PDF(Pubmed)
Abstract：
BACKGROUND: Age, smoking, sleep duration, sleep quality, and obesity are risk factors that can affect the amount of sperm concentration, morphology, and motility. The aim of this study is to assess the lifestyle effects: of age, smoking, sleep duration, sleep quality, and obesity on the amount of concentration, morphology, and motility of sperm.
METHODS: The study utilized an analytical observational approach with a cross-sectional design. The study subjects comprised 70 male partners of infertile couples admitted to the Sekar Fertility Clinic at the Dr. Moewardi General Hospital between March and August 2022. The study assessed variables including age, body mass index (BMI), smoking status, sleep duration, sleep quality, sperm concentration, sperm morphology, and sperm motility. Furthermore, the data were analyzed using univariate, bivariate, and multivariate methods with SPSS 25 software.
RESULTS: The research findings demonstrate that obesity is significantly associated with abnormal sperm concentration [odds ratio (OR)=40.07, confidence interval (CI)=3.90-411.67, P=0.002]. Furthermore, moderate or heavy smoking is significantly associated with abnormal sperm concentration (OR=17.45, CI=1.83-166.15, P=0.013) and sleep quality with severe disorders (OR=5.73, CI=1.12-29.21, P=0.036). Moreover, obesity is significantly associated with abnormal sperm motility (OR=12.97, CI=2.66-63.15, P=0.002), while moderate or heavy smoking (OR=5.89, CI=1.23- 28.20, P=0.026) and poor sleep duration (OR=6.21, CI=1.43-26.92, P=0.015) also exhibit significant associations with abnormal sperm motility. However, no significant findings were observed regarding sperm morphology.
CONCLUSIONS: The findings of this study indicate that obesity, moderate or heavy smoking, and sleep quality have statistically significant effects on sperm concentration, while obesity, moderate or heavy smoking, and sleep duration have statistically significant effects on sperm motility. However, no statistically significant influence was observed on sperm morphology. Further research with larger sample sizes and more diverse populations is needed to validate these findings and explore other potential factors that may impact male fertility.
METHODS: The study utilized an analytical observational approach with a cross-sectional design. The study subjects comprised 70 male partners of infertile couples admitted to the Sekar Fertility Clinic at the Dr. Moewardi General Hospital between March and August 2022. The study assessed variables including age, body mass index (BMI), smoking status, sleep duration, sleep quality, sperm concentration, sperm morphology, and sperm motility. Furthermore, the data were analyzed using univariate, bivariate, and multivariate methods with SPSS 25 software.
RESULTS: The research findings demonstrate that obesity is significantly associated with abnormal sperm concentration [odds ratio (OR)=40.07, confidence interval (CI)=3.90-411.67, P=0.002]. Furthermore, moderate or heavy smoking is significantly associated with abnormal sperm concentration (OR=17.45, CI=1.83-166.15, P=0.013) and sleep quality with severe disorders (OR=5.73, CI=1.12-29.21, P=0.036). Moreover, obesity is significantly associated with abnormal sperm motility (OR=12.97, CI=2.66-63.15, P=0.002), while moderate or heavy smoking (OR=5.89, CI=1.23- 28.20, P=0.026) and poor sleep duration (OR=6.21, CI=1.43-26.92, P=0.015) also exhibit significant associations with abnormal sperm motility. However, no significant findings were observed regarding sperm morphology.
CONCLUSIONS: The findings of this study indicate that obesity, moderate or heavy smoking, and sleep quality have statistically significant effects on sperm concentration, while obesity, moderate or heavy smoking, and sleep duration have statistically significant effects on sperm motility. However, no statistically significant influence was observed on sperm morphology. Further research with larger sample sizes and more diverse populations is needed to validate these findings and explore other potential factors that may impact male fertility.
摘要：
背景：年龄，吸烟,睡眠持续时间,睡眠质量,肥胖是影响精子浓度的危险因素，形态学,和运动性。这项研究的目的是评估生活方式的影响：年龄，吸烟,睡眠持续时间,睡眠质量,和肥胖对浓度的影响，形态学,和精子的活力。
方法：本研究采用横截面设计的分析观察方法。研究对象包括2022年3月至8月在Moewardi总医院Sekar生育诊所住院的70对不育夫妇的男性伴侣。这项研究评估了包括年龄在内的变量，体重指数（BMI），吸烟状况,睡眠持续时间,睡眠质量,精子浓度,精子形态学,和精子活力。此外，使用单变量分析数据，双变量，用SPSS25软件进行多元方法。
结果：研究结果表明，肥胖与精子浓度异常显著相关[优势比（OR）=40.07，置信区间（CI）=3.90-411.67，P=0.002]。此外，中度或重度吸烟与精子浓度异常（OR=17.45，CI=1.83-166.15，P=0.013）和睡眠质量（OR=5.73，CI=1.12-29.21，P=0.036）显着相关。此外，肥胖与精子运动异常显著相关(OR=12.97,CI=2.66-63.15,P=0.002),而中度或重度吸烟（OR=5.89，CI=1.23-28.20，P=0.026）和睡眠时间差（OR=6.21，CI=1.43-26.92，P=0.015）也与精子运动异常显着相关。然而,没有观察到关于精子形态的显著发现.
结论：这项研究的结果表明，中度或重度吸烟，睡眠质量对精子浓度有统计学意义的影响，而肥胖，中度或重度吸烟，睡眠时间对精子活力有统计学意义的影响。然而,对精子形态无统计学意义的影响。需要进行更大样本量和更多样化人群的进一步研究，以验证这些发现并探索可能影响男性生育能力的其他潜在因素。
方法：本研究采用横截面设计的分析观察方法。研究对象包括2022年3月至8月在Moewardi总医院Sekar生育诊所住院的70对不育夫妇的男性伴侣。这项研究评估了包括年龄在内的变量，体重指数（BMI），吸烟状况,睡眠持续时间,睡眠质量,精子浓度,精子形态学,和精子活力。此外，使用单变量分析数据，双变量，用SPSS25软件进行多元方法。
结果：研究结果表明，肥胖与精子浓度异常显著相关[优势比（OR）=40.07，置信区间（CI）=3.90-411.67，P=0.002]。此外，中度或重度吸烟与精子浓度异常（OR=17.45，CI=1.83-166.15，P=0.013）和睡眠质量（OR=5.73，CI=1.12-29.21，P=0.036）显着相关。此外，肥胖与精子运动异常显著相关(OR=12.97,CI=2.66-63.15,P=0.002),而中度或重度吸烟（OR=5.89，CI=1.23-28.20，P=0.026）和睡眠时间差（OR=6.21，CI=1.43-26.92，P=0.015）也与精子运动异常显着相关。然而,没有观察到关于精子形态的显著发现.
结论：这项研究的结果表明，中度或重度吸烟，睡眠质量对精子浓度有统计学意义的影响，而肥胖，中度或重度吸烟，睡眠时间对精子活力有统计学意义的影响。然而,对精子形态无统计学意义的影响。需要进行更大样本量和更多样化人群的进一步研究，以验证这些发现并探索可能影响男性生育能力的其他潜在因素。
