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Fat, Carbs and the Science of Conception

 

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We call the range of BMIs from 20 to 24 the fertility zone. It isn't magic—nothing is for fertility—but having a weight in that range seems to be best for getting pregnant. If you aren't in or near the zone, don't despair. Working to move your BMI in that direction by gaining or losing some weight is almost as good. Relatively small changes are often enough to have the desired effects of healthy ovulation and improved fertility. If you are too lean, gaining five or 10 pounds can sometimes be enough to restart ovulation and menstrual periods. If you are overweight, losing 5 percent to 10 percent of your current weight is often enough to improve ovulation.

Being at a healthy weight or aiming toward one is great for ovulatory function and your chances of getting pregnant. The "side effects" aren't so bad, either. Working to achieve a healthy weight can improve your sensitivity to insulin, your cholesterol, your blood pressure and your kidney function. It can give you more energy and make you look and feel better.

While dietary and lifestyle contributions to fertility and infertility in men have received short shrift, weight is one area in which there has been some research. A few small studies indicate that overweight men aren't as fertile as their healthy-weight counterparts. Excess weight can lower testosterone levels, throw off the ratio of testosterone to estrogen (men make some estrogen, just as women make some testosterone) and hinder the production of sperm cells that are good swimmers. A study published in 2006 of more than 2,000 American farmers and their wives showed that as BMI went up, fertility declined. In men, the connection between increasing weight and decreasing fertility can't yet be classified as rock solid. But it is good enough to warrant action, mainly because from a health perspective there aren't any downsides to losing weight if you are overweight. We can't define a fertility zone for weight in men, nor can anyone else. In lieu of that, we can say to men who are carrying too many pounds that shedding some could be good for fertility and will be good for overall health.

The Importance of Exercise
Baby, we were born to run. That isn't just the tagline of Bruce Springsteen's anthem to young love and leavin' town. It's also a perfect motto for getting pregnant and for living a long, healthy life. Inactivity deprives muscles of the constant push and pull they need to stay healthy. It also saps their ability to respond to insulin and to efficiently absorb blood sugar. When that leads to too much blood sugar and insulin in the bloodstream, it endangers ovulation, conception and pregnancy. Physical activity and exercise are recommended and even prescribed for almost everyone—except women who are having trouble getting pregnant. Forty-year-old findings that too much exercise can turn off menstruation and ovulation make some women shy away from exercise and nudge some doctors to recommend avoiding exercise altogether, at least temporarily. That's clearly the right approach for women who exercise hard for many hours a week and who are extremely lean. But taking it easy isn't likely to help women who aren't active or those whose weights are normal or above where they should be. In other words, the vast majority of women.

Some exciting results from the Nurses' Health Study and a handful of small studies show that exercise can be a boon for fertility. These important findings are establishing a vital link between activity and getting pregnant. Much as we would like to offer a single prescription for conception-boosting exercise, however, we can't. Some women need more exercise than others, for their weight or moods, and others are active just because they enjoy it. Some who need to be active aren't, while a small number of others may be too active.

Instead of focusing on an absolute number, try aiming for the fertility zone. This is a range of exercise that offers the biggest window of opportunity for fertility. Being in the fertility zone means you aren't overdoing or underdoing exercise. For most women, this means getting at least 30 minutes of exercise every day. But if you are carrying more pounds than is considered healthy for your frame (i.e., a BMI above 25), you may need to exercise for an hour or more. If you are quite lean (i.e., your BMI is 19 or below), aim for the middle of the exercise window for a few months. Keep in mind that the fertility zone is an ideal, not an absolute. Hospital delivery rooms are full of women who rarely, or never, exercise. Not everyone is so lucky. If you are having trouble getting pregnant, then maybe the zone is the right place for you.

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Member Comments

  • Posted By: RMankovitz @ 06/07/2009 2:34:43 PM

    This article is yet another example of medicine (an art) masquerading as science. As a holistic health practitioner, research scientist, and author of several books on wellness, I am quite familiar with the Nurse's Health Study, upon which many of the conclusions in this article are based. Like the majority of health studies, this one is poorly designed, does not control many of the critical variables that affect the outcome, and repeatedly confuses correlation with causation. The result is that at least half the conclusions fly in the face of reality when seen through the template of Nature. You remember her. She evolved us and every other living thing on the planet. She has been my guide to health for decades and has never let me down.

