接受辅助生殖的夫妇中男性的肉类摄入量与治疗结果
Men's meat intake and treatment outcomes among couples undergoing assisted reproduction.
作者信息
Xia Wei, Chiu Yu-Han, Williams Paige L, Gaskins Audrey J, Toth Thomas L, Tanrikut Cigdem, Hauser Russ, Chavarro Jorge E
机构信息
Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts; Family Planning Research, Tongji Medical College, Huazhong University of Science and Technology, Hubei, People's Republic of China; Reproductive Medicine Center, Tongji Medical College, Huazhong University of Science and Technology, Hubei, People's Republic of China.
Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
出版信息
Fertil Steril. 2015 Oct;104(4):972-979. doi: 10.1016/j.fertnstert.2015.06.037. Epub 2015 Jul 20.
OBJECTIVE
To study the relationship between men's meat intake and clinical outcomes in couples undergoing infertility treatment with the use of assisted reproductive technology (ART).
DESIGN
Prospective cohort study.
SETTING
Fertility center.
PATIENT(S): A total of 141 men whose female partners underwent 246 ART cycles from 2007 to 2014.
INTERVENTION(S): None. Total and specific types of meat intake were estimated from dietary questionnaires.
MAIN OUTCOME MEASURE(S): Fertilization, implantation, clinical pregnancy, and live-birth rates per initiated cycle. Mixed-effects models account for multiple IVF cycles per woman.
RESULT(S): There was a positive association between poultry intake and fertilization rate, with a 13% higher fertilization rate among men in the highest quartile of poultry intake compared with those in the lowest quartile (78% vs. 65%). Processed meat intake was inversely related to fertilization rate in conventional IVF cycles but not in IVF cycles using intracytoplasmic sperm injection. The adjusted fertilization rates for men in increasing quartiles of processed meat intake were 82%, 67%, 70%, and 54% in conventional IVF cycles. Men's total meat intake, including intake of specific types of meat, was not associated with implantation, clinical pregnancy, or live-birth rates.
CONCLUSION(S): Poultry intake was positively associated with fertilization rates, whereas processed meat intake was negatively associated with fertilization rates among couples undergoing conventional IVF. This, however, did not translate into associations with clinical pregnancy or live-birth rates.
目的
研究接受辅助生殖技术(ART)治疗的不育夫妇中男性肉类摄入量与临床结局之间的关系。
设计
前瞻性队列研究。
地点
生育中心。
患者
共有141名男性,其女性伴侣在2007年至2014年期间接受了246个ART周期的治疗。
干预措施
无。通过饮食问卷估计肉类的总摄入量和特定类型的摄入量。
主要观察指标
每个起始周期的受精率、着床率、临床妊娠率和活产率。混合效应模型考虑了每位女性的多个体外受精周期。
结果
家禽摄入量与受精率呈正相关,家禽摄入量最高四分位数的男性受精率比最低四分位数的男性高13%(78%对65%)。在传统体外受精周期中,加工肉类摄入量与受精率呈负相关,但在使用卵胞浆内单精子注射的体外受精周期中则不然。在传统体外受精周期中,加工肉类摄入量增加的四分位数男性的校正受精率分别为82%、67%、70%和54%。男性的总肉类摄入量,包括特定类型肉类的摄入量,与着床率、临床妊娠率或活产率无关。
结论
在家禽摄入量与受精率呈正相关,而在接受传统体外受精的夫妇中,加工肉类摄入量与受精率呈负相关。然而,这并未转化为与临床妊娠率或活产率的关联。
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