Nouri Mehran, Abdollahi Nooshin, Leilami Kimia, Shirani Mahsa
Students' Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Community Nutrition, School of Nutrition and Food Science, Shiraz University of Medical Sciences, Shiraz, Iran.
Int J Fertil Steril. 2022 Oct 1;16(4):310-319. doi: 10.22074/ijfs.2021.538675.1184.
Infertility is a major clinical problem that affects people psychologically and medically. For the past 40 years, studies have linked nearly 50% of childlessness to male infertility. It is worth noting that unlike other factors contributing to infertility, diet is a tunable factor and can be applied in counseling infertile men. The goal of this study was to determine the relationship between plant diet index (PDI) and semen parameters in Iranian infertile men.
In this cross-sectional study, dietary intake was determined by a valid 168-item questionnaire (FFQ). In this study, four dependent semen parameters, including total sperm motility (TSM), sperm concentration (SC), normal sperm morphology (NSM), and semen volume (SV) were measured.
Results of this study stated that greater adherence to the healthful plant-based diet index (hPDI), can significantly increase sperm density and motility in men, as well as greater adherence to the PDI dietary pattern is related to a lower risk of sperm volume deficiency, and ultimately more adherence to the unhealthful plant-based diet index (uPDI), can reduce the risk of sperm motility.
In this study, for the first time, the relationship between PDI, hPDI, uPDI and male infertility was evaluated. Altogether, this study demonstrated that nutrition has an impact on semen quality and fertility of men.
不孕症是一个重大的临床问题,会在心理和医学方面影响人们。在过去40年里,研究表明近50%的无子女情况与男性不育有关。值得注意的是,与导致不孕的其他因素不同,饮食是一个可调节的因素,可应用于为不育男性提供咨询。本研究的目的是确定伊朗不育男性的植物性饮食指数(PDI)与精液参数之间的关系。
在这项横断面研究中,通过一份有效的168项问卷(食物频率问卷)来确定饮食摄入量。在本研究中,测量了四个相关的精液参数,包括总精子活力(TSM)、精子浓度(SC)、正常精子形态(NSM)和精液量(SV)。
本研究结果表明,更多地遵循健康的植物性饮食指数(hPDI),可显著提高男性的精子密度和活力,而且更多地遵循PDI饮食模式与精液量不足风险较低有关,最终,更多地遵循不健康的植物性饮食指数(uPDI),会降低精子活力风险。
在本研究中,首次评估了PDI、hPDI、uPDI与男性不育之间的关系。总之,本研究表明营养对男性精液质量和生育能力有影响。