环境温度和女性不育率:基于2019年全球疾病负担研究的生态研究
Jiahua Qian1,2, Yuhe Si1,2, Yihao Chen3
1Department of Nephrology, the First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, 310006, Zhejiang, China.
Reproductive biology and endocrinology : RB&E
|February 22, 2025
概括
全球气温上升与女性不孕率的增加有关. 这项研究发现了U形关系,较高的温度与更高的不孕不育率相关.
科学领域:
- 环境健康 环境健康
- 生殖健康 生殖健康
- 气候变化的影响 气候变化的影响
背景情况:
- 气候变化对人类健康产生重大影响,但其对女性不孕症的具体影响仍未得到充分研究.
- 现有的知识差距凸显了研究影响生殖健康的环境因素的必要性.
研究的目的:
- 检查环境温度波动与全球女性不孕症的流行之间的联系.
- 预测温度变化对女性不孕率的未来影响.
主要方法:
- 一项生态研究分析了来自174个国家的2000-2019年的关于女性不孕症患病率和温度的数据.
- 利用全球疾病负担,ERA5和CMIP6数据库来获取温度和不孕症数据.
- 采用受限立方斜线曲线和线性混合效应模型来评估温度-不孕症关联,并预测未来的趋势.
主要成果:
- 在温度和女性不孕不育的年龄标准化流行率 (ASPR) 之间确定了U形关系,最低的率在15°C.
- 增加的温度变化 (温度偏差百分比) 与更高的ASPR (调整后β:78.952,95%CI:10.514,147.710) 有显著的积极关联.
- 预计未来的温度上升预计将进一步提高女性不孕症的ASPR.
结论:
- 全球温度变化可能与女性不孕症的流行率增加有关.
- 环境温度是生殖健康研究和公共卫生战略中需要考虑的关键因素.
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