摘要
<b>Objectives:</b> To understand sperm motility in adults and its association with lifestyle in an ethnic minority area in Southwest China. </span></span><span lang="EN-US" style="white-space:normal;" "=""><b><span>Methods:</span></b><span> A hospital-based cross-sectional study to assess sperm motility in male adults was conducted at the Reproductive Health Center from January 2018 to May 2019. </span></span><span lang="EN-US" style="white-space:normal;" "="">The </span><span lang="EN-US" style="white-space:normal;" "="">dat</span><span lang="EN-US" style="white-space:normal;" "="">a</span><span lang="EN-US" style="white-space:normal;" "=""><span> was collected with a questionnaire and semen quality was analyzed with Computer-Aided Sperm Analysis system (CASA). Analysis of covariance (ANCOVA) was used to measure the relationship between lifestyle factors and sperm motility. </span></span><span lang="EN-US" style="white-space:normal;" "=""><span></span><b><span>Results:</span></b></span><span lang="EN-US" style="white-space:normal;" "=""><span> A total of 349 people were recruited. Dietary celery intake was significantly related to the increase of sperm progressive motility and total motility (</span><i><span>β</span></i><span> = 7.00, 95% CI: 1.59, 12.42 and </span><i><span>β</span></i><span> = 7.26, 95% CI: 1.45, 13.07, respectively). Cola consumption was associated with increased sperm progressive motility (</span><i><span>β</span></i><span> = 9.71, 95% CI: 1.46, 17.96). Frequent use of plastic bags for meat food storage (</span><i><span>β</span></i><span> = -5.56, 95% CI: -10.61, -0.51), industry work (</span><i><span>β</span></i><span> = -</span></span><span lang="EN-US" style="white-space:normal;" "="">5.64, 95% CI: -</span><span lang="EN-US" style="white-space:normal;" "="">11.21, -</span><span lang="EN-US" style="white-space:normal;" "=""><span>0.07), organic disease (</span><i><span>β</span></i><span> = -</span></span><span lang="EN-US" style="white-space:normal;" "="">6.14, 95% CI: -</span><span lang="EN-US" style="white-space:normal;" "="">11.00, -</span><span lang="EN-US" style="white-space:normal;" "=""><span>1.28) and sedentary lifestyle (</span><i><span>β</span></i><span> = -</span></span><span lang="EN-US" style="white-space:normal;" "="">5.92, 95% CI: -</span><span lang="EN-US" style="white-space:normal;" "="">10.66, -</span><span lang="EN-US" style="white-space:normal;" "="">1.17 for 3</span><span lang="EN-US" style="white-space:normal;" "="">-</span><span lang="EN-US" style="white-space:normal;" "=""><span>5 h/d and </span><i><span>β</span></i><span> = -</span></span><span lang="EN-US" style="white-space:normal;" "="">6.04, 95% CI: -</span><span lang="EN-US" style="white-space:normal;" "="">11.60, -</span><span lang="EN-US" style="white-space:normal;" "=""><span>0.47 for ≥5 h/d, respectively) were related with the decreased sperm progressive motility. Meanwhile, using plastic bags for meat food storage (</span><i><span>β</span></i><span> = -</span></span><span lang="EN-US" style="white-space:normal;" "="">6.37, 95% CI: -</span><span lang="EN-US" style="white-space:normal;" "="">11.79, -</span><span lang="EN-US" style="white-space:normal;" "=""><span>0.95), industry work (</span><i><span>β</span></i><span> = -</span></span><span lang="EN-US" style="white-space:normal;" "="">7.96, 95% CI: -</span><span lang="EN-US" style="white-space:normal;" "="">13.94, -</span><span lang="EN-US" style="white-space:normal;" "=""><span>1.98) and sedentary lifestyle (</span><i><span>β</span></i><span> = -</span></span><span lang="EN-US" style="white-space:normal;" "="">5.51, 95% CI: -</span><span lang="EN-US" style="white-space:normal;" "="">10.60, -</span><span lang="EN-US" style="white-space:normal;" "="">0.42 for 3-</span><span lang="EN-US" style="white-space:normal;" "=""><span>5 h/d and </span><i><span>β</span></i><span> = -</span></span><span lang="EN-US" style="white-space:normal;" "="">6.03, 95% CI: -</span><span lang="EN-US" style="white-space:normal;" "="">12.01, -</span><span lang="EN-US" style="white-space:normal;" "=""><span>0.06 for ≥5 h/d, respectively) were also risk factors for total motility. </span></span><span lang="EN-US" style="white-space:normal;" "=""><span></span><b><span>Conclusions:</span></b></span><span lang="EN-US" style="white-space:normal;" "=""><span> Some modifiable lifestyle factors such as job title, cola consumption, dietary celery intake, plastic bags for meat food storage</span></span><span lang="EN-US" style="white-space:normal;" "="">,</span><span lang="EN-US" style="white-space:normal;" "=""> and sedentary hours were linked to male sperm motility, indicating that changing these lifestyles may improve it.</span>
