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一项随机安慰剂对照试验,旨在研究乳番茄红素对健康男性精液质量的影响。

A randomized placebo-controlled trial to investigate the effect of lactolycopene on semen quality in healthy males.

机构信息

Department of Oncology and Metabolism, Faculty of Medicine Dentistry and Health, Medical School, The University of Sheffield, Beech Hill Road, Sheffield, S10 2RX, UK.

出版信息

Eur J Nutr. 2020 Mar;59(2):825-833. doi: 10.1007/s00394-019-02091-5. Epub 2019 Oct 8.

Abstract

PURPOSE

Poor sperm quality is a major contributor to infertility in heterosexual couples, but at present there are few empirical therapies. Several studies have examined the role of dietary factors and data from randomized controlled trials suggest that oral antioxidant therapy can improve some sperm parameters. Health benefits of lycopene supplementation have been proposed for a variety of health conditions and here we examine whether it can help improve sperm quality. This study aimed to investigate the effect of 14 mg daily lactolycopene for 12 weeks on semen quality in healthy men.

METHODS

Sixty healthy male participants were recruited and randomized to this double-blind, placebo-controlled parallel study and received either 14 mg/d lactolycopene or a placebo for 12 weeks. The primary endpoint was a change in motile sperm concentration. Secondary endpoints were all other aspects of sperm quality, including the level of sperm DNA damage.

RESULTS

Fifty-six men completed the intervention and the level of plasma lycopene was significantly increased in the men randomized to receive lycopene supplementation. There was no significant change in the primary endpoint (motile sperm concentration) post-intervention (p = 0.058). However, the proportion of fast progressive sperm (p = 0.006) and sperm with normal morphology (p < 0.001) did improve significantly in response to lactolycopene intervention.

CONCLUSIONS

Supplementation with 14 mg/d lactolycopene improves sperm motility and morphology in young healthy men.

CLINICAL TRIAL REGISTRY NUMBER AND WEBSITE

ISRCTN33248724 http://www.isrctn.com/ISRCTN33248724.

摘要

目的

精子质量差是导致异性恋夫妇不孕的主要原因,但目前治疗方法有限。一些研究已经研究了饮食因素的作用,随机对照试验的数据表明,口服抗氧化治疗可以改善一些精子参数。番茄红素补充剂对各种健康状况都有健康益处,我们在这里研究它是否有助于改善精子质量。本研究旨在调查每天 14 毫克乳清番茄红素 12 周对健康男性精液质量的影响。

方法

招募了 60 名健康男性参与者,并将他们随机分为双盲、安慰剂对照的平行研究组,分别接受 14 毫克/天乳清番茄红素或安慰剂治疗 12 周。主要终点是运动精子浓度的变化。次要终点是精子质量的所有其他方面,包括精子 DNA 损伤水平。

结果

56 名男性完成了干预,接受乳清番茄红素补充的男性血浆番茄红素水平显著升高。干预后主要终点(运动精子浓度)没有显著变化(p=0.058)。然而,快速进展精子的比例(p=0.006)和正常形态精子的比例(p<0.001)确实随着乳清番茄红素的干预而显著改善。

结论

每天补充 14 毫克乳清番茄红素可改善年轻健康男性的精子活力和形态。

临床试验注册号和网站

ISRCTN33248724 http://www.isrctn.com/ISRCTN33248724。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6944/7058571/7a84509af52b/394_2019_2091_Fig1_HTML.jpg

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