title: The impact of lifestyle behaviors on infertility treatment outcome.
abstract: OBJECTIVE
  The impact of lifestyle behaviors on fertility is poorly understood, as is the impact of specific behaviors on the advanced reproductive technologies. It is vital for healthcare professionals to understand which lifestyle behaviors can have the greatest negative impact in an effort to improve patient recommendations. The purpose of this article is to review the recent research on this topic.
  
  
  RESULTS
  The majority of research in this area is epidemiological; there are a few randomized controlled trials (RCTs) regarding weight loss in infertility patients, but no RCTs on other lifestyle behaviors. High or low BMI, alcohol, vigorous exercise, nicotine, and antidepressant medications may have an adverse impact on fertility. It is unclear whether dietary supplements can have a positive impact on fertility. Patients do not appear to follow recommendations for lifestyle behavior modifications during infertility treatment.
  
  
  CONCLUSIONS
  Healthcare professionals need to be more effective in making lifestyle behavior recommendations for infertility patients, including those receiving treatment.
  http://links.lww.com/COOG/A13.
authors.affiliation: Domar Center for Mind/Body Health, Boston IVF, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
authors.forename: Kristin L
authors.initials: KL
authors.lastname: Rooney
authors.forename: Alice D
authors.initials: AD
authors.lastname: Domar
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000009:adverse effects*; D015992:Body Mass Index; D037001:Directive Counseling / Q000379:methods; D015444:Exercise; D005260:Female; D006801:Humans; D008019:Life Style; D050177:Overweight / Q000150:complications*; D010349:Patient Compliance / Q000706:statistics & numerical data*; D010353:Patient Education as Topic; D011247:Pregnancy; D060728:Reproductive Health; D027724:Reproductive Techniques, Assisted; D012907:Smoking / Q000009:adverse effects*; D013851:Thinness / Q000150:complications*; D016896:Treatment Outcome