Effects of a Lifestyle Change Intervention on Semen Quality in Healthy Young Men Living in Highly Polluted Areas in Italy: The FASt Randomized Controlled Trial.

Dietary habits Lifestyle intervention Male fertility Mediterranean diet Physical activity Pollution Semen quality

Journal

European urology focus
ISSN: 2405-4569
Titre abrégé: Eur Urol Focus
Pays: Netherlands
ID NLM: 101665661

Informations de publication

Date de publication:
Jan 2022
Historique:
received: 25 09 2020
revised: 24 12 2020
accepted: 25 01 2021
pubmed: 14 2 2021
medline: 15 4 2022
entrez: 13 2 2021
Statut: ppublish

Résumé

Human semen quality is affected by lifestyle and environmental factors. To evaluate the short-term effects of a diet and physical activity intervention on semen quality of healthy young men living in highly polluted areas of Italy. A randomized controlled trial was conducted. Healthy young men were assigned to an intervention or a control group. A 4-mo Mediterranean diet and moderate physical activity program. The primary outcomes were sperm concentration, motility and morphology, concentration of round cells, and semen total antioxidant capacity. Secondary outcomes were adherence to Mediterranean diet and physical activity. All outcomes were measured twice, at the enrollment (t0) and at the end of the intervention (t4). A total of 263 individuals attended all visits, and underwent examinations and laboratory analyses: 137 in the intervention group and 126 in the control group. The adherence to Mediterranean diet and physical activity level increased more in the intervention group than in the control group from t0 to t4. Sperm concentration, total and progressive motility, and proportion of normal morphology cells increased in the intervention group but decreased in the control group, with statistically significant differences between the two groups at t4. The total antioxidant capacity increased in the intervention group but decreased in the control group, from t0 to t4. Study results showed that an intervention based on Mediterranean diet and regular physical activity can determine an improvement of semen quality in healthy young men. Our study aimed to evaluate the effect of a lifestyle intervention on semen quality of healthy young men. We assigned the 263 enrolled individuals to an intervention or a control group. The intervention group followed a 4-mo Mediterranean diet and moderate physical activity program, at the end of which the participants showed an improvement of semen quality parameters.

Sections du résumé

BACKGROUND BACKGROUND
Human semen quality is affected by lifestyle and environmental factors.
OBJECTIVE OBJECTIVE
To evaluate the short-term effects of a diet and physical activity intervention on semen quality of healthy young men living in highly polluted areas of Italy.
DESIGN, SETTING, AND PARTICIPANTS METHODS
A randomized controlled trial was conducted. Healthy young men were assigned to an intervention or a control group.
INTERVENTION METHODS
A 4-mo Mediterranean diet and moderate physical activity program.
OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS METHODS
The primary outcomes were sperm concentration, motility and morphology, concentration of round cells, and semen total antioxidant capacity. Secondary outcomes were adherence to Mediterranean diet and physical activity. All outcomes were measured twice, at the enrollment (t0) and at the end of the intervention (t4).
RESULTS AND LIMITATIONS CONCLUSIONS
A total of 263 individuals attended all visits, and underwent examinations and laboratory analyses: 137 in the intervention group and 126 in the control group. The adherence to Mediterranean diet and physical activity level increased more in the intervention group than in the control group from t0 to t4. Sperm concentration, total and progressive motility, and proportion of normal morphology cells increased in the intervention group but decreased in the control group, with statistically significant differences between the two groups at t4. The total antioxidant capacity increased in the intervention group but decreased in the control group, from t0 to t4.
CONCLUSIONS CONCLUSIONS
Study results showed that an intervention based on Mediterranean diet and regular physical activity can determine an improvement of semen quality in healthy young men.
PATIENT SUMMARY RESULTS
Our study aimed to evaluate the effect of a lifestyle intervention on semen quality of healthy young men. We assigned the 263 enrolled individuals to an intervention or a control group. The intervention group followed a 4-mo Mediterranean diet and moderate physical activity program, at the end of which the participants showed an improvement of semen quality parameters.

