Bariatric Surgery and Sperm Quality (BARIASPERM)
Bariatric Surgery, Nutrition, and Sperm Quality of Adult Obese Men on Childbearing Age : A Multicentric Cohort Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
In order to assess how bariatric surgery may influence their fertility parameters, patients will attend to 3 visits :
First visit (inclusion, before surgery) :
- Signature of consent
- Patient interview (Collection of data on background, treatments, socio-demographic characteristics, social and familial environment, food consumption and habits, tobacco and alcohol use, physical activity, libido and quality of life (surveys))
- Clinical examination and anthropometric assessment (BMI, blood pressure, expired CO)
- Blood samples (Metabolic and nutritional plasmatic biomarkers ; Plasmatic oxidative stress biomarkers ; antioxidants micronutrients ; hormones of adiposity and inflammation ; sex hormones ; persistent contaminants)
- Sperm sample (sperm count-morphology ; DNA fragmentation ; CASA)
Bariatric surgery
Second visit (6 month follow-up)
- Report of adverse events if any
- Surveys
- Blood and sperm samples
Third visit (12 month follow-up)
- Report of adverse events if any
- Blood and sperm samples
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Bondy, France, 93140
- Jean Verdier Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Obese men with BMI ≥ 40kg/m² or 35 kg/m² with associated co-morbidities
- Selected for bariatric surgery by multidisciplinary team
- From 18 to 50 years old included
- With a first medical consultation and its results
- With their written informed consent to participate in the study
- No problem for understanding verbal or written French
- An affiliation to social security
Exclusion Criteria:
- Not candidates for surgery
- With non idiopathic alteration of spermatogenesis
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Screening
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
No Intervention: Bariatric surgery
Obese men with associated co-morbidities selected for bariatric surgery by multidisciplinary team
|
Blood and sperm samples will be done in each visit
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of total spermatozoids (NTS) variation
Time Frame: 6 months after surgery
|
Comparison before/after surgery
|
6 months after surgery
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of total spermatozoids (NTS) variation
Time Frame: 1 year after surgery
|
Comparison before/after surgery
|
1 year after surgery
|
|
sperm caracteristics
Time Frame: 6 months and 1 year after surgery
|
Comparison before/after surgery
|
6 months and 1 year after surgery
|
|
Effect of biological parameters on NTS variation
Time Frame: 6 months and 1 year after surgery
|
Comparison before/after surgery and search of correlation
|
6 months and 1 year after surgery
|
|
Evaluation of environmental parameters : physical activity
Time Frame: 6 months and 1 year after surgery
|
Comparison before/after surgery
|
6 months and 1 year after surgery
|
|
Other spermatic parameters : DNA fragmentation
Time Frame: 6 months and 1 year after surgery
|
Comparison before/after surgery
|
6 months and 1 year after surgery
|
|
Other spermatic parameters : CASA
Time Frame: 6 months and 1 year after surgery
|
Comparison before/after surgery
|
6 months and 1 year after surgery
|
|
Effect of anthropometric parameters on NTS variation
Time Frame: 6 months and 1 year after surgery
|
Comparison before/after surgery and search of correlation
|
6 months and 1 year after surgery
|
|
Evaluation of environmental parameters : tobacco consumption
Time Frame: 6 months and 1 year after surgery
|
Comparison before/after surgery
|
6 months and 1 year after surgery
|
|
Evaluation of environmental parameters : libido
Time Frame: 6 months and 1 year after surgery
|
Comparison before/after surgery
|
6 months and 1 year after surgery
|
|
Evaluation of environmental parameters : quality of life
Time Frame: 6 months and 1 year after surgery
|
Comparison before/after surgery
|
6 months and 1 year after surgery
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Chair: Rachel Levy, MD, Jean Verdier Hospital
Publications and helpful links
General Publications
- di Frega AS, Dale B, Di Matteo L, Wilding M. Secondary male factor infertility after Roux-en-Y gastric bypass for morbid obesity: case report. Hum Reprod. 2005 Apr;20(4):997-8. doi: 10.1093/humrep/deh707. Epub 2004 Dec 23.
- MacDonald AA, Herbison GP, Showell M, Farquhar CM. The impact of body mass index on semen parameters and reproductive hormones in human males: a systematic review with meta-analysis. Hum Reprod Update. 2010 May-Jun;16(3):293-311. doi: 10.1093/humupd/dmp047. Epub 2009 Nov 4.
- Sermondade N, Massin N, Boitrelle F, Pfeffer J, Eustache F, Sifer C, Czernichow S, Levy R. Sperm parameters and male fertility after bariatric surgery: three case series. Reprod Biomed Online. 2012 Feb;24(2):206-10. doi: 10.1016/j.rbmo.2011.10.014. Epub 2011 Nov 3.
- Carette C, Levy R, Eustache F, Baron G, Coupaye M, Msika S, Barrat C, Cohen R, Catheline JM, Brugnon F, Slim K, Barsamian C, Chevallier JM, Bretault M, Bouillot JL, Antignac JP, Rives-Lange C, Ravaud P, Czernichow S. Changes in total sperm count after gastric bypass and sleeve gastrectomy: the BARIASPERM prospective study. Surg Obes Relat Dis. 2019 Aug;15(8):1271-1279. doi: 10.1016/j.soard.2019.04.019. Epub 2019 Apr 25.
- Mifsud F, Czernichow S, Carette C, Levy R, Ravaud P, Cynober L, Neveux N, Rives-Lange C; Bariasperm Study Group. Behaviour of plasma citrulline after bariatric surgery in the BARIASPERM cohort. Clin Nutr. 2021 Feb;40(2):505-510. doi: 10.1016/j.clnu.2020.05.045. Epub 2020 Jun 12.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Nutrition Disorders
- Overnutrition
- Body Weight
- Overweight
- Pathological Conditions, Signs and Symptoms
- Nutritional and Metabolic Diseases
- Signs and Symptoms
- Obesity
- Investigative Techniques
- Therapeutics
- Specimen Handling
- Clinical Laboratory Techniques
- Diagnostic Techniques and Procedures
- Diagnosis
- Punctures
- Surgical Procedures, Operative
- Blood Specimen Collection
- Phlebotomy
Other Study ID Numbers
Other Study ID Numbers
- P110153
- AOM11193 (Other Grant/Funding Number: Programme Hospitalier de Recherche Clinique (PHRC))
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