects. Clarke H, editor. PLoS ONE. 2012 Nov 12;7(11):e49217.
- Di Berardino C, Peserico A, Capacchietti G, Zappacosta A, Bernabò N, Russo V, et al. High-Fat Diet and Female Fertility across Lifespan: A Comparative Lesson from Mammal Models. Nutrients. 2022 Oct 17;14(20):4341.
- Igosheva N, Abramov AY, Poston L, Eckert JJ, Fleming TP, Duchen MR, et al. Maternal Diet-Induced Obesity Alters Mitochondrial Activity and Redox Status in Mouse Oocytes and Zygotes. Sorensen TIA, editor. PLoS ONE. 2010 Apr 9;5(4):e10074.
- Bellver J, Ayllón Y, Ferrando M, Melo M, Goyri E, Pellicer A, et al. Female obesity impairs in vitro fertilization outcome without affecting embryo quality. Fertil Steril. 2010 Jan;93(2):447–54.
- Metwally M, Cutting R, Tipton A, Skull J, Ledger W, Li T. Effect of increased body mass index on oocyte and embryo quality in IVF patients. Reprod Biomed Online. 2007 Jan;15(5):532–8.
- Kumar J, Fang H, McCulloch DR, Crowley T, Ward AC. Leptin receptor signalling via Janus kinase 2/Signal transducer and activator of transcription 3 impacts on ovarian cancer cell phenotypes. Oncotarget. 2017 Nov 7;8(55):93530–40.
- Snider AP, Wood JR. Obesity induces ovarian inflammation and reduces oocyte quality. Reproduction. 2019 Sep;158(3):R79–90.
- Hohos NM, Elliott EM, Giornazi A, Silva E, Rice JD, Skaznik-Wikiel ME. High-fat diet induces an ovulatory defect associated with dysregulated endothelin-2 in mice. Reproduction. 2021 Mar;161(3):307–17.
- Makker A, Goel MM, Mahdi AA. PI3K/PTEN/Akt and TSC/mTOR signalling pathways, ovarian dysfunction, and infertility: an update. J Mol Endocrinol. 2014 Dec;53(3):R103–18.
- Giaccari C, Antonouli S, Anifandis G, Cecconi S, Di Nisio V. An Update on Physiopathological Roles of Akt in the ReprodAKTive Mammalian Ovary. Life. 2024 Jun 2;14(6):722.
- Kong L, Wang Q, Jin J, Xiang Z, Chen T, Shen S, et al. Correction: Insulin resistance enhances the mitogen-activated protein kinase signalling pathway in ovarian granulosa cells. PLOS ONE. 2021 Apr 5;16(4):e0249806.
- Lu Q, Zhou Y, Hao M, Li C, Wang J, Shu F, et al. The mTOR promotes oxidative stress-induced apoptosis of mesangial cells in diabetic nephropathy. Mol Cell Endocrinol. 2018 Sep;473:31–43.
- Ran Z, Liu R, Shi H, Wang X, Wu Z, Zhou S, et al. mTOR signalling mediates energy metabolic equilibrium in bovine and mouse oocytes during the ovulatory phase. Biol Reprod. 2025 Mar 16;112(3):474–84.
- Yang Q, Xi Q, Wang M, Long R, Hu J, Li Z, et al. Rapamycin improves the quality and developmental competence of mice oocytes by promoting DNA damage repair during in vitro maturation. Reprod Biol Endocrinol. 2022 Dec;20(1):67.
- Li T, Mo H, Chen W, Li L, Xiao Y, Zhang J, et al. Role of the PI3K-Akt Signalling Pathway in the Pathogenesis of Polycystic Ovary Syndrome. Reprod Sci. 2017 May;24(5):646–55.
- Wu PL, Tang SH, Wang HY, Zhang HM, Peng L, Liu Y, et al. Human umbilical cord mesenchymal stem cells improve the ovarian function through oxidative stress-mediated PERK/eIF-2α/ATF4/CHOP signalling in premature ovarian insufficiency mice. Mol Biol Rep. 2025 Dec;52(1):85.
