生活方式改变、饮食及维生素补充对自然生育能力的影响。
The impact of lifestyle modifications, diet, and vitamin supplementation on natural fertility.
作者信息
Collins Gretchen Garbe, Rossi Brooke V
机构信息
Department of Obstetrics and Gynecology, University Hospitals/ Case Western Reserve School of Medicine, 1000 Auburn Drive, Suite 310, Beachwood, OH 44122 USA.
出版信息
Fertil Res Pract. 2015 Jul 25;1:11. doi: 10.1186/s40738-015-0003-4. eCollection 2015.
BACKGROUND
Infertility is a relatively common condition. When patients are confronted with this diagnosis, there are medical, psychological, and financial sequelae. Patients often wonder if there is anything they can do to optimize their natural fertility or increase the effectiveness of infertility treatments.
FINDINGS
If there is a clear impact on fertility, such as with smoking and alcohol, cessation should be advised. Similarly, weight loss should be recommended if the BMI is in the overweight and obese category, and weight gain should be recommended for an underweight BMI. The evidence surrounding other lifestyle modifications is less clear. There are conflicting data regarding an optimal fertility diet and consumption of vitamins and supplements. Antioxidants seem to improve semen parameters in men, but the effect on female fertility is less clear. If conflicting evidence exists, such as with caffeine consumption or exercise, moderation should be emphasized. Finally, the diagnosis of infertility and subsequent fertility treatments are stressful for both partners. The psychological aspects should not be ignored and methods such as yoga and cognitive behavioral therapy may be beneficial.
CONCLUSION
Continued research will determine the optimal lifestyle modifications to achieve pregnancy.
背景
不孕症是一种相对常见的病症。当患者面对这一诊断结果时，会产生医学、心理和经济方面的后果。患者常常想知道自己是否可以采取一些措施来优化自然生育能力或提高不孕治疗的效果。
研究结果
如果对生育能力有明确影响，比如吸烟和饮酒，应建议戒烟戒酒。同样，如果身体质量指数（BMI）处于超重和肥胖范围，应建议减肥；如果BMI过低，则应建议增重。关于其他生活方式改变的证据尚不明确。关于最佳生育饮食以及维生素和补充剂的摄入，存在相互矛盾的数据。抗氧化剂似乎能改善男性的精液参数，但对女性生育能力的影响尚不清楚。如果存在相互矛盾的证据，比如咖啡因摄入或运动方面的证据，应强调适度原则。最后，不孕症的诊断及后续的生育治疗对夫妻双方来说都压力重重。心理方面不容忽视，瑜伽和认知行为疗法等方法可能会有所帮助。
结论
持续的研究将确定实现怀孕的最佳生活方式改变。
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