<b>Objectives:</b> To understand sperm motility in adults and its association with lifestyle in an ethnic minority area in Southwest China. </span></span><span lang="EN-US" style="white-space:normal;" "=""><b><span>Methods:</span></b><span> A hospital-based cross-sectional study to assess sperm motility in male adults was conducted at the Reproductive Health Center from January 2018 to May 2019. </span></span><span lang="EN-US" style="white-space:normal;" "="">The </span><span lang="EN-US" style="white-space:normal;" "="">dat</span><span lang="EN-US" style="white-space:normal;" "="">a</span><span lang="EN-US" style="white-space:normal;" "=""><span> was collected with a questionnaire and semen quality was analyzed with Computer-Aided Sperm Analysis system (CASA). Analysis of covariance (ANCOVA) was used to measure the relationship between lifestyle factors and sperm motility. </span></span><span lang="EN-US" style="white-space:normal;" "=""><span></span><b><span>Results:</span></b></span><span lang="EN-US" style="white-space:normal;" "=""><span> A total of 349 people were recruited. Dietary celery intake was significantly related to the increase of sperm progressive motility and total motility (</span><i><span>β</span></i><span> = 7.00, 95% CI: 1.59, 12.42 and </span><i><span>β</span></i><span> = 7.26, 95% CI: 1.45, 13.07, respectively). Cola consumption was associated with increased sperm progressive motility (</span><i><span>β</span></i><span> = 9.71, 95% CI: 1.46, 17.96). Frequent use of plastic bags for meat food storage (</span><i><span>β</span></i><span> = -5.56, 95% CI: -10.61, -0.51), industry work (</span><i><span>β</span></i><span> = -</span></span><span lang="EN-US" style="white-space:normal;" "="">5.64, 95% CI: -</span><span lang="EN-US" style="white-space:normal;" "="">11.21, -</span><span lang="EN-US" style="white-space:normal;" "=""><span>0.07), organic disease (</span><i><span>β</span></i><span> = -</span></span><span lang="EN-US" style="white-space:normal;" "="">6.14, 95% CI: -</span><span lang="EN-US" style="white-space:normal;" "="">11.00, -</span><span lang="EN-US" style="white-space:normal;" "=""><span>1.28) and sedentary lifestyle (</span><i><span>β</span></i><span> = -</span></span><span lang="EN-US" style="white-space:normal;" "="">5.92, 95% CI: -</span><span lang="EN-US" style="white-space:normal;" "="">10.66, -</span><span lang="EN-US" style="white-space:normal;" "="">1.17 for 3</span><span lang="EN-US" style="white-space:normal;" "="">-</span><span lang="EN-US" style="white-space:normal;" "=""><span>5 h/d and </span><i><span>β</span></i><span> = -</span></span><span lang="EN-US" style="white-space:normal;" "="">6.04, 95% CI: -</span><span lang="EN-US" style="white-space:normal;" "="">11.60, -</span><span lang="EN-US" style="white-space:normal;" "=""><span>0.47 for ≥5 h/d, respectively) were related with the decreased sperm progressive motility. Meanwhile, using plastic bags for meat food storage (</span><i><span>β</span></i><span> = -</span></span><span lang="EN-US" style="white-space:normal;" "="">6.37, 95% CI: -</span><span lang="EN-US" style="white-space:normal;" "="">11.79, -</span><span lang="EN-US" style="white-space:normal;" "=""><span>0.95), industry work (</span><i><span>β</span></i><span> = -</span></span><span lang="EN-US" style="white-space:normal;" "="">7.96, 95% CI: -</span><span lang="EN-US" style="white-space:normal;" "="">13.94, -</span><span lang="EN-US" style="white-space:normal;" "=""><span>1.98) and sedentary lifestyle (</span><i><span>β</span></i><span> = -</span></span><span lang="EN-US" style="white-space:normal;" "="">5.51, 95% CI: -</span><span lang="EN-US" style="white-space:normal;" "="">10.60, -</span><span lang="EN-US" style="white-space:normal;" "="">0.42 for 3-</span><span lang="EN-US" style="white-space:normal;" "=""><span>5 h/d and </span><i><span>β</span></i><span> = -</span></span><span lang="EN-US" style="white-space:normal;" "="">6.03, 95% CI: -</span><span lang="EN-US" style="white-space:normal;" "="">12.01, -</span><span lang="EN-US" style="white-space:normal;" "=""><span>0.06 for ≥5 h/d, respectively) were also risk factors for total motility. </span></span><span lang="EN-US" style="white-space:normal;" "=""><span></span><b><span>Conclusions:</span></b></span><span lang="EN-US" style="white-space:normal;" "=""><span> Some modifiable lifestyle factors such as job title, cola consumption, dietary celery intake, plastic bags for meat food storage</span></span><span lang="EN-US" style="white-space:normal;" "="">,</span><span lang="EN-US" style="white-space:normal;" "=""> and sedentary hours were linked to male sperm motility, indicating that changing these lifestyles may improve it.</span>
作者
Linfeng Mo
Junyi Tang
Jia Liu
Liangzhao Liu
Jingyu Li
Yonghua He
Linfeng Mo;Junyi Tang;Jia Liu;Liangzhao Liu;Jingyu Li;Yonghua He(Department of Epidemiology and Statistics, School of Public Health, Guilin Medical University, Guilin, China;Reproductive Health Center, Liuzhou Maternity and Child Healthcare Hospital, Liuzhou, China)