Department of Medicine, Division of Endocrinology, Université de Sherbrooke, Sherbrooke, Québec, Canada; Research Center of the Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Québec, Canada.
Research Center of the Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Québec, Canada; Division of Gynecologic Reproductive Endocrinology and Infertility, Université de Sherbrooke, Sherbrooke, Québec, Canada.
Obes Res Clin Pract. 2019 May-Jun;13(3):226-232. doi: 10.1016/j.orcp.2019.03.001. Epub 2019 Mar 30.
To assess: 1-the spousal concordance of lifestyle and anthropometric characteristics between partners of infertile couples in which the woman is obese; and 2-in men, the influence of these characteristics on their conventional seminal parameters.
Cross-sectional study.
Fertility clinic of the Centre hospitalier universitaire de Sherbrooke, Canada, between January 2012 and February 2015.
97 infertile heterosexual couples in which women were obese and seeking fertility treatments.
Not applicable.
Weight and percentage of fat mass were evaluated using a scale with foot-to-foot bio-impedance. Abdominal obesity was estimated with waist circumference and lifestyle habits, by a self-reported questionnaire. Seminal parameters were analysed and collected according to the WHO guidelines (Kruger's strict criteria for seminal morphology).
There was a significant spousal concordance for the percentage of fat mass, leisure activities and overall nutritional quality. Accordingly, male participants displayed anthropometric and lifestyle characteristics at higher risk than Canadian men of similar age. Moreover, BMI, daily consumption of fruits & vegetables and sleeping hours in men were independently associated to the total motile sperm count.
This is the first study to report concordance for anthropometric and lifestyle characteristics between partners of infertile couples in which the woman is obese. These characteristics in men were more adverse than in the general population and were associated with reduced sperm quality. Altogether, our results suggest that male partners of infertile couples could benefit from participating in the lifestyle intervention that is already recommended for their spouse affected by obesity.
Because partners of subfertile couples in which the woman is obese share adverse anthropometric and lifestyle characteristics, male partners should be implicated in lifestyle interventions already indicated for their spouse.
评估：1.肥胖女性不孕夫妇中配偶之间的生活方式和人体测量特征的一致性；2.在男性中，这些特征对其常规精液参数的影响。
横断面研究。
加拿大舍布鲁克中心医院生育诊所，2012 年 1 月至 2015 年 2 月。
97 对肥胖且寻求生育治疗的不孕异性夫妇。
不适用。
体重和体脂肪百分比使用具有足对足生物阻抗的秤进行评估。通过自我报告的问卷评估腰围和生活方式习惯来估计腹部肥胖。根据世界卫生组织（WHO）指南（克鲁格严格的精子形态标准）分析和收集精液参数。
配偶之间在体脂肪百分比、休闲活动和整体营养质量方面存在显著的一致性。因此，男性参与者表现出比加拿大同龄男性更高风险的人体测量和生活方式特征。此外，BMI、水果和蔬菜的日摄入量以及男性的睡眠时间与总精子活力独立相关。
这是第一项报告肥胖女性不孕夫妇中配偶之间人体测量和生活方式特征一致性的研究。男性的这些特征比一般人群更差，与精子质量下降有关。总之，我们的研究结果表明，不孕夫妇中男性配偶可能受益于参与已经建议其肥胖配偶的生活方式干预。
由于肥胖女性不孕夫妇的配偶具有不良的人体测量和生活方式特征，因此应让男性配偶参与已经针对其配偶肥胖症而提出的生活方式干预措施。
