辅助生殖技术的生活方式与结局：一项叙述性综述
Lifestyle and Outcomes of Assisted Reproductive Techniques: A Narrative Review.
作者信息
Zeinab Hamzehgardeshi, Zohreh Shahhosseini, Samadaee Gelehkolaee Keshvar
机构信息
Department of Reproductive Health and Midwifery, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran.
出版信息
Glob J Health Sci. 2015 Feb 24;7(5):11-22. doi: 10.5539/gjhs.v7n5p11.
BACKGROUND
Studies reveal that lifestyles such as physical activity patterns, obesity, nutrition, and smoking, are factors that affect laboratory test results and pregnancy outcomes induced by assisted fertility techniques in infertile couples. The present study is a narrative review of studies in this area.
METHODS
In this study, researchers conducted their computer search in public databases Google Scholar general search engine, and then more specific: Science Direct, ProQuest, SID, Magiran, Irandoc, Pubmed, Scopus, cochrane library, and Psych info; Cumulative Index to Nursing and Allied Health Literature (CINAHL), using Medical Subject Headings (MeSH) keywords: infertility (sterility, infertility), lifestyle (life behavior, lifestyle), Assisted Reproductive Techniques (ART), antioxidant and infertility, social health, spiritual health, mental health, Alcohol and drug abuse, preventive factors, and instruments., and selected relevant articles to the study subject from 2004 to 2013. Firstly, a list of 150 papers generated from the initial search. Then reviewers studied titles and abstracts. Secondly, 111 papers were included. Finally, quality assessment of full text studies was performed by two independent reviewers. Researchers reviewed summary of all articles sought, ultimately used data from 62 full articles to compile this review paper.
RESULTS
Review of literature led to arrangement of 9 general categories of ART results' relationship with weight watch and diet, exercise and physical activity, psychological health, avoiding medications, alcohol and drugs, preventing diseases, environmental health, spiritual health, social health, and physical health.
CONCLUSION
The following was obtained from review of studies: since lifestyle is among important, changeable, and influential factors in fertility, success of these methods can be greatly helped through assessment of lifestyle patterns of infertile couples, and design and implementation of healthy lifestyle counseling programs, before and during implementing assisted fertility techniques.
背景
研究表明，诸如体育活动模式、肥胖、营养和吸烟等生活方式，是影响不育夫妇辅助生育技术所致实验室检查结果和妊娠结局的因素。本研究是对该领域研究的叙述性综述。
方法
在本研究中，研究人员在公共数据库谷歌学术通用搜索引擎中进行计算机检索，然后更具体地在以下数据库中检索：科学Direct、ProQuest、SID、Magiran、Irandoc、Pubmed、Scopus、考克兰图书馆和Psych info；护理及相关健康文献累积索引（CINAHL），使用医学主题词（MeSH）关键词：不育（不孕、不育）、生活方式（生活行为、生活方式）、辅助生殖技术（ART）、抗氧化剂与不育、社会健康、精神健康、心理健康、酒精和药物滥用、预防因素以及仪器等，并从2004年至2013年选择与研究主题相关的文章。首先，初步检索生成了150篇论文列表。然后评审人员研究标题和摘要。其次，纳入了111篇论文。最后，由两名独立评审人员对全文研究进行质量评估。研究人员回顾了所有检索到的文章的摘要，最终使用62篇全文文章的数据来撰写本综述论文。
结果
文献综述导致将辅助生殖技术结果与体重控制和饮食、运动和体育活动、心理健康、避免用药、酒精和药物、预防疾病、环境卫生、精神健康、社会健康以及身体健康的关系分为9大类进行整理。
结论
从研究综述中得出以下结论：由于生活方式是生育中重要、可变且有影响的因素之一，在实施辅助生育技术之前及期间，通过评估不育夫妇的生活方式模式以及设计和实施健康生活方式咨询项目，可极大地促进这些方法的成功。
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