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对暴露于全身振动的出租车司机精液质量的评估。

Assessment of semen quality of taxi drivers exposed to whole body vibration.

作者信息

Zarei Sirvan, Dehghan Somayeh Farhang, Vaziri Mohammad Hossein, Gilani Mohammad Ali Sadighi, Ardakani Soheila Khodakarim

机构信息

Workplace Health Promotion Research Center, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Urology, School of Medicine, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Occup Med Toxicol. 2022 Aug 3;17(1):16. doi: 10.1186/s12995-022-00357-z.

Abstract

Whole body vibration (WBV) is a recognized occupational hazard for many workers such as drivers and operators of heavy and light machinery and exposure to it is accompanied by physical and mental repercussions. Only the limited studies have been done on the effects of vibration exposure on reproductive indices, however vibration exposure has been indicated as being a hazardous agents with the potential of being able to directly affect the reproductive system. Considering the importance of infertility, the present study was conducted with the aim of investigating semen quality among taxi drivers in Tehran and determine the effect of exposure to WBV on sperm parameters. The study population consisted of 70 taxi drivers and 70 office employee who attended infertility clinics for diagnostic purposes in the past year. The participants had to meet the entry criteria of the study while also being willing to recruit. Data was collected in the form of demographic questionnaires and general health questionnaires as well as sperm analysis conducted in an infertility clinic according to standard laboratory guidelines. The 8-hour time-weighted average (TWA) exposure to of WBV in automobile was measured as per ISO 2631-1. The TWA exposure to WBV among the taxi drivers and office employees were 0.697 ± 0.13 m/s and 0.068 ± 0.09 m/s respectively (P < 0.05). A statistically significant difference in total sperm count, progressive motility, non-progressive motility and total motility was observed between the taxi drivers and the office employees (P < 0.05). According to the univariate analysis of variance, exposure to WBV had negative effect on sperm concentration, progressive motility and normal morphology (P > 0.05); moreover exposure to WBV resulted in the larger effect size (B) on sperm parameters than the demographic variables (P > 0.05). Being taxi drivers increase the chance of the decreased semen quality (P > 0.05). It is difficult to draw definitive conclusions regarding the effects of WBV while intervening factors exist, such as psychological stressors, quality of sleep, background issues as well as environmental factors such as chemical pollutants (heavy metals) or ergonomic factors (body posture and working while sitting down).

摘要

全身振动(WBV)是许多工人公认的职业危害,如重型和轻型机械的驾驶员和操作员,接触全身振动会带来身体和精神上的影响。关于振动暴露对生殖指标的影响,目前仅有有限的研究,但振动暴露已被表明是一种可能直接影响生殖系统的有害因素。考虑到不孕症的重要性,本研究旨在调查德黑兰出租车司机的精液质量,并确定全身振动暴露对精子参数的影响。研究人群包括70名出租车司机和70名办公室职员,他们在过去一年因诊断目的前往不孕症诊所就诊。参与者必须符合研究的纳入标准,同时愿意参与招募。数据通过人口统计问卷、一般健康问卷以及按照标准实验室指南在不孕症诊所进行的精子分析收集。根据ISO 2631-1测量汽车中全身振动的8小时时间加权平均(TWA)暴露量。出租车司机和办公室职员的全身振动TWA暴露量分别为0.697±0.13 m/s和0.068±0.09 m/s(P<0.05)。出租车司机和办公室职员之间在精子总数、前向运动率、非前向运动率和总运动率方面存在统计学显著差异(P<0.05)。根据单因素方差分析,全身振动暴露对精子浓度、前向运动率和正常形态有负面影响(P>0.05);此外,全身振动暴露对精子参数的效应大小(B)大于人口统计学变量(P>0.05)。成为出租车司机增加了精液质量下降的可能性(P>0.05)。由于存在干预因素,如心理压力源、睡眠质量、背景问题以及化学污染物(重金属)或人体工程学因素(身体姿势和坐姿工作)等环境因素,很难就全身振动的影响得出明确结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5b7/9347065/8572d1c05010/12995_2022_357_Fig1_HTML.jpg

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