Influence of Age, Obesity, Smoking, Sleep duration, and Sleep Quality on Concentration, Morphology, and Sperm Motility: A Cross-Sectional Study.

IF 2.3 Q2 OBSTETRICS & GYNECOLOGY International Journal of Fertility & Sterility Pub Date : 2024-06-09 DOI:10.22074/ijfs.2023.1983273.1413
Uki Retno Budihastuti, Eriana Melinawati, Teguh Prakosa, Affi Angelia Ratnasari, Cahyono Hadi, Abdurahman Laqif, Mulyoto Pangestu, Latifa Oktadiani Putri, Bhisma Murti, Ida Nurwati
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Abstract

Background: Age, smoking, sleep duration, sleep quality, and obesity are risk factors that can affect the amount of sperm concentration, morphology, and motility. The aim of this study is to assess the lifestyle effects: of age, smoking, sleep duration, sleep quality, and obesity on the amount of concentration, morphology, and motility of sperm.

Materials and methods: The study utilized an analytical observational approach with a cross-sectional design. The study subjects comprised 70 male partners of infertile couples admitted to the Sekar Fertility Clinic at the Dr. Moewardi General Hospital between March and August 2022. The study assessed variables including age, body mass index (BMI), smoking status, sleep duration, sleep quality, sperm concentration, sperm morphology, and sperm motility. Furthermore, the data were analyzed using univariate, bivariate, and multivariate methods with SPSS 25 software.

Results: The research findings demonstrate that obesity is significantly associated with abnormal sperm concentration [odds ratio (OR)=40.07, confidence interval (CI)=3.90-411.67, P=0.002]. Furthermore, moderate or heavy smoking is significantly associated with abnormal sperm concentration (OR=17.45, CI=1.83-166.15, P=0.013) and sleep quality with severe disorders (OR=5.73, CI=1.12-29.21, P=0.036). Moreover, obesity is significantly associated with abnormal sperm motility (OR=12.97, CI=2.66-63.15, P=0.002), while moderate or heavy smoking (OR=5.89, CI=1.23- 28.20, P=0.026) and poor sleep duration (OR=6.21, CI=1.43-26.92, P=0.015) also exhibit significant associations with abnormal sperm motility. However, no significant findings were observed regarding sperm morphology.

Conclusion: The findings of this study indicate that obesity, moderate or heavy smoking, and sleep quality have statistically significant effects on sperm concentration, while obesity, moderate or heavy smoking, and sleep duration have statistically significant effects on sperm motility. However, no statistically significant influence was observed on sperm morphology. Further research with larger sample sizes and more diverse populations is needed to validate these findings and explore other potential factors that may impact male fertility.

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年龄、肥胖、吸烟、睡眠时间和睡眠质量对集中力、形态学和精子活力的影响:一项横断面研究
背景:年龄、吸烟、睡眠时间、睡眠质量和肥胖是影响精子浓度、形态和活力的风险因素。本研究旨在评估生活方式:年龄、吸烟、睡眠时间、睡眠质量和肥胖对精子浓度、形态和活力的影响:研究采用分析观察法,横断面设计。研究对象包括 2022 年 3 月至 8 月期间在莫瓦迪博士综合医院塞卡不孕不育诊所就诊的不育夫妇的 70 名男性伴侣。研究评估的变量包括年龄、体重指数(BMI)、吸烟状况、睡眠时间、睡眠质量、精子浓度、精子形态和精子活力。此外,还利用 SPSS 25 软件,采用单变量、双变量和多变量方法对数据进行了分析:研究结果表明,肥胖与精子浓度异常显著相关[几率比(OR)=40.07,置信区间(CI)=3.90-411.67,P=0.002]。此外,中度或大量吸烟与精子浓度异常(OR=17.45,CI=1.83-166.15,P=0.013)和睡眠质量严重紊乱(OR=5.73,CI=1.12-29.21,P=0.036)显著相关。此外,肥胖与精子活力异常有显著相关性(OR=12.97,CI=2.66-63.15,P=0.002),而中度或大量吸烟(OR=5.89,CI=1.23-28.20,P=0.026)和睡眠时间短(OR=6.21,CI=1.43-26.92,P=0.015)也与精子活力异常有显著相关性。结论:本研究结果表明,肥胖与精子活力异常有明显关系:本研究结果表明,肥胖、中度或重度吸烟以及睡眠质量对精子浓度有统计学意义的影响,而肥胖、中度或重度吸烟以及睡眠时间对精子活力有统计学意义的影响。不过,在统计学上没有观察到对精子形态有明显影响。要验证这些发现并探索可能影响男性生育能力的其他潜在因素,还需要进行样本量更大、人群更多样化的进一步研究。
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来源期刊
CiteScore
4.20
自引率
0.00%
发文量
68
审稿时长
>12 weeks
期刊介绍: International Journal of Fertility & Sterility is a quarterly English publication of Royan Institute . The aim of the journal is to disseminate information through publishing the most recent scientific research studies on Fertility and Sterility and other related topics. Int J Fertil Steril has been certified by Ministry of Culture and Islamic Guidance in 2007 and was accredited as a scientific and research journal by HBI (Health and Biomedical Information) Journal Accreditation Commission in 2008. Int J Fertil Steril is an Open Access journal.
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