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[青年男性微量元素膳食摄入量与精液质量及生殖激素水平:与生育能力的关系]

[Dietary intake of trace elements and semen quality and reproductive hormone levels in young men: relationship with fertility].

作者信息

Adoamnei Evdochia, Mendiola Jaime, Moñino-García Miriam, López-Espín José J, Navarrete-Muñoz Eva María, Torres-Cantero Alberto M

机构信息

Área de Medicina Preventiva y Salud Pública, Departamento de Ciencias Sociosanitarias, Facultad de Medicina, Universidad de Murcia, Espinardo (Murcia), España; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), El Palmar (Murcia), España.

Área de Medicina Preventiva y Salud Pública, Departamento de Ciencias Sociosanitarias, Facultad de Medicina, Universidad de Murcia, Espinardo (Murcia), España; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), El Palmar (Murcia), España; CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, España.

出版信息

Rev Int Androl. 2019 Apr-Jun;17(2):46-54. doi: 10.1016/j.androl.2018.03.004. Epub 2018 Jun 23.

Abstract

OBJECTIVE

The aim of this study was to study the associations between dietary intake of trace elements and semen quality and reproductive hormones levels in young men.

MATERIAL AND METHOD

This is a cross-sectional study in healthy male university students (n=209) recruited in Murcia Region (Spain) between 2010 and 2011. Dietary intake of trace elements (iron, iodine and cinc) was assessed using a validated food frequency questionnaire. Semen analysis (sperm concentration, motility and morphology) was carried out according to World Health Organization guidelines. Serum concentrations of follicle-stimulating and luteinizing hormones and testosterone were also determined. Kruskal-Wallis and Chi-squared tests were used in bivariate analysis and multiple lineal regression was used to adjust for significant covariates.

RESULTS

A statistically significant inverse association between dietary intake of iron and sperm concentration (P, trend=0.01) and the percentage of progressive motile sperm (P, trend=0.004) were observed. No other significant associations for the remaining sperm parameters or reproductive hormones were detected.

CONCLUSIONS

Our results show that high levels of iron may be associated with reduced sperm concentration and motility in young men. However, further studies are needed, particularly in other male populations consulting for infertility problems.

摘要

目的

本研究旨在探讨年轻男性饮食中微量元素摄入量与精液质量及生殖激素水平之间的关联。

材料与方法

这是一项横断面研究,研究对象为2010年至2011年在西班牙穆尔西亚地区招募的健康男大学生(n = 209)。使用经过验证的食物频率问卷评估微量元素(铁、碘和锌)的饮食摄入量。根据世界卫生组织指南进行精液分析(精子浓度、活力和形态)。还测定了血清促卵泡激素、促黄体生成素和睾酮的浓度。双变量分析采用Kruskal-Wallis检验和卡方检验,多元线性回归用于调整显著的协变量。

结果

观察到铁的饮食摄入量与精子浓度(P,趋势 = 0.01)和进行性运动精子百分比(P,趋势 = 0.004)之间存在统计学显著的负相关。未检测到其余精子参数或生殖激素的其他显著关联。

结论

我们的数据表明,高水平的铁可能与年轻男性精子浓度和活力降低有关。然而,需要进一步的研究,特别是在其他因不育问题就诊的男性人群中。

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