营养保健品能否抵消环境对男性生育能力的不利影响?系统回顾与专家意见并行。

IF 2.5 Q3 ENDOCRINOLOGY & METABOLISM Minerva endocrinology Pub Date : 2024-09-11 DOI:10.23736/S2724-6507.24.04218-0
Tommaso Cai, Luca Boeri, Carlos Miacola, Fabrizio Palumbo, Giancarlo Albo, Pasquale Ditonno, Vito Racanelli, Alessandro Palmieri, Truls E Bjerklund Johansen, Antonio Aversa
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引用次数: 0

摘要

简介男性生育能力依赖于复杂的生理机能,而生活方式、饮食和环境可能会对其产生负面影响。营养保健品对男性生育能力的有利影响是一个有争议的说法。本研究旨在评估营养保健品的积极作用能否抵消环境对男性生育能力的负面影响:根据系统综述和荟萃分析首选报告项目(PRISMA)的指导原则,对PubMed®/MEDLINE®、Embase和Cochrane数据库进行了检索(2023年9月至10月),同时交叉检查了参考文献,并搜索了环境和营养保健品对男性生育能力影响的正在进行的研究:微塑料和其他干扰内分泌的化学物质以及气候变化等一些环境因素可能会影响精子质量,如精子数量减少、流动性降低和形态改变等,从而降低男性生育能力。另一方面,新的证据表明,富含抗氧化剂和必需营养素的均衡饮食,再加上尽量减少接触环境毒素,可以提高男性的生育能力和生殖健康。有几种营养保健品化合物证明,它们对环境对男性生育能力的负面影响具有保护作用:现有证据证实,环境可能会对男性生育能力产生负面影响,而且这种影响在未来几年内估计还会上升。另一方面,新的数据表明,营养保健品可能对环境因素对男性生育能力的负面影响起到保护作用。我们不能低估今后对男性健康的这些方面进行监测和探索研究的必要性。
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Can nutraceuticals counteract the detrimental effects of the environment on male fertility? A parallel systematic review and expert opinion.

Introduction: Male fertility relies on a complex physiology that may be negatively influenced by lifestyle, diet, and environment. The beneficial effect of nutraceuticals on male fertility is a debated claim. The aim of this study was to assess if the positive effect of nutraceuticals can counteract the negative effects of the environment on male fertility.

Evidence acquisition: PubMed®/MEDLINE®, Embase and Cochrane Database were searched (September-October 2023), along with crosschecking of references and search for ongoing studies of the effects of the environment and nutraceuticals on male fertility, in accordance with the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).

Evidence synthesis: Several environmental factors such as microplastic and other endocrine-disrupting chemicals and climate changes may affect the sperm quality in terms of reduction of sperm count number, mobility and altered morphology and thereby reduce male fertility. On the other hand, new evidence demonstrates that a balanced diet rich in antioxidants and essential nutrients, together with minimized exposure to environmental toxins, may improve male fertility and reproductive health. Several nutraceutical compounds proved a protective role against negative environmental effects on male fertility.

Conclusions: Available evidence confirms that the environment may negatively impact male fertility, and this impact is estimated to rise in the forthcoming years. On the other hand, new data indicate that nutraceuticals may have a protective role against the negative impact of environmental factors on male fertility. The need for future studies to monitor and explore these aspects of men's health cannot be underestimated.

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