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自我报告的男性不育与代谢紊乱:一项横断面研究。

Self-reported Male Infertility and Metabolic Disturbance: A Cross-Sectional Study.

作者信息

Farhadi-Azar Mahbanoo, Saei Ghare Naz Marzieh, Ghahremani Mehrdad, Mousavi Maryam, Azizi Fereidoun, Ramezani Tehrani Fahimeh

机构信息

Reproductive Endocrinology Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Education Program in Reproduction and Development, Department of Obstetrics and Gynecology, Monash University, Melbourne, VIC, Australia.

出版信息

Int J Endocrinol Metab. 2023 Apr 29;21(2):e134895. doi: 10.5812/ijem-134895. eCollection 2023 Apr.

Abstract

BACKGROUND

Male infertility is a growing health problem. It is proposed that infertility is associated with some metabolic abnormalities.

OBJECTIVES

This study aimed to examine the prevalence of self-reported male infertility and related metabolic disturbances.

METHODS

This is a cross-sectional analysis of the Tehran Lipid and Glucose Study (TLGS). A total of 1526 males participated in the study. Logistic regression was used to examine metabolic factors associated with self-reported male infertility.

RESULTS

The total prevalence of self-reported male infertility was 6.42%. The mean (SD) body mass index (BMI) of participants among fertile and infertile males was 26.80 (3.93) and 26.92 (4.36), respectively. The majority of participants in both groups were in the age group of 40-50 years old. In the fully adjusted model, the odds of infertility were significantly increased by each unit increase in total cholesterol [TC; odds ratio (OR), 1.01; 95% CI, 1.01 - 1.01; P = 0.03] and hip circumference (HC; OR, 1.06; 95% CI, 1.00 - 1.12; P = 0.02), respectively.

CONCLUSIONS

The prevalence of self-reported male infertility was 6.42%. Male infertility was positively associated with TC and HC, indicating that knowledge about these risks might assist health care professionals and governments in developing and executing measures to change the status quo.

摘要

背景

男性不育是一个日益严重的健康问题。有人提出,不育与一些代谢异常有关。

目的

本研究旨在调查自我报告的男性不育症患病率及相关代谢紊乱情况。

方法

这是对德黑兰血脂与血糖研究(TLGS)的横断面分析。共有1526名男性参与了该研究。采用逻辑回归分析与自我报告的男性不育相关的代谢因素。

结果

自我报告的男性不育症总患病率为6.42%。有生育能力和不育男性参与者的平均(标准差)体重指数(BMI)分别为26.80(3.93)和26.92(4.36)。两组中的大多数参与者年龄在40至50岁之间。在完全调整模型中,总胆固醇[TC;比值比(OR),1.01;95%置信区间(CI),1.01 - 1.01;P = 0.03]和臀围(HC;OR,1.06;95% CI,1.00 - 1.12;P = 0.02)每增加一个单位,不育的几率分别显著增加。

结论

自我报告的男性不育症患病率为6.42%。男性不育与总胆固醇和臀围呈正相关,这表明了解这些风险可能有助于医疗保健专业人员和政府制定并实施改变现状的措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2281/10467580/386df88b0c3e/ijem-21-2-134895-i001.jpg

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