ارتباط چاقی و اسپرموگرام در مردان با ناباروری ایدیوپاتیک

نوع مقاله: اصیل پژوهشی

نویسندگان

1 دانشجو دکتری بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شاهرود، شاهرود، ایران. مربی گروه مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران.

2 دانشیار گروه مامایی و بهداشت باروری، مرکز تحقیقات مراقبت‌های پرستاری و مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران.

3 دانشیار گروه مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران.

4 استاد گروه پژوهشی سلامت جامعه، مرکز تحقیقات سنجش سلامت، پژوهشکده علوم بهداشتی جهاد دانشگاهی، تهران، ایران.

5 استاد گروه زنان و مامایی، پژوهشکده سلامت خانواده، مرکز تحقیقات بهداشت باروری ولی عصر، دانشکده پزشکی، دانشگاه علوم پزشکی تهران، تهران، ایران.

6 مربی گروه مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران.

7 کارشناس ارشد مامایی، مرکز باروری و ناباروری نوین کیان، تهران، ایران.

چکیده

مقدمه:از آنجا که ناباروری، کیفیت زندگی و حتی روابط زوجین را تحت تأثیر قرار می‌دهد، تشخیص متغیرهای مؤثر بر قدرت باروری از اهمیت ویژه‌ای برخوردار است. یکی از این موارد، چاقی مردان و ارتباط آن با ناباروری است. با توجه به متناقض بودن نتایج حاصل از مطالعات مختلف، مطالعه حاضر با هدف بررسی ارتباط شاخص توده بدنی با کیفیت پارامترهای اسپرم آنالیز انجام شد.
روش‌کار: این مطالعه مقطعی در سال 95-1394 بر روی 200 نفر از همسران زنان مراجعه‌کننده به کلینیک ناباروری ولیعصر شهر تهران و دارای معیارهای ورود به مطالعه انجام گرفت. اطلاعات فردی قد، وزن و نتایج اسپرم آنالیز نمونه‌های واجد شرایط وارد پرسشنامه محقق ساخته شد. تجزیه و تحلیل داده­ها با استفاده از نرم‌افزار آماری SPSS (نسخه 18) و آزمون کای دو انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: بیش از 77 نفر (5/38%) از افراد شرکت‌کننده در مطالعه در گروه شاخص توده بدنی نرمال، 94 نفر (47%) در گروه دارای اضافه وزن و 29 نفر (5/14%) در گروه افراد چاق قرار گرفتند. بر اساس نتایج مطالعه، ارتباط معنی‌داری بین شمارش اسپرم، تحرک و شکل اسپرم و شاخص توده بدنی در سه گروه طبقه مردان بر حسب شاخص توده بدنی مشاهده نشد (05/0p>).
نتیجه‌گیری: بین شاخص توده بدنی در سه گروه طبقه‌بندی شده مردان (بر حسب شاخص توده بدنی)، با فاکتورهای اسپرم آنالیز شامل شمارش اسپرم، تحرک و شکل اسپرم­ها ارتباط معناداری وجود ندارد.

کلیدواژه‌ها


عنوان مقاله [English]

Relationship between obesity and sperm parameters in men with idiopathic infertility

نویسندگان [English]

  • Mozhgan Hashemzadeh 1
  • Ziba Tagizadeh 2
  • Zahra Behboodi Mogadam 3
  • Ali Montazeri 4
  • Batool Rashidi 5
  • Mehri Shams 6
  • Mina Farokhi 7
1 PhD student of Reproductive Health, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran. Instructor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
2 Associate professor, Department of Midwifery and Reproductive Health, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
3 Associate professor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
4 Professor, Department of Community Health Research, Health Research Center, Health Research Institute, Jihad University, Tehran, Iran.
5 Professor, Department of Obstetrics and Gynecology, Family Health Research Center, Vali-e Asr Reproductive Health Research Center, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
6 Instructor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
7 M.Sc. of Midwifery, Novin Kian Fertility and Infertility Center, Tehran, Iran.
چکیده [English]

Introduction: Since infertility affects quality of life and even couples' relationships, it is important to identify the variables affecting fertility. One of these cases is obesity in men and its relationship with infertility. Regarding the contradictory results of various studies, this study was conducted with aim to determine the relationship between body mass index and quality of sperm parameters.
Methods: This cross-sectional study was performed on 200 women's husbands with inclusion criteria who referred to Infertility Clinic of Vali-e-Asr Tehran in 2015-2016. Individual data, height, weight and sperm results of the subjects were entered to the researcher-made questionnaire. Data were analyzed using SPSS (version 18) and Chi-square test. P<0.05 was considered statistically significant.
Results: More than 38.5% (n=77) of participant were in the normal BMI group. 47% (n=94) were overweight and 14.5% (n=29) were in the obese group. Based on the results, there was no significant relationship between sperm counts, sperm motility and sperm shape and BMI in the three groups of men based on BMI (p> 0.05).
Conclusion: There is no significant relationship between BMI in three groups of men (based on BMI), with sperm analyses factors including sperm counts, sperm motility and sperm shape.

کلیدواژه‌ها [English]

  • Infertility
  • BMI
  • Sperm analysis
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