en بررسی ارتباط بین پارامترهای اسپرمی و دریافت چربی رژیمی و مینرال ها در مردان نابارور: مطالعه مقطعی Fertility & Infertility Original Article Original Article <div style="text-align: justify;"><span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><b><span lang="FA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">مقدمه: </span></span></b><span lang="FA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">ناباروری از جمله مشکلات شایع زوجین طی دهه&shy;های اخیر بوده و این اختلال در اغلب اوقات مربوط به مردان می&shy;باشد.</span></span><span dir="LTR" style="font-size:11.0pt"><span style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;"></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><b><span lang="FA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">هدف: </span></span></b><span lang="FA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">هدف این مطالعه مقطعی بررسی اثرات دریافت چربی و مواد معدنی بر پارامترهای کفیت اسپرم در مردان نابارور می&shy;باشد.</span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><b><span lang="FA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">مواد و روش&shy;ها: </span></span></b><span lang="FA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">این مطالعه بر روی 260 مرد نابارور مراجعه&shy;کننده به مرکز ناباروری اصفهان در تابستان سال 2018 انجام شد. پارامترهای مایع منی حاوی غلظت اسپرم، تحرک کلی، مورفولوژی طبیعی و حجم اسپرم در نظر گرفته شد. برای جمع</span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:&quot;Cambria&quot;,&quot;serif&quot;">&shy;</span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">آوری اطلاعات غذایی، از پرسشنامه معتبر بسامد خوراک استفاده شد.</span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><b><span lang="FA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">نتایج: </span></span></b><span lang="FA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">در مدل تعدیل شده، شیوع اسپرم با غلظت غیرطبیعی در بالاترین چارک دریافت کلسیم در مقایسه با کمترین دریافت کلسیم به میزان 23/5 برابر بیشتر بود (03/0 </span></span><span lang="FA" style="font-size:10.0pt">= </span><span dir="LTR" style="font-size:10.0pt">p</span><span lang="FA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">). همچنین شیوع اسپرم دارای غلظت غیرطبیعی در چارک سوم دریافت کلسیم 68% کمتر بود, (03/0 </span></span><span lang="FA" style="font-size:10.0pt">= </span><span dir="LTR" style="font-size:10.0pt">p</span><span lang="FA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">). علاوه بر این، شیوع اسپرم دارای غلظت غیرطبیعی در بالاترین چارک دریافت فولات 84% کمتر بود (01/0 </span></span><span lang="FA" style="font-size:10.0pt">= </span><span dir="LTR" style="font-size:10.0pt">p</span><span lang="FA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">) و شیوع اسپرم دارای مورفولوژی غیرطبیعی در بالاترین چارک دریافت فولات 70% پایین</span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:&quot;Cambria&quot;,&quot;serif&quot;">&shy;</span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">تر بود، (03/0 </span></span><span lang="FA" style="font-size:10.0pt">= </span><span dir="LTR" style="font-size:10.0pt">p</span><span lang="FA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">). به علاوه، شیوع اسپرم دارای غلظت غیرطبیعی در بالاترین چارک دریافت سلنیوم در مقایسه با کمترین دریافت به میزان 72% کمتر بود (04/0 </span></span><span lang="FA" style="font-size:10.0pt">= </span><span dir="LTR" style="font-size:10.0pt">p</span><span lang="FA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">). در مدل خام نیز، شیوع اسپرم دارای حجم غیرنرمال در چارک دوم دریافت لینولئیک اسید در مقایسه با چارک اول به میزان 64% کمتر بود (01/0 </span></span><span lang="FA" style="font-size:10.0pt">= </span><span dir="LTR" style="font-size:10.0pt">p</span><span lang="FA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">).</span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><b><span lang="FA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">نتیجه&shy; گیری:</span></span></b> <span lang="FA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">در این مطالعه مقطعی، رژیم</span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:&quot;Cambria&quot;,&quot;serif&quot;">&shy;</span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">های غذایی حاوی مقادیر بالاتر فولات، سلنیوم و مقادیر کمتری از کلسترول، چربی&shy;های اشباع و کلسیم با پارامترهای مطلوب کیفیت اسپرم در ارتباط بودند.</span></span><span dir="LTR" style="font-size:11.0pt"><span style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;"></span></span></span></span></span></span></span><br> <br> &nbsp;</div> <div style="text-align: justify;"><span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><b>Background:</b> Infertility has been a significant problem for couples in recent decades, and the issue can often lie with the male rather than the female.</span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><b>Objective:</b> This study aimed to investigate the effects of fats and minerals intake on semen parameters in infertile men.</span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><b>Materials and Methods:</b> This cross-sectional study was performed on 260 infertile men referred to Isfahan Infertility Clinic, Isfahan, Iran in the summer of 2018. Semen parameters regarding sperm concentration, total motility, normal morphology, and sperm volume were considered. To assess dietary intakes, a validated food frequency questionnaire was used.</span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><b>Results:</b> In the adjusted model, the prevalence of abnormal concentration was 5.23 times higher in the top quartile of calcium intake, compared with the bottom quartile (p = 0.03). Also, the prevalence of abnormal morphology was 68% lower in the third quartile of calcium intake (p = 0.03). Additionally, the prevalence of abnormal concentration was 84% lower in the top quartile of folate intake in comparison to the bottom quartile (p = 0.01) and the prevalence of abnormal morphology was 70% lower in the top quartile of folate intake (p = 0.03). Additionally, the prevalence of abnormal concentration was 72% lower in the top quartile of selenium intake in comparison to the bottom quartile (p = 0.04). Furthermore, in the crude model, the prevalence of abnormal volume was 64% lower in the second quartile of linoleic acid intake rather than the first quartile (p = 0.01).</span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><b>Conclusion:</b> In conclusion, diets containing higher amounts of folate and selenium, and lower amounts of cholesterol, saturated fatty acid and calcium were associated with more favorable semen quality parameters.</span></span></span></span></div> ناباروری, اسپرموگرام, مواد معدنی, چربی­ها, مقطعی. Infertility, Semen quality, Minerals, Fats, Cross-sectional study. 389 398 http://ijrm.ir/browse.php?a_code=A-10-1837-1&slc_lang=en&sid=1 Mehran Nouri mehran_nouri71@yahoo.com 0000-0002-7031-3542 No Students’ Research Committee, School of Nutrition and Food Science, Shiraz University of Medical Sciences, Shiraz, Iran. Department of Community Nutrition, School of Nutrition and Food Science, Shiraz University of Medical Sciences, Shiraz, Iran. Sanaz Mehrabani sanaz_mehr6500@yahoo.com; 0000-0003-2032-9690 No Department of Community Nutrition, School of Nutrition and Food Science, Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. Hosein Firoozbakht hos3ein.fbt@yahoo.com 0000-0002-1825-3466 No Department of Nutrition, Science and Research Branch, Islamic Azad University, Tehran, Iran. Elmira Vatanian Elmira.vtn@gmail.com 0000-0002-7577-9237 No Department of Cellular and Molecular Nutrition, School of Nutritional Science and Dietetics, Tehran University of Medical Science, Tehran, Iran. Homayoun Abbasi Abbasih@yahoo.com 0000-0002-3532-4545 No Isfahan Fertility and Infertility Center, Isfahan, Iran. Mahsa Shirani mahsa.shirani1373@yahoo.com 0000-0002-6630-7473 Yes Department of Community Nutrition, School of Nutrition and Food Science, Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. Students’ Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran.