关于夜班工作与男性工人生殖功能之间的关联的研究:系统性审查和元分析
Ankit Viramgami1, Rakesh Balachandar1, Bhavani Shankara Bagepally2
1ICMR - National Institute of Occupational Health, Ahmedabad, India.
Endocrine
|January 20, 2025
概括
夜班工作可能会对男性生殖健康产生负面影响,可能会降低精子数量. 需要进一步的研究来证实这些影响,并为卫生政策提供信息.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 职业健康 职业健康 职业健康
- 时间生物学 时间生物学
背景情况:
- 对夜班工作对男性生殖健康的影响越来越感兴趣.
- 生殖健康受 hypothalamic-pituitary-gonadal 轴和昼夜节律的调节.
研究的目的:
- 系统地审查和元分析夜班工作与男性生殖健康结果之间的关联.
主要方法:
- 按照PRISMA 2020指南进行系统审查和元分析.
- 在PubMed,Scopus和EMBASE搜索了关于夜班工人与非轮班工人的男性生殖参数研究.
- 评估异质性,偏差风险,并进行敏感性分析.
主要成果:
- 包括八项研究;夜班工人显示精子数量较低 (综合平均差异-18.38 × 10^6精子).
- 轮班工人血清丸激素水平略高 (综合平均差异为15 ng/dL).
- 大多数研究在参与者选择,可比性和暴露评估方面存在高偏差风险.
结论:
- 夜班工作可能会影响精子参数和荷尔蒙水平.
- 在包含的研究中存在偏差的高风险需要谨慎的解释.
- 未来的研究需要标准化的方法和更大的样本来澄清昼夜干扰对男性生殖健康的影响.
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