地中海饮食模式和生活方式因素与生育诊所就诊男性精液质量的相关性:横断面研究

IF 2.1 4区 医学 Q2 OBSTETRICS & GYNECOLOGY European journal of obstetrics, gynecology, and reproductive biology Pub Date : 2024-09-24 DOI:10.1016/j.ejogrb.2024.09.036
Ayad Palani , Hawal Lateef Fateh , Dyari H. Ahmed , Sulagna Dutta , Pallav Sengupta
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引用次数: 0

摘要

背景虽然已有许多研究探讨了单种或多种营养物质对精液质量的影响,但有关整体饮食模式与精液质量之间相关性的研究仍然有限。本横断面研究调查了坚持地中海替代饮食(aMED)与精液质量之间的关系。方法共有 274 名精液参数正常和异常的男性参与了本研究。研究采用 147 项半定量食物频率问卷(FFQ)收集饮食数据。根据地中海饮食的坚持程度,参与者被分为三组(T1、T2 和 T3)。统计分析包括数值数据的方差分析和分类数据的卡方检验。采用多变量逻辑回归模型来估算 aMED 评分与精液参数异常之间的关系。结果与其他分层组相比,最高坚持率组(T3)的参与者更年轻,体重指数更低。各组精子参数存在显著差异。T3 组的精子浓度、精子总数、活力、渐进活力和正常形态水平最高(分别为 57.53 ± 36.16、213.8 ± 158.9、73.4 ± 25.9、61.2 ± 24.6 和 6.42 ± 1.51),而 T1 组最低(分别为 11.92 ± 22.29、43.3 ± 73.8、36.7 ± 33.8 和 4.6 ± 5.7)。精液体积和粘度没有发现明显差异。回归分析表明,aMED 评分与精子浓度(B = 1.32,P = 0.001)、精子总数(B = 1.12,P = 0.001)和总活力(B = 0.71,P = 0.001)呈显著正相关。促进健康的饮食模式可能是提高精子活力和男性整体生殖健康的有效策略。
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Correlation of mediterranean diet pattern and lifestyle factors with semen quality of men attending fertility clinics: A cross-sectional study

Background

While numerous studies have examined the impact of individual or combined nutrients on semen quality, research on the correlation between overall dietary patterns and semen quality remains limited. This cross-sectional study investigates the relationship between adherence to the alternative Mediterranean diet (aMED) and semen quality.

Methods

A total of 274 men, presenting with both normal and abnormal semen parameters, participated in this study. Dietary data were collected using a 147-item semi-quantitative food frequency questionnaire (FFQ). Participants were divided into three groups based on their adherence to the Mediterranean diet (T1, T2, and T3). Statistical analyses, including ANOVA for numerical data and Chi-square tests for categorical data, were conducted. Multivariable logistic regression models were employed to estimate the association between aMED scores and abnormal semen parameters.

Results

Participants in the highest adherence group (T3) were younger and had lower BMI compared to those in the other tertiles. Significant differences in sperm parameters were observed across the tertiles. T3 recorded the highest levels of sperm concentration, total sperm count, motility, progressive motility, and normal morphology (57.53 ± 36.16, 213.8 ± 158.9, 73.4 ± 25.9, 61.2 ± 24.6, and 6.42 ± 1.51, respectively), whereas T1 had the lowest values (11.92 ± 22.29, 43.3 ± 73.8, 36.7 ± 33.8, 4.6 ± 5.7, respectively). No significant differences were found in semen volume and viscosity. The regression analysis revealed a significant positive correlation between aMED scores and sperm concentration (B = 1.32, P = 0.001), total sperm count (B = 1.12, P = 0.001), and total motility (B = 0.71, P = 0.001).

Conclusion

Adherence to a high-quality Mediterranean diet is positively associated with improved semen quality and increased male fertility potential. Promoting healthy dietary patterns may be an effective strategy to enhance sperm motility and overall male reproductive health.
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来源期刊
CiteScore
4.60
自引率
3.80%
发文量
898
审稿时长
8.3 weeks
期刊介绍: The European Journal of Obstetrics & Gynecology and Reproductive Biology is the leading general clinical journal covering the continent. It publishes peer reviewed original research articles, as well as a wide range of news, book reviews, biographical, historical and educational articles and a lively correspondence section. Fields covered include obstetrics, prenatal diagnosis, maternal-fetal medicine, perinatology, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine, infertility, reproductive endocrinology, sexual medicine and reproductive ethics. The European Journal of Obstetrics & Gynecology and Reproductive Biology provides a forum for scientific and clinical professional communication in obstetrics and gynecology throughout Europe and the world.
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