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男性跑步者的性腺激素与精液质量。耐力训练的容量阈值效应。

Gonadal hormones and semen quality in male runners. A volume threshold effect of endurance training.

作者信息

De Souza M J, Arce J C, Pescatello L S, Scherzer H S, Luciano A A

机构信息

Department of Obstetrics and Gynecology, University of Connecticut Health Center, Farmington 06030.

出版信息

Int J Sports Med. 1994 Oct;15(7):383-91. doi: 10.1055/s-2007-1021075.

DOI:10.1055/s-2007-1021075
PMID:8002116
Abstract

Eleven high mileage runners (HR) (108.0 +/- 4.5 km.wk-1), 9 moderate mileage runners (MR) (54.2 +/- 3.7 km.wk-1) and 10 sedentary controls (SC) of similar age (28.3 +/- 1.5 yr) were studied to evaluate the effects of volume of endurance training on reproductive function in male runners. Levels of reproductive, adrenal and thyroid hormones were measured during a 1-hr period of serial blood sampling (q20 min) and urinary excretion of 24-hr luteinizing hormone (uLH) was determined on two separate days. Semen exams and sperm penetration of standard cervical mucus (Penetrak) were performed 2-5 times. Levels of total testosterone (TT) and free testosterone (FT) were significantly lower in HR (15.3 +/- 1.3 nmol.l-1 and 60.2 +/- 5.1 pmol.l-1) compared to MR (21.4 +/- 1.6 nmol.l-1 and 86.0 +/- 6.1 pmol.l-1) and SC (19.5 +/- 0.9 nmol.l-1 and 75.9 +/- 3.6 pmol.l-1). No differences (p > 0.05) were found in uLH, serum LH, follicle-stimulating hormone (FSH), and prolactin (PRL) among the three groups. No other hormonal differences (p > 0.05) were observed among the groups. Total motile sperm count and density were lower (p < 0.05) in HR than SC. Decreased (p < 0.0006) sperm motility and an increased (p < 0.004) population of immature sperm and round cells were observed in HR compared to MR and SC. Sperm penetration of bovine cervical mucus was also decreased (p < 0.024) in HR compared to SC. Volume of training, defined by km.wk-1 run, was significantly correlated to sperm motility, density and number of round cells.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

选取了11名高里程跑步者(HR)(每周跑108.0±4.5公里)、9名中等里程跑步者(MR)(每周跑54.2±3.7公里)以及10名年龄相仿(28.3±1.5岁)的久坐不动的对照者(SC),以评估耐力训练量对男性跑步者生殖功能的影响。在1小时内进行系列采血(每20分钟一次),测定生殖、肾上腺和甲状腺激素水平,并在两个不同日期测定24小时促黄体生成素的尿排泄量(uLH)。进行2 - 5次精液检查以及标准宫颈黏液的精子穿透试验(Penetrak)。与中等里程跑步者(MR)(分别为21.4±1.6纳摩尔/升和86.0±6.1皮摩尔/升)和对照者(SC)(分别为19.5±0.9纳摩尔/升和75.9±3.6皮摩尔/升)相比,高里程跑步者(HR)的总睾酮(TT)和游离睾酮(FT)水平显著较低(分别为15.3±1.3纳摩尔/升和60.2±5.1皮摩尔/升)。三组之间的uLH、血清促黄体生成素(LH)、卵泡刺激素(FSH)和催乳素(PRL)没有差异(p>0.05)。各群组之间未观察到其他激素差异(p>0.05)。高里程跑步者的总活动精子计数和密度低于对照者(p<0.05)。与中等里程跑步者和对照者相比,高里程跑步者的精子活力降低(p<0.0006),未成熟精子和圆形细胞数量增加(p<0.004)。与对照者相比,高里程跑步者的牛宫颈黏液精子穿透能力也降低(p<0.024)。以每周跑步公里数定义的训练量与精子活力、密度和圆形细胞数量显著相关。(摘要截取自250字)

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