    Here are a few reality checks:

    1. The study: plant protein appears to be better than animal protein. Nature: that is only true if you eat grain-fed caged animal products. If you eat what I created - organic free range grass- and grub-fed animal products, the reverse is true.

    2. The study: eat more protein from beans. Nature: do not eat my plant embryos. I put toxins in them to discourage you. Many of them like the ones in soy will make you infertile and reduce your partner's sperm count.

    3. The study: women are born to run. Nature: women food gatherers have no need to run ??? plants don't move. Vigorous exercise will damage your skeleton and lead to a cessation of menstruation. Pay attention.

    I could go on ad nauseum, but you get the idea. The medical community, in its arrogance, believes it knows more about the female body than Nature, and has even declared the birth event as an illness that requires hospitalization. Nature: I designed you to give birth in a squatting position.

    The study and the article completely missed the most important points in giving birth to a healthy baby, which is the ultimate goal. Parents need to prepare at least 2 years before conception to clean up their toxin profile. An example is PCOS, caused by an iodine deficiency resulting from a buildup of toxic halogens ??? bromide, chlorine and fluoride. If you want to learn from Nature how to produce health children, read my book: "The Wellness Project," and give a copy to your doctor.

    Roy Mankovitz, Director
    www.MontecitoWellness.com

  • Posted By: danrupp @ 04/27/2009 9:40:50 AM

    being exposed to mobile phones, televisions, and computers wont stop you from getting pregnant. Plenty of healthy
    women and pregnancies can tell you that. What american women, or all women need to know is that a big fat, obese
    woman in her 20's and 30's is going to have trouble getting and staying pregnant more often than a thinner, healthier,
    woman in her 20's ans 30's. If you have never exercised, sit infront ofthe tv a lot, eat crappy food all the time, eat processed foods all the time, chances are you are not healthy. Women think just being in your 20's and 30's is enough to get you pregnant. It isnt. and everyone is getting FATTER. Kids are fatter, young adults are fatter, oh my god! The summer is here, and the big fat women in bathingsuits they ahouldnt be wearing are on their way! 20 yrs from now 70% ofthe kids in our school system will be obese! You watch! By the way, women in underdevolped nations have sick babies who sometimes die in infancy, as the moms themselves can dies durinfg delivery. They have disgustingly sick babies all the time. Heavy metals in our environment dont cause pregnancy problems. Just like vaccinations cause Autism. We are more likely to believe that power lines cause breast cancer than we are to believe our diets that are in fat, our total lack of exercise, and our high fat diet do. And, by the way, keep on smoking and drinking, that helps too! Dont worry about thefact that you did all that stuff yrs ago, it doesnt affect you now, right?? WRONG!!! WE ARE A NATION OF DUMB DUMBS!!!!

  • Posted By: danrupp @ 04/27/2009 9:40:05 AM

    being exposed to mobile phones, televisions, and computers wont stop you from getting pregnant. Plenty of healthy
    women and pregnancies can tell you that. What american women, or all women need to know is that a big fat, obese
    woman in her 20's and 30's is going to have trouble getting and staying pregnant more often than a thinner, healthier,
    woman in her 20's ans 30's. If you have never exercised, sit infront ofthe tv a lot, eat crappy food all the time, eat processed foods all the time, chances are you are not healthy. Women think just being in your 20's and 30's is enough to get you pregnant. It isnt. and everyone is getting FATTER. Kids are fatter, young adults are fatter, oh my god! The summer is here, and the big fat women in bathingsuits they ahouldnt be wearing are on their way! 20 yrs from now 70% ofthe kids in our school system will be obese! You watch! By the way, women in underdevolped nations have sick babies who sometimes die in infancy, as the moms themselves can dies durinfg delivery. They have disgustingly sick babies all the time. Heavy metals in our environment dont cause pregnancy problems. Just like vaccinations cause Autism. We are more likely to believe that power lines cause breast cancer than we are to believe our diets that are in fat, our total lack of exercise, and our high fat diet do. And, by the way, keep on smoking and drinking, that helps too! Dont worry about thefact that you did all that stuff yrs ago, it doesnt affect you now, right?? WRONG!!! WE ARE A NATION OF DUMB DUMBS!!!!

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