- Wu Y, Li Y, Liao X, Wang Z, Li R, Zou S, et al. Diabetes Induces Abnormal Ovarian Function via Triggering Apoptosis of Granulosa Cells and Suppressing Ovarian Angiogenesis. Int J Biol Sci. 2017;13(10):1297–308.
- Marciniak SJ, Yun CY, Oyadomari S, Novoa I, Zhang Y, Jungreis R, et al. CHOP induces death by promoting protein synthesis and oxidation in the stressed endoplasmic reticulum. Genes Dev. 2004 Dec 15;18(24):3066–77.
- Yang X, Wu LL, Chura LR, Liang X, Lane M, Norman RJ, et al. Exposure to lipid-rich follicular fluid is associated with endoplasmic reticulum stress and impaired oocyte maturation in cumulus-oocyte complexes. Fertil Steril. 2012 Jun;97(6):1438–43.
- Gao X, Li Y, Ma Z, Jing J, Zhang Z, Liu Y, et al. Obesity induces morphological and functional changes in female reproductive system through increases in NF-κB and MAPK signalling in mice. Reprod Biol Endocrinol. 2021 Dec;19(1):148.
- Kochetkova EY, Blinova GI, Bystrova OA, Martynova MG, Pospelov VA, Pospelova TV. Suppression of mTORC1 activity in senescent Ras-transformed cells neither restores autophagy nor abrogates apoptotic death caused by inhibition of MEK/ERK kinases. Aging. 2018 Nov 27;10(11):3574–89.
- Robker RL, Wu LLY, Yang X. Inflammatory pathways linking obesity and ovarian dysfunction. J Reprod Immunol. 2011 Mar;88(2):142–8.
- Robker RL, Akison LK, Bennett BD, Thrupp PN, Chura LR, Russell DL, et al. Obese Women Exhibit Differences in Ovarian Metabolites, Hormones, and Gene Expression Compared with Moderate-Weight Women. J Clin Endocrinol Metab. 2009 May 1;94(5):1533–40.
- Wu LLY, Dunning KR, Yang X, Russell DL, Lane M, Norman RJ, et al. High-Fat Diet Causes Lipotoxicity Responses in Cumulus–Oocyte Complexes and Decreased Fertilization Rates. Endocrinology. 2010 Nov 1;151(11):5438–45.
- Gonnella F, Konstantinidou F, Di Berardino C, Capacchietti G, Peserico A, Russo V, et al. A Systematic Review of the Effects of High-Fat Diet Exposure on Oocyte and Follicular Quality: A Molecular Point of View. Int J Mol Sci. 2022 Aug 10;23(16):8890.
- Yung JHM, Giacca A. Role of c-Jun N-terminal Kinase (JNK) in Obesity and Type 2 Diabetes. Cells. 2020 Mar 13;9(3):706.
- Images- Microsoft PowerPoint and BioRender.com
Obesity, largely driven by high-fat diet (HFD) consumption, is a significant global health concern that adversely
impacts female reproductive health. This review explores the effect of HFD on ovarian morphology, oocyte quality and in
vitro fertilisation (IVF) rates. Evidence shows that HFD exposure reduces primordial follicle reserves, increases follicular
atresia, and induces lipotoxicity and mitochondrial dysfunction withing oocytes, leading to impaired maturation and
fertilization potential. Additionally, HFD alters hypothalamic-pituitary-ovarian axis signalling, disrupts steroidogenesis, and
promotes oxidative stress and chronic inflammation, collectively compromising fertility. IVF studies in both animal models
and humans reveal that HFD-associated obesity lowers oocyte competence, fertilization rates and pregnancy success, despite
sometimes unaffected embryo quality. Mechanistically, endocrine, endocrine and metabolic disturbances underlie these
reproductive impairments. Understanding the pathways affected by HFD highlights the need for targeted nutritional and
therapeutic interventions to mitigate fertility decline in obese female individuals.
Keywords :
Oocyte, Fertilization, Diet, Estrogen, Progesterone.