精液质量的恶化:环境的作用
Helena E Virtanen1, Wiwat Rodprasert1, Jorma Toppari1,2,3,4
1Research Centre for Integrative Physiology and Pharmacology and Centre for Population Health Research, Institute of Biomedicine, University of Turku, Turku, Finland.
Seminars in reproductive medicine
|March 18, 2024
概括
全球范围内,精液质量似乎在下降,在生育能力强的男性中观察到区域差异. 整个生命中的环境因素可能会影响这些趋势,需要对发育期暴露进行进一步的研究.
科学领域:
- 生殖健康 生殖健康
- 环境流行病学环境流行病学
- 安德罗学与人类学
背景情况:
- 全球报告显示,自20世纪末以来,精液质量有所下降,特别是在西方国家.
- 横截面研究显示,在年轻,肥沃的男性中,精液质量存在区域差异.
- 这些趋势和区域差异的根本原因尚不清楚,其中涉及环境因素.
研究的目的:
- 调查环境因素在观察到的区域差异和精液质量不利趋势中的潜在作用.
- 探索环境暴露在不同生命阶段 (包括胎儿发育,童年和成年期) 对精液质量的影响.
主要方法:
- 审查现有关于年轻,生育能力强的男性精液质量的横截面研究.
- 确定可疑导致精液质量变化的环境因素.
- 建议进行纵向后续研究和混合物风险分析,以评估累积的环境影响.
主要成果:
- 有证据表明,精液质量下降,区域差异很大.
- 环境因素被假设在这些观察到的现象中起着至关重要的作用.
- 暴露时间,从胎儿发育到成年,可能会对精液质量产生不同的影响.
结论:
- 强烈怀疑环境影响是男性生殖健康当前趋势和区域差异的基础.
- 进一步的纵向研究对于阐明影响精液质量的特定环境暴露和关键发育窗口至关重要.
- 了解这些因素对于旨在保护男性生育能力的公共卫生干预至关重要.
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