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肥胖与不孕男性精子参数的质量有关:一项横断面研究。

Obesity is associated with quality of sperm parameters in men with infertility: a cross-sectional study.

机构信息

Nutrition and Food Security Research Center and Department of Clinical Nutrition, School of Nutrition and Food Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.

Nutrition and Metabolic Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

Reprod Health. 2023 Sep 12;20(1):134. doi: 10.1186/s12978-023-01664-2.

Abstract

BACKGROUND

Previous studies examined the effects of obesity on sperm parameters and reported inconsistent results. Thus, the present study aimed to evaluate the association between obesity and the quality of sperm parameters in infertile men.

MATERIAL AND METHODS

The present cross-sectional study evaluated 218 infertile men aged 20-50. To this end, the 168-item food frequency questionnaire (FFQ) was utilized to evaluate dietary intake. The anthropometric and biochemical variables were examined using standard methods. Further, the association between obesity and the quality of sperm parameters was evaluated using the controlled linear regression for potential confounders.

RESULTS

The normal sperm morphology had a significant inverse association with BMI [adjusted β - 0.074, CI (- 0.141 to - 0.008), P = 0.029] and WC [adjusted β - 0.026, CI (- 0.051 to - 0.001), P = 0.038]. Additionally, visceral fat had a marginal inverse association with normal sperm morphology [adjusted β - 0.065, CI (- 0.138 to 0.008), P = 0.079] and non-progressive sperm motility [adjusted β - 0.241, CI (- 0.495 to 0.014), P = 0.063].

CONCLUSION

Even though the present results indicated that obesity, abdominal obesity, and visceral fat had inverse associations with normal sperm morphology, more mechanism-based studies should be conducted to confirm these findings.

摘要

背景

先前的研究探讨了肥胖对精子参数的影响,但结果不一致。因此,本研究旨在评估肥胖与不育男性精子参数质量之间的关系。

材料和方法

本横断面研究评估了 218 名 20-50 岁的不育男性。为此,使用 168 项食物频率问卷(FFQ)评估饮食摄入。采用标准方法检查人体测量学和生化变量。此外,使用潜在混杂因素的对照线性回归评估肥胖与精子参数质量之间的关系。

结果

正常精子形态与 BMI [调整后的β -0.074,CI(-0.141 至-0.008),P=0.029]和 WC [调整后的β -0.026,CI(-0.051 至-0.001),P=0.038]呈显著负相关。此外,内脏脂肪与正常精子形态[调整后的β -0.065,CI(-0.138 至 0.008),P=0.079]和非进展性精子活力[调整后的β -0.241,CI(-0.495 至 0.014),P=0.063]呈边缘负相关。

结论

尽管本研究结果表明肥胖、腹部肥胖和内脏脂肪与正常精子形态呈负相关,但需要进行更多基于机制的研究来证实这些发现。

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