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硒与女性生育力的关系:系统评价。

Relation between Selenium and Female Fertility: A Systematic Review.

机构信息

Department of Medicine, Universidade Estadual de Ponta Grossa, Ponta Grossa, PR, Brazil.

出版信息

Rev Bras Ginecol Obstet. 2022 Jul;44(7):701-709. doi: 10.1055/s-0042-1744288. Epub 2022 Jun 3.

Abstract

OBJECTIVE

To analyze the influence of selenium in female fertility.

DATA SOURCE

A search was performed in the following databases: MEDLINE, Web of Science, Scopus, SciELO, LILACS, MDPI, ScienceDirect, and Europe PMC. The descriptors selected were "" AND "" AND "". The search interval was from 1996 to 2021.

STUDY SELECTION

The evaluation was performed independently by two reviewers, and a third reviewer confirmed the inclusion of papers in case of divergence between the first two reviewers. Papers were selected after the title and abstract were read, and those that met the eligibility criteria had the full text read.

DATA COLLECTION

The following data was extracted: author, year of publication, country, type of study, objective, method, sample size, follow-up period, patients' mean age, inclusion and exclusion criteria, and concentration of serum and capillary selenium. The data was organized in chronological order of paper publication.

DATA SYNTHESIS

The number of papers identified totaled 3,800, out of which 7 were included in the systematic review. The studies indicated a positive correlation between serum selenium and antioxidant concentration in the follicular fluid, reduction in antithyroid antibodies, oocyte production and follicle number.

CONCLUSION

Selenium supplementation is promising in women with this micronutrient deficiency to promote improvement of the reproductive efficiency and prevent damage to the pregnancy. Further studies on this theme are still required.

摘要

目的

分析硒对女性生育能力的影响。

资料来源

在以下数据库中进行了检索:MEDLINE、Web of Science、Scopus、SciELO、LILACS、MDPI、ScienceDirect 和 Europe PMC。选择的描述词为“硒”“女性生育能力”“生殖”。检索时间范围为 1996 年至 2021 年。

研究选择

由两位评审员独立进行评估,如果前两位评审员之间存在分歧,则由第三位评审员确认论文的纳入。在阅读标题和摘要后选择论文,如果符合入选标准,则阅读全文。

资料收集

提取的数据包括:作者、发表年份、国家、研究类型、目的、方法、样本量、随访时间、患者的平均年龄、纳入和排除标准以及血清和毛细血管硒浓度。数据按论文发表时间的顺序进行组织。

资料综合

共确定了 3800 篇论文,其中有 7 篇被纳入系统评价。这些研究表明,血清硒与卵泡液中的抗氧化剂浓度、甲状腺自身抗体减少、卵母细胞生成和卵泡数量增加呈正相关。

结论

对于这种微量营养素缺乏的女性,补充硒具有很大的前景,可以提高生殖效率,预防妊娠损伤。关于这个主题仍需要进一步的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a0a/9948146/40571d627061/10-1055-s-0042-1744288-i210329-1.jpg

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