耐力运动对男性运动员精液质量的影响:系统性审查
Alex Aerts1, Annelien Temmerman1,2, Arne Vanhie3
1Faculty of Medicine, Katholieke Universiteit Leuven, Leuven, Belgium.
Sports medicine - open
|June 11, 2024
概括
耐力运动可能会对男性精液质量产生负面影响,但临床生育问题很少见. 需要更多高质量的研究来证实这些发现在运动员中.
科学领域:
- 生殖医学 生殖医学
- 运动科学 运动科学 运动科学
- 男人的健康 男人的健康
背景情况:
- 女运动员经常因为耐力运动而经历异常潮,但男性生殖健康的影响研究较少.
- 关于耐力训练与男性生育能力参数之间的关联的证据有限.
研究的目的:
- 系统地审查和综合有关运动引起的精液参数变化的文献.
- 评估这些改变对男性生育能力的临床意义.
主要方法:
- 在多个数据库 (PubMed,Embase等) 进行系统的文献搜索. 截至 2022 年 5 月.
- 包括参与耐力运动的健康男性的研究,但不包括参加生育诊所的男性.
- 使用JBI关键评估工具进行偏差风险评估.
主要成果:
- 分析了13项涉及280名受试者的研究,重点是跑步者,骑自行车者和三项运动员.
- 虽然一些研究显示出具有统计意义的精液参数变化,但它们通常不具有临床相关性.
- 一个子集的研究表明了潜在的临床问题,注意到减少精子形态和增加DNA碎片化在骑自行车运动员和三项运动员.
结论:
- 耐力运动可能会对精液质量产生负面影响,尽管对男性生育能力的临床相关影响并不常见.
- 目前的证据受到包括的研究质量差的限制,需要进一步调查.
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