FEATURES OF ACTUAL NUTRITION AND THEIR RELATIONSHIP WITH CHARACTERISTICS OF THE SEMEN INDICES IN MEN WITH IDIOPATHIC INFERTILITY: THE POTENTIAL OF ALIMENTARY PREVENTION AND CORRECTION
Introduction. A sterile marriage is one of the key medical and demographic and social problems. In recent years, the specific weight of the male factor in infertile marriage has increased substantially. Male infertility occurs in 50% of infertile marriages and has a multifactorial genesis of disorders, including idiopathic infertility, accounting for 30 to 75% of male infertility, according to different authors. Among the risk factors for idiopathic infertility nutrition is actively studied. Material and methods. The subjects of the study were men (n = 36), with an established diagnosis of idiopathic infertility, the average age of the respondents was 34 years (95% CI 29.5 ÷ 38.49). Fertility was assessed by clinical and laboratory methods (sperm analysis). The study of the actual nutrition was conducted by methods of analyzing the frequency of food consumption and daily reproduction of nutrition. The data were evaluated using nonparametric methods, the capabilities of the Microsoft Excel and STATISTICA-6 package were used. Results. The evaluation of the actual nutrition and the analysis of the correlation of nutrient intake with the characteristics of male sperm with the established diagnosis of “idiopathic infertility” were carried out. The nutrition of this population group is irrational, the imbalance of energy consumption, basic nutrients, macro - and micronutrients, significant deviations from the recommended values of consumption is established. Discussion. Correlations between qualitative and quantitative indicators of the composition of the semen and the level of consumption of essential nutrients have been established. Potential food risk factors for male infertility have been identified (insufficient intake of folate, vitamin PP, vitamin D, vitamin A, linolenic acid, phospholipids, biotin, choline, dietary fiber). Сonclusion. Men diagnosed with idiopathic infertility have a number of food imbalances. Taking into account the revealed correlations of the level of consumption of certain groups of food products and nutrients with qualitative and quantitative indicators of ejaculate, one can speak about the prospects of further studies in this direction on more representative groups.
About the authorsYunatskaya Tatyana A.
Bogolyubov V.M., Ponomarenko G.N. General physiotherapy. St. Petersburg; 1998 (in Russian).
Bozhedomov V.A., Semenov A.V., Konyshev A.V., Lipatova N.A., Pacanovskaya G.M., Bozhedomova G.E., Tret’yakov A.V. Reproductive function of men with chronic prostatitis: clinical and anamnestic and microbiological aspects. Urologiya [Urology]. 2015; (1): 70-8 (in Russian).
Kalinchenko S.Yu., Tyuzikov I.A. Practical andrology. Moscow: Prakticheskaya medicina. 2009. (in Russian).
Lopukhin Yu.M. Efferent methods in medicine (Theoretical and clinical aspects of extracorporeal methods of treatment). Moscow: Medicine; 1989 (in Russian).
Neimark A.I., Aliev R.T., Klepikova I.I. et al. Efficiency of vibrothermomagnetic effects on the perineum with the AVIM-1 apparatus in the treatment of chronic abacterial prostatitis/ chronic pelvic pain syndrome. Urologiya [Urology]. 2009; (4): 40-4 (in Russian).
Neimark A.I., Neimark B.A. Afferent and quantum therapy in urology. MIA. 2003. (in Russian)
Nishlag E., Ber G.M. Andrology. Men’s health and dysfunction of the reproductive system. Moscow: MIA, 2005, 450 p. (in Russian)
WHO guidelines on research and treatment of human ejaculate. 5th ed. Trans. with English. Makarova N.P., Kurilo L.F. Moscow: Kapital print, 2012. 291 p. (in Russian)
WHO Guidelines for the Standardized Survey and Diagnosis of Infertile Couples, 2000 (in Russian).
Seidov K.S., Asfandiyarov F.R., Miroshnikov V.M. Optimization of therapeutic algorithms in subfertile men with viscosity and astenozoospermia caused by chronic prostatitis. Astrahanskij medicinskij zhurnal [Astrakhan Medical Journal]. 2017; 12 (2): 104-11 (in Russian)
Sukhikh G.T., Bozhedomov V.A. Male infertility. 2008, 240 p. (in Russian)
Sukhikh G.T., Nazarenko T.A. Infertile marriage. Modern approaches to diagnosis and treatment: a guide. Moscow. GEOTAR-Media, 2010 (in Russian).
