摘要
Objectives: To understand sperm motility in adults and its association with lifestyle in an ethnic minority area in Southwest China. <span lang="EN-US" style="white-space:normal;" "="">Methods: 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 lang="EN-US" style="white-space:normal;" "="">The <span lang="EN-US" style="white-space:normal;" "="">dat<span lang="EN-US" style="white-space:normal;" "="">a<span lang="EN-US" style="white-space:normal;" "=""> 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 lang="EN-US" style="white-space:normal;" "="">Results:<span lang="EN-US" style="white-space:normal;" "=""> A total of 349 people were recruited. Dietary celery intake was significantly related to the increase of sperm progressive motility and total motility (β = 7.00, 95% CI: 1.59, 12.42 and β = 7.26, 95% CI: 1.45, 13.07, respectively). Cola consumption was associated with increased sperm progressive motility (β = 9.71, 95% CI: 1.46, 17.96). Frequent use of plastic bags for meat food storage (β = -5.56, 95% CI: -10.61, -0.51), industry work (β = -<span lang="EN-US" style="white-space:normal;" "="">5.64, 95% CI: -<span lang="EN-US" style="white-space:normal;" "="">11.21, -<span lang="EN-US" style="white-space:normal;" "="">0.07), organic disease (β = -<span lang="EN-US" style="white-space:normal;" "="">6.14, 95% CI: -<span lang="EN-US" style="white-space:normal;" "="">11.00, -<span lang="EN-US" style="white-space:normal;" "="">1.28) and sedentary lifestyle (β = -<span lang="EN-US" style="white-space:normal;" "="">5.92, 95% CI: -<span lang="EN-US" style="white-space:normal;" "="">10.66, -<span lang="EN-US" style="white-space:normal;" "="">1.17 for 3<span lang="EN-US" style="white-space:normal;" "="">-<span lang="EN-US" style="white-space:normal;" "="">5 h/d and β = -<span lang="EN-US" style="white-space:normal;" "="">6.04, 95% CI: -<span lang="EN-US" style="white-space:normal;" "="">11.60, -<span lang="EN-US" style="white-space:normal;" "="">0.47 for ≥5 h/d, respectively) were related with the decreased sperm progressive motility. Meanwhile, using plastic bags for meat food storage (β = -<span lang="EN-US" style="white-space:normal;" "="">6.37, 95% CI: -<span lang="EN-US" style="white-space:normal;" "="">11.79, -<span lang="EN-US" style="white-space:normal;" "="">0.95), industry work (β = -<span lang="EN-US" style="white-space:normal;" "="">7.96, 95% CI: -<span lang="EN-US" style="white-space:normal;" "="">13.94, -<span lang="EN-US" style="white-space:normal;" "="">1.98) and sedentary lifestyle (β = -<span lang="EN-US" style="white-space:normal;" "="">5.51, 95% CI: -<span lang="EN-US" style="white-space:normal;" "="">10.60, -<span lang="EN-US" style="white-space:normal;" "="">0.42 for 3-<span lang="EN-US" style="white-space:normal;" "="">5 h/d and β = -<span lang="EN-US" style="white-space:normal;" "="">6.03, 95% CI: -<span lang="EN-US" style="white-space:normal;" "="">12.01, -<span lang="EN-US" style="white-space:normal;" "="">0.06 for ≥5 h/d, respectively) were also risk factors for total motility. <span lang="EN-US" style="white-space:normal;" "="">Conclusions:<span lang="EN-US" style="white-space:normal;" "=""> Some modifiable lifestyle factors such as job title, cola consumption, dietary celery intake, plastic bags for meat food storage<span lang="EN-US" style="white-space:normal;" "="">,<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.
Objectives: To understand sperm motility in adults and its association with lifestyle in an ethnic minority area in Southwest China. <span lang="EN-US" style="white-space:normal;" "="">Methods: 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 lang="EN-US" style="white-space:normal;" "="">The <span lang="EN-US" style="white-space:normal;" "="">dat<span lang="EN-US" style="white-space:normal;" "="">a<span lang="EN-US" style="white-space:normal;" "=""> 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 lang="EN-US" style="white-space:normal;" "="">Results:<span lang="EN-US" style="white-space:normal;" "=""> A total of 349 people were recruited. Dietary celery intake was significantly related to the increase of sperm progressive motility and total motility (β = 7.00, 95% CI: 1.59, 12.42 and β = 7.26, 95% CI: 1.45, 13.07, respectively). Cola consumption was associated with increased sperm progressive motility (β = 9.71, 95% CI: 1.46, 17.96). Frequent use of plastic bags for meat food storage (β = -5.56, 95% CI: -10.61, -0.51), industry work (β = -<span lang="EN-US" style="white-space:normal;" "="">5.64, 95% CI: -<span lang="EN-US" style="white-space:normal;" "="">11.21, -<span lang="EN-US" style="white-space:normal;" "="">0.07), organic disease (β = -<span lang="EN-US" style="white-space:normal;" "="">6.14, 95% CI: -<span lang="EN-US" style="white-space:normal;" "="">11.00, -<span lang="EN-US" style="white-space:normal;" "="">1.28) and sedentary lifestyle (β = -<span lang="EN-US" style="white-space:normal;" "="">5.92, 95% CI: -<span lang="EN-US" style="white-space:normal;" "="">10.66, -<span lang="EN-US" style="white-space:normal;" "="">1.17 for 3<span lang="EN-US" style="white-space:normal;" "="">-<span lang="EN-US" style="white-space:normal;" "="">5 h/d and β = -<span lang="EN-US" style="white-space:normal;" "="">6.04, 95% CI: -<span lang="EN-US" style="white-space:normal;" "="">11.60, -<span lang="EN-US" style="white-space:normal;" "="">0.47 for ≥5 h/d, respectively) were related with the decreased sperm progressive motility. Meanwhile, using plastic bags for meat food storage (β = -<span lang="EN-US" style="white-space:normal;" "="">6.37, 95% CI: -<span lang="EN-US" style="white-space:normal;" "="">11.79, -<span lang="EN-US" style="white-space:normal;" "="">0.95), industry work (β = -<span lang="EN-US" style="white-space:normal;" "="">7.96, 95% CI: -<span lang="EN-US" style="white-space:normal;" "="">13.94, -<span lang="EN-US" style="white-space:normal;" "="">1.98) and sedentary lifestyle (β = -<span lang="EN-US" style="white-space:normal;" "="">5.51, 95% CI: -<span lang="EN-US" style="white-space:normal;" "="">10.60, -<span lang="EN-US" style="white-space:normal;" "="">0.42 for 3-<span lang="EN-US" style="white-space:normal;" "="">5 h/d and β = -<span lang="EN-US" style="white-space:normal;" "="">6.03, 95% CI: -<span lang="EN-US" style="white-space:normal;" "="">12.01, -<span lang="EN-US" style="white-space:normal;" "="">0.06 for ≥5 h/d, respectively) were also risk factors for total motility. <span lang="EN-US" style="white-space:normal;" "="">Conclusions:<span lang="EN-US" style="white-space:normal;" "=""> Some modifiable lifestyle factors such as job title, cola consumption, dietary celery intake, plastic bags for meat food storage<span lang="EN-US" style="white-space:normal;" "="">,<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.
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)