甲状腺体暴露会降低人类精液质量吗? 一个系统的审查和元分析
Roland Eghoghosoa Akhigbe1,2, Precious Adeoye Oyedokun1,2, Tunmise Maryanne Akhigbe2,3
1Department of Physiology, Ladoke Akintola University of Technology, Ogbomoso, Nigeria.
Frontiers in toxicology
|June 26, 2024
概括
甲状腺杀虫剂可能会对男性生育能力产生负面影响,研究显示精子运动和数量减少. 需要进一步的研究来了解这些影响在不同的暴露水平和人群.
科学领域:
- 环境健康 环境健康
- 毒理学 毒理学 毒理学
- 生殖医学 生殖医学
背景情况:
- 作为广泛使用的杀虫剂,甲酸具有潜在的毒性风险,包括精子毒性.
- 现有的关于铁类药物对精液质量影响的研究是相互矛盾的,需要进一步调查.
研究的目的:
- 系统地审查和元分析甲状腺暴露对人类精子质量的影响.
- 评估铁类药物对男性生殖健康指标的全球影响.
主要方法:
- 按照PRISMA指南进行的系统审查和元分析.
- 基于PECO框架的资格标准;使用OHAT和GRADE工具评估偏差风险.
- 使用Review Manager (RevMan) 对12项符合条件的研究进行了定量元分析,涉及2,050名男性受试者.
主要成果:
- 甲状腺暴露与精子运动率的降低有显著关联.
- 观察到特定区域的影响:波兰和美国的精子运动率下降,日本的精子数量下降.
- 在波兰和美国之间注意到对精子度的不一致影响.
结论:
- 铁类药物对精子运动,数量和度有潜在的不良影响.
- 不一致的证据凸显了进一步研究的必要性,特别是前性队列或受控横截面研究.
- 未来的研究应该集中在不同的暴露水平上,以更好地评估甲状腺诱导的精子毒性.
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