Identifiants

pubmed: 33579652
pii: S2405-4569(21)00041-9
doi: 10.1016/j.euf.2021.01.017
pii:
doi:

Substances chimiques

Antioxidants 0

Types de publication

Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

351-359

Informations de copyright

Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.

Auteurs

Luigi Montano (L)

Andrology Unit and Service of Lifestyle Medicine in UroAndrology, Local Health Authority (ASL) Salerno, Coordination Unit of the network for Environmental and Reproductive Health (EcoFoodFertility Project), Italy "Oliveto Citra Hospital", Salerno, Italy; PhD Program in Evolutionary Biology and Ecology, University of Rome Tor Vergata, Rome, Italy. Electronic address: l.montano@aslsalerno.it.

Elisabetta Ceretti (E)

Unit of Hygiene, Epidemiology and Public Health, and Unit of Urology, Department of Medical and Surgical Specialties Radiological, University of Brescia, Brescia, Italy.

Francesco Donato (F)

Unit of Hygiene, Epidemiology and Public Health, and Unit of Urology, Department of Medical and Surgical Specialties Radiological, University of Brescia, Brescia, Italy.

Paolo Bergamo (P)

Institute of Food Sciences, National Research Council (CNR-ISA), Avellino, Italy.

Claudia Zani (C)

Unit of Hygiene, Epidemiology and Public Health, and Unit of Urology, Department of Medical and Surgical Specialties Radiological, University of Brescia, Brescia, Italy.

Gaia Claudia Viviana Viola (GCV)

Unit of Hygiene, Epidemiology and Public Health, and Unit of Urology, Department of Medical and Surgical Specialties Radiological, University of Brescia, Brescia, Italy.

Tiziana Notari (T)

Andrology Unit and Service of Lifestyle Medicine in UroAndrology, Local Health Authority (ASL) Salerno, Coordination Unit of the network for Environmental and Reproductive Health (EcoFoodFertility Project), Italy "Oliveto Citra Hospital", Salerno, Italy; PhD Program in Evolutionary Biology and Ecology, University of Rome Tor Vergata, Rome, Italy.

Sebastiana Pappalardo (S)

Andrology Unit and Service of Lifestyle Medicine in UroAndrology, Local Health Authority (ASL) Salerno, Coordination Unit of the network for Environmental and Reproductive Health (EcoFoodFertility Project), Italy "Oliveto Citra Hospital", Salerno, Italy; PhD Program in Evolutionary Biology and Ecology, University of Rome Tor Vergata, Rome, Italy.

Danilo Zani (D)

Unit of Hygiene, Epidemiology and Public Health, and Unit of Urology, Department of Medical and Surgical Specialties Radiological, University of Brescia, Brescia, Italy.

Stefania Ubaldi (S)

Andrology Unit and Service of Lifestyle Medicine in UroAndrology, Local Health Authority (ASL) Salerno, Coordination Unit of the network for Environmental and Reproductive Health (EcoFoodFertility Project), Italy "Oliveto Citra Hospital", Salerno, Italy; PhD Program in Evolutionary Biology and Ecology, University of Rome Tor Vergata, Rome, Italy.

Valentina Bollati (V)

Epidemiology, Epigenetics and Toxicology (EPIGET) Lab, Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.

Claudia Consales (C)

Laboratory of Health and Environment, Division of Health Protection Technologies, ENEA Casaccia Research Center, Rome, Italy.

Giorgio Leter (G)

Laboratory of Health and Environment, Division of Health Protection Technologies, ENEA Casaccia Research Center, Rome, Italy.

Marco Trifuoggi (M)

Department of Chemical Sciences, University of Naples Federico II, Complesso Universitario Monte S. Angelo, Naples, Italy.

Angela Amoresano (A)

Department of Chemical Sciences, University of Naples Federico II, Complesso Universitario Monte S. Angelo, Naples, Italy.

Stefano Lorenzetti (S)

Department of Food Safety, Nutrition and Veterinary Public Health, Italian National Institute of Health (ISS), Rome, Italy.

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