精子度在肥沃的美国男性中保持稳定:系统性审查和元分析
Kieran Lewis1, Rossella Cannarella1, Fangzhou Liu2
1Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio.
Fertility and sterility
|August 11, 2024
概括
全球对精子数量下降的担忧没有得到这项美国研究的支持. 对1970-2018年数据的分析发现,在没有已知的不孕症的男性中,精子度没有显著下降.
科学领域:
- 生殖健康 生殖健康
- 安德罗学与人类学
- 流行病学 流行病学
背景情况:
- 全球研究表明,精子度和男性生育能力下降.
- 关于研究人口,方法,生育状况和地理区域的先前的元分析存在显著的异质性.
研究的目的:
- 对精子度的时间趋势进行系统审查和元分析.
- 专门分析来自美国生育能力强的男性和不被选中生育能力强的男性的数据.
主要方法:
- 在Scopus和PubMed (1970-2023) 的文献搜索和评论引用.
- 包括包含原始数据的关于美国男性未知不孕症精子度的研究.
- 权衡的通用线性模型来评估精子度趋势,根据生育状况和美国地区进行子组分析.
主要成果:
- 58项研究 (75个独特人群,11,787名男性) 符合纳入标准.
- 总体上 (1970-2018) 没有观察到精子度的显著变化.
- 在调整区域和生育状况时,观察到 -0.35万/毫升的温和统计学上显著的年度下降;然而,子组分析显示区域或生育状况没有显著变化.
结论:
- 这些发现与全球研究形成鲜明对比,表明在美国男性人口中精子度没有临床显著下降.
- 对男性生育指标的广泛,快速下降提供了保证.
- 为了全面了解男性生殖健康趋势,需要进一步的研究.
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