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体重指数(BMI)对精液参数及男性生殖系统激素影响的研究。

Investigation of the effect of body mass index (BMI) on semen parameters and male reproductive system hormones.

作者信息

Keskin Mehmet Zeynel, Budak Salih, Aksoy Evrim Emre, Yücel Cem, Karamazak Serkan, Ilbey Yusuf Ozlem, Kozacıoğlu Zafer

机构信息

Tepecik Training and Research Hospital, Izmir.

出版信息

Arch Ital Urol Androl. 2017 Oct 3;89(3):219-221. doi: 10.4081/aiua.2017.3.219.

Abstract

AIM

To evaluate the effects of body mass index (BMI) ratio on semen parameters and serum reproductive hormones.

MATERIALS AND METHODS

The data of 454 patients who prsented to male infertility clinics in our hospital between 2014 and 2015 were analyzed retrospectively. Weight, height, serum hormone levels and semen analysis results of the patients were obtained. BMI values were calculated by using the weight and height values of the patients and they were classified as group 1 for BMI values ≤ 25 kg/m2, as group 2 for BMI values 25-30 kg/m2 and as group 3 for BMI values ≥ 30 kg/m2.

RESULTS

The mean values of BMI, semen volume, concentration, total motility, progressive motility, total progressive motile sperm count (TPMSC), normal morphology according to Kruger, head abnormality, neck abnormality, tail abnormality, FSH, LH, prolactin, T/E2, total testosterone and estradiol parameters of the patients were considered. Patients were divided according to BMI values in Group 1 (n = 165), Group 2 (n = 222) and Group 3 (n = 56). There was no statistically significant difference in terms of all variables between the groups.

CONCLUSIONS

We analyzed the relationship between BMI level and semen parameters and reproductive hormones, demonstrating no relationship between BMI and semen parameters. In our study, BMI does not affect semen parameters although it shows negative correlation with prolactin and testosterone levels.

摘要

目的

评估体重指数(BMI)比例对精液参数和血清生殖激素的影响。

材料与方法

回顾性分析2014年至2015年期间在我院男性不育门诊就诊的454例患者的数据。获取患者的体重、身高、血清激素水平和精液分析结果。利用患者的体重和身高值计算BMI值,将BMI值≤25kg/m²的患者分为第1组,BMI值为25 - 30kg/m²的患者分为第2组,BMI值≥30kg/m²的患者分为第3组。

结果

考虑了患者的BMI、精液量、浓度、总活力、前向运动力、总前向运动精子数(TPMSC)、根据克鲁格标准的正常形态、头部异常、颈部异常、尾部异常、促卵泡生成素(FSH)、促黄体生成素(LH)、催乳素、睾酮/雌二醇(T/E2)、总睾酮和雌二醇参数的平均值。根据BMI值将患者分为第1组(n = 165)、第2组(n = 222)和第3组(n = 56)。各组之间在所有变量方面均无统计学显著差异。

结论

我们分析了BMI水平与精液参数和生殖激素之间的关系,结果表明BMI与精液参数之间无关联。在我们的研究中,BMI虽与催乳素和睾酮水平呈负相关,但不影响精液参数。

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