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生活方式行为对不孕症治疗结局的影响。

The impact of lifestyle behaviors on infertility treatment outcome.

作者信息

Rooney Kristin L, Domar Alice D

机构信息

Domar Center for Mind/Body Health, Boston IVF, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.

出版信息

Curr Opin Obstet Gynecol. 2014 Jun;26(3):181-5. doi: 10.1097/GCO.0000000000000069.

Abstract

PURPOSE OF REVIEW

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.

RECENT FINDINGS

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.

SUMMARY

Healthcare professionals need to be more effective in making lifestyle behavior recommendations for infertility patients, including those receiving treatment.

VIDEO ABSTRACT

http://links.lww.com/COOG/A13.

摘要

综述目的

生活方式行为对生育能力的影响以及特定行为对辅助生殖技术的影响目前尚不清楚。医疗保健专业人员了解哪些生活方式行为会产生最大的负面影响,对于改善患者建议至关重要。本文旨在综述该主题的最新研究。

最新发现

该领域的大多数研究属于流行病学研究;有一些关于不孕患者体重减轻的随机对照试验(RCT),但没有关于其他生活方式行为的RCT。高或低体重指数、酒精、剧烈运动、尼古丁和抗抑郁药物可能对生育能力产生不利影响。尚不清楚膳食补充剂是否会对生育能力产生积极影响。在不孕治疗期间,患者似乎并未遵循生活方式行为改变的建议。

总结

医疗保健专业人员需要更有效地为不孕患者(包括正在接受治疗的患者)提供生活方式行为建议。

视频摘要

http://links.lww.com/COOG/A13

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