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环境因素作为男性生育能力的主要激素干扰物

Environmental Factors as the Main Hormonal Disruptors of Male Fertility.

作者信息

Wdowiak Natalia, Wójtowicz Kamila, Wdowiak-Filip Anita, Pucek Weronika, Wróbel Andrzej, Wróbel Jan, Wdowiak Artur

机构信息

Chair of Obstetrics and Gynecology, Faculty of Health Sciences, Medical University of Lublin, Staszica 4-6 Street, 20-081 Lublin, Poland.

Department of Gynecology and Obstetrics. Municipal Hospital, Saint Michael the Archangel in Łańcut, Parens, Infertility Clinic in Rzeszów, 35-309 Rzeszów, Poland.

出版信息

J Clin Med. 2024 Mar 29;13(7):1986. doi: 10.3390/jcm13071986.

Abstract

INTRODUCTION AND OBJECTIVE

Many scientific reports confirm a systematic decline in male semen parameters over the last decades. This phenomenon has been observed in all parts of the world, and its occurrence is associated, among others, with the hazardous effects of some environmental factors. The environmental factors for which the adverse effect on male fertility has been proven include water, air, and soil pollution, as well as electromagnetic fields and ionizing radiation. The aim of this article was the evaluation of the effect of selected environmental factors on male reproductive capacity based on an analysis of the current scientific reports.

REVIEW METHODS

A systematic literature review was carried out using three databases: PubMed, EMBASE, and Scopus. The search was limited to the period from 2015 until the end of December 2023. Brief description of the state of knowledge: Environmental factors, such as heavy metals, tobacco smoke, pesticides, dioxins, furans, phthalates, and bisphenols, are well-tested substances that exert an adverse effect on male fertility. A harmful effect of electromagnetic fields and water and air pollution on reproductive functions may be expected; however, this has not been fully proven.

SUMMARY

Results obtained by many researchers published to date should evoke great concern regarding the quality of the environment in which we live, as well as fears about the effect of environmental factors not only on male fertility, but also on all aspects of human health. The majority of environmental pollutants affect the male body by causing oxidative stress and through their effect on the endocrine system.

摘要

引言与目的

许多科学报告证实,在过去几十年里男性精液参数呈系统性下降。这种现象在世界各地均有观察到,其发生与某些环境因素的有害影响等有关。已被证实对男性生育能力有不利影响的环境因素包括水、空气和土壤污染,以及电磁场和电离辐射。本文的目的是基于对当前科学报告的分析,评估所选环境因素对男性生殖能力的影响。

综述方法

使用三个数据库(PubMed、EMBASE和Scopus)进行了系统的文献综述。检索限于2015年至2023年12月底期间。知识现状简述:环境因素,如重金属、烟草烟雾、农药、二恶英、呋喃、邻苯二甲酸盐和双酚,是经过充分测试的对男性生育能力有不利影响的物质。可以预期电磁场以及水和空气污染对生殖功能有有害影响;然而,这尚未得到充分证实。

总结

许多研究人员迄今发表的结果应引起人们对我们所生活环境质量的高度关注,以及对环境因素不仅对男性生育能力,而且对人类健康各个方面影响的担忧。大多数环境污染物通过引起氧化应激并通过其对内分泌系统的影响来影响男性身体。

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Am J Clin Nutr. 2024 Feb;119(2):578-589. doi: 10.1016/j.ajcnut.2023.12.005. Epub 2023 Dec 13.
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[Male infertility, environment and lifestyle].[男性不育、环境与生活方式]
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