一个连锁效应? 肥胖对精子质量和功能的影响
Maria Inês Alfaiate1, Renata Santos Tavares2, João Ramalho-Santos2
1University of Coimbra, CNC-UC, Center for Neuroscience and Cell Biology, CIBB, Coimbra, Portugal; and University of Coimbra, Institute for Interdisciplinary Research, Doctoral Programme in Experimental Biology and Biomedicine (PDBEB), Coimbra, Portugal.
Reproduction, fertility, and development
|April 8, 2024
概括
肥胖会通过荷尔蒙变化,氧化应激和炎症影响精子质量和功能,对男性生育能力产生负面影响. 需要进一步的研究来澄清肥胖对男性生殖健康和辅助生殖技术结果的全部影响.
科学领域:
- 生殖医学 生殖医学
- 内分泌学 在内分泌学.
- 男人的健康 男人的健康
背景情况:
- 不孕症影响15%的夫妇,男性因素导致50%的病例.
- 肥胖 (BMI ≥30.0) 是一个与各种健康问题,包括降低生育能力相关的日益严重的流行病.
- 肥胖对男性生育能力的具体影响需要进一步调查.
研究的目的:
- 审查肥胖和男性不孕症之间的关系.
- 专注于肥胖对精子质量和功能的影响.
- 探索肥胖对辅助生殖技术 (ART) 的影响.
主要方法:
- 对研究肥胖和男性生殖健康的文献综述.
- 对肥胖男性的荷尔蒙特征,氧化应激和炎症的研究分析.
- 关于精子参数 (度,运动性,形态) 和ART结果的证据的评估.
主要成果:
- 肥胖可能会破坏荷尔蒙平衡,增加氧化应激,促进炎症,影响精子参数.
- 有证据表明,肥胖男性的精子功能受损,包括DNA损伤增加和线粒体功能减少.
- 肥胖对ART成功率 (受精,怀孕,活产) 的影响仍然是不确定的.
结论:
- 肥胖是男性不孕症的潜在重要因素,影响精子质量和功能.
- 虽然在特定的精子参数变化方面缺乏共识,但表明精子功能受损.
- 由于相互矛盾的证据,肥胖和ART结果之间的关系需要进一步澄清.
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