Ter-Avanesov G.V. Problems of male reproductive health. Moscow, NC AGiP RAMN, 2004 (in Russian).
Turchaninov D.V., Vilms E.A., Turchaninova M.S. Infringements of structure of a food of the population of Western Siberia as the risk factor of formation of illnesses of system of a circulation. Profilakticheskaya i klinicheskaya medicina [Preventive and clinical medicine]. 2013; 47 (2): 56-61 (in Russian).
Turchaninov D.V., Vilms E.A., Boyarskaya L.A., Turchaninova M.S. The impact of nutrition and lifestyle on public health. Pishchevaya promyshlennost’ [Food industry]. 2015; (1): 8-11 (in Russian).
Ulaschik V.S., Lukomsky I.V. Fundamentals of general physiotherapy. Minsk; Vitebsk; 1997 (in Russian).
Shirlina N.G., Stasenko V.L., Vjushkov D.M., Leonov O.V. The main directions of improving the prevention of breast cancer in the Omsk region. Sovremennye problemy nauki i obrazovaniya [Modern problems of science and education]. 2015; (2-1). URL: http://www.science-education.ru/en/article/view?id=19203 (reference date: 06/09/2018) (in Russian).
Logvinov L.A., Kumachev K.V., Vinogradov I.V., Vinogradova L.M., Gabliya M.Yu., Dendeberov E.S. Efficacy and safety of levofloxacin 750 mg (Haileflex) in the treatment of chronic prostatitis. Andrologiya i genital’naya hirurgiya [Andrology and Genital Surgery]. 2013; (1): 64-8 (in Russian).
Yunatskaya T.A., Turchaninova M.S., Kostina N.N. Hygienic assessment of nutrition of vegetarians and persons with mixed nutrition. Gigiena i sanitariya [Hygiene and Sanitation, Russian journal]. 2015; 94 (9): 72-5 (in Russian).
Ahmadi et al. Antioxidant supplements and semen parameters: An evidence based review. International Journal of Reproductive BioMedicine. 2016; 14 (12): 729-36.
Alshahrani S., McGill J., Agarwal A. Prostatitis and male infertility. J Reprod Immunol. 2013; 100 (1): 30-6.
Chavarro J.E., Furtado J., Toth T.L., et al. Trans-fatty acid levels in sperm are associated with sperm concentration among men from an infertility clinic. Fertil Steril. 2011; 95 (1): 794-7.
Eskenazi B., Kidd S., Marks A., Sloter E., Block G., Wyrobek A. Antioxidant intake is associated with semen quality in healthy men. Hum Reprod. 2005; 20 (4): 1006-12.
Male Infertility. Guidelines. European Association of Urology. 2015.
Giahi L., Mohammadmoradi S., Javidan A., Sadeghi M.R. Nutritional modifications in male infertility: a systematic review covering 2 decades. Nutr Rev. 2016; 74: 118-30.
Kefer J.C., Agarwal A., Sabanegh E. Role of antioxidants in the treatment of male infertility. Int J Urol. 2009; 16: 449-57.
Khan M.S., Zaman S., Sajjad M., Shoaib M., Gilani G. Assessment of the level of trace element zinc in seminal plasma of males and evaluation of its role in male infertility. Int J Appl Bas Med Res. 2011; 1: 93- 6.
Safarinejad MR, Safarinejad S. Efficacy of selenium and/or N-acetyl-cysteine for improving semen parameters in infertile men: a double-blind, placebo controlled, randomized study. J Urol. 2009; 181: 741-51.
Salas-Huetos A., Bullo M., Salas-Salvado J. Dietary patterns, foods and nutrients in male fertility parameters and fecundability: a systematic review of observational studies. Hum Reprod Update. 2017; 23: 371-89.
Tremellen K. Oxidative stress and male infertility-a clinical perspective. Hum Reprod Update. 2008; 14: 243-58.
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