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Effectiveness of non-pharmaceutical intervention on sperm quality: a systematic review and network meta-analysis

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机构: [1]Shenzhen Traditional Chinese Medicine Hospital, Guangdong 518000, China [2]The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Guangdong 518000, China
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关键词: male infertility sperm quality non-pharmaceutical interventions effectiveness network meta-analysis

摘要:
Infertility affects about 10% of the world's population and has been recognized by the WHO as a global public health problem. The aim of this network meta-analysis was to investigate the efficacy of non-pharmaceutical interventions on sperm quality. All randomized clinical trials (RCTs) from the PubMed, MEDLINE, Embase, China national knowledge infrastructure (CNKI), Wanfang database, and Cochrane Library databases evaluating the effectiveness of non-pharmaceutical interventions on semen parameters using network meta-analyses. Results of the ω-3 fatty acid, lycopene, acupuncture, and vitamin suggested evident advantages in improving sperm concentration (MD, 9.93 (95% CI, 7.21 to 12.65)), (MD, 8.79 (95% CI, 2.67 to 14.91)), (MD, 5.40 (95% CI, 2.32 to 8.49)) and (MD, 3.82 (95% CI, 0.70 to 6.94) respectively). Acupuncture has a significant advantage over placebo in improving sperm total motility (MD, 17.81 (95% CI, 10.32 to 25.29)), and the effect of lycopene was obviously greater than that of placebo (MD, 19.91 (95% CI, 2.99 to 36.83)). Lycopene, Coenzyme Q10 (CoQ10), acupuncture, ω-3 fatty acid, and vitamin suggested significant advantages in improving sperm forward motility (MD, 8.64 (95% CI, 1.15 to 16.13), MD, 5.28 (95% CI, 2.70 to 7.86), MD, 3.95 (95% CI, 3.23 to 4.67), MD, 3.50 (95% CI, 2.21 to 4.79)) and (MD, 2.38 (95% CI, 0.96 to 3.80) respectively). This review establishes that non-pharmaceutical interventions, particularly acupuncture, exercise, lycopene, ω-3 fatty acids, CoQ10, zinc, vitamins, selenium, carnitine, or foods rich in these supplements, profitably improve sperm quality that may be used to treat male infertility.

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出版当年[2022]版:
大类 | 2 区 医学
小类 | 3 区 老年医学 3 区 细胞生物学
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出版当年[2021]版:
Q2 CELL BIOLOGY Q2 GERIATRICS & GERONTOLOGY
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Q2 CELL BIOLOGY Q2 GERIATRICS & GERONTOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

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第一作者机构: [1]Shenzhen Traditional Chinese Medicine Hospital, Guangdong 518000, China [2]The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Guangdong 518000, China
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通讯机构: [1]Shenzhen Traditional Chinese Medicine Hospital, Guangdong 518000, China [2]The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Guangdong 518000, China
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