Centre for Psychosocial Medicine, Institute of Medical Psychology, University of Heidelberg, Bergheimer Strasse 20, 69115 Heidelberg, Germany.
Arch Gynecol Obstet. 2012 Nov;286(5):1307-14. doi: 10.1007/s00404-012-2436-x. Epub 2012 Jul 3.
There is no doubt that lifestyle factors can be detrimental to fertility. The aim of the present pilot study was to identify initial prevalence rates for behaviour-related fertility disorders in a clinical sample of couples wanting a child.
Between February 2010 and August 2010, all patients coming for the first time to Heidelberg University's Women's Hospital for consultation on involuntary childlessness were asked to fill out a questionnaire designed by the authors of this article. The questionnaire was based on a review of the relevant literature, with special reference to the latest research findings on behaviour detrimental to fertility. Of the 156 couples addressed, 110 women and 100 men took part in the study.
For behaviour-related infertility, 9 % of the women and 3 % of the men in our sample were classified on the basis of BMI <18.5, sexual disorders, or abuse of anabolic steroids. If we include smokers, these figures increase: 11 % female smokers and 18 % male smokers. A further 19 % of the women practised sport to an excessive degree; and 26 % of the women and 53 % of the men had a BMI ≥25.
The prevalence of behaviour-related fertility disorders should not be underestimated. For the prevention of behaviour-related fertility disorders, it is important to inform the population about lifestyle-mediated fertility risks.
毫无疑问,生活方式因素可能对生育能力有害。本初步研究的目的是在希望生育孩子的临床夫妇样本中确定与行为相关的生育障碍的初始流行率。
2010 年 2 月至 2010 年 8 月期间,所有首次到海德堡大学妇女医院就诊咨询非自愿不孕的患者均被要求填写一份由本文作者设计的问卷。该问卷基于对相关文献的回顾,特别参考了最新的关于对生育有害的行为的研究结果。在 156 对夫妇中,有 110 名女性和 100 名男性参与了研究。
基于 BMI<18.5、性障碍或滥用合成代谢类固醇,我们的样本中有 9%的女性和 3%的男性被归类为与行为相关的不孕。如果我们包括吸烟者,这些数字会增加:11%的女性吸烟者和 18%的男性吸烟者。还有 19%的女性过度运动;26%的女性和 53%的男性 BMI≥25。
不应低估与行为相关的生育障碍的流行率。为了预防与行为相关的生育障碍,重要的是要让人们了解生活方式介导的生育风险。