1 059名济南市育龄男性体育锻炼情况与精液质量的相关分析

王文钰; 柳松; 仕治达; 杨慧军; 任静朝; 金会东; 张光辉; 周紫垣; 杨光红

doi:10.16016/j.2097-0927.202305069

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1 059名济南市育龄男性体育锻炼情况与精液质量的相关分析

公共卫生与预防医学 | 更新时间：2026-01-09

- 1 059名济南市育龄男性体育锻炼情况与精液质量的相关分析
- Correlation between physical exercise and semen quality in 1 059 men of childbearing age in Jinan City
- 陆军军医大学学报 2024年46卷第10期页码：1164-1171
- 作者机构：
  
  1.550025 贵州贵阳，贵州医科大学公共卫生与健康学院
  2.250014 山东济南，山东省妇幼保健院生殖医学中心
  3.400016 重庆，重庆医科大学公共卫生学院
  4.400038 重庆，陆军军医大学(第三军医大学)军事预防医学系环境卫生学教研室
- 作者简介：
  
  [周紫垣，E-mail: ziyuanzhou@tmmu.edu.cnZHOU Ziyuan, E-mail: ziyuanzhou@tmmu.edu.cn
  [杨光红，E-mail: 280446859@qq.comYANG Guanghong, E-mail: 280446859@qq.com
- 基金信息：
  
  科技部重大研发专项(2018YFC1004201);国家自然科学基金面上项目(82273663);国家自然科学基金青年项目(82003489)
- DOI：10.16016/j.2097-0927.202305069
  中图分类号： G804.2;R195.2;R339.21
- 收稿：2023-05-21，
  
  修回：2023-11-28，
  
  纸质出版：2024-05-30
- 稿件说明：
移动端阅览
王文钰, 柳松, 仕治达, 等. 1 059名济南市育龄男性体育锻炼情况与精液质量的相关分析[J]. 陆军军医大学学报, 2024,46(10):1164-1171.

Wenyu WANG, Song LIU, Zhida SHI, et al. Correlation between physical exercise and semen quality in 1 059 men of childbearing age in Jinan City[J]. Journal of Army Medical University, 2024, 46(10): 1164-1171.
王文钰, 柳松, 仕治达, 等. 1 059名济南市育龄男性体育锻炼情况与精液质量的相关分析[J]. 陆军军医大学学报, 2024,46(10):1164-1171. DOI： 10.16016/j.2097-0927.202305069.

Wenyu WANG, Song LIU, Zhida SHI, et al. Correlation between physical exercise and semen quality in 1 059 men of childbearing age in Jinan City[J]. Journal of Army Medical University, 2024, 46(10): 1164-1171. DOI： 10.16016/j.2097-0927.202305069.

摘要

目的

探究体育锻炼对精液质量的影响，为男性生殖健康的提高提供基础数据及理论依据。

方法

采用横断面研究方法，以到山东省妇幼保健院生殖中心就诊和体检的1 059名男性作为研究对象，采用问卷调查人口学资料和体育锻炼等资料。采用计算机辅助分析技术分析精子总数、精子浓度、总精子活动率、前向运动以及精子正常形态百分率，采用Logistic回归模型和多重线性回归模型分析体育锻炼对精液质量的影响。

结果

校正年龄、体质量指数、饮酒和吸烟等混杂因素后，Logistic回归分析发现：体育锻炼强度为中等和大强度持久者精液质量异常的发生风险增高(

值分别为2.103和2.229)；与每次体育活动时间10 min以下相比，每次体育活动时间为20 min以上者精液质量异常的发生风险降低(体育活动

20~30 min、

30~60 min、

min者的

值分别为0.357、0.256和0.289)；体育活动频率与精液质量异常与否之间差异无统计学意义(

0.05)。锻炼情况较好者精液质量异常的发生风险低，

值为0.711。多重线性回归分析发现：体育活动频率(

=7.474，95%

: 4.800~10.149)是精子浓度的影响因素(

0.05)；每次体育活动时间(

=20.632，95%

: 7.634~33.629)是精子总数的影响因素(

0.05)；体育锻炼强度(

=-1.461，95%

: -2.392，-0.530)和每次体育活动时间(

=2.608，95%

: 1.404，3.812)是前向运动精子百分率的影响因素(

0.05)；体育锻炼强度(

=-1.934，95%

: -3.238~-0.630)、每次体育活动时间(

=4.211，95%

: 2.525~5.897)和体育活动频率(

=-2.008，95%

: -3.480~-0.536)是精子总活动率的影响因素(

0.05)。

结论

体育锻炼可能影响精液质量，较大强度的体育锻炼可能是精液质量异常的危险因素，较长体育运动时间可能提高精液质量。适当的体育锻炼情况有助于提高精液质量。

Abstract

Objective

To explore the effect of physical exercise on semen quality in order to provide basic data and theoretical basis for the improvement of male reproductive health.

Methods

A cross-sectional study was conducted on 1 059 males who visited the Reproductive Medicine Center of Shandong Maternal and Child Health Hospital for medical treatment and physical examination during July 2022 and April 2023. Their demographic data and physical exercise data were surveyed with questionnaires. Total sperm count

sperm concentration

total sperm motility

forward movement and normal sperm morphology were analyzed with computer aided analysis. Logistic regression model and multiple linear regression model were applied to analyze the effects of physical exercise on semen quality.

Results

After adjustment for confounding factors such as age

body mass index

alcohol consumption and smoking

logistic regression analysis showed that the risk of ab

normal semen quality was increased in patients with moderate and heavy exercise intensity (

=2.103

=2.229). Compared with the participants with physical exercise ≤10 min per session

those with

20 min per session had a lower risk of abnormal semen quality (

=0.357

0.256

0.289 for exercise time for

20~30

30~60

60 min

respectively). There was no statistical significance between physical exercise frequency and semen quality (

0.05). The participants having exercise well were at a lower risk for abnormal semen quality (

=0.711). Multiple linear regression analysis revealed that the frequency of physical exercise was an influencing factor of sperm concentration (β=7.474

95%

: 4.800~10.149

0.05); the time of physical exercise per session was an influencing factor for total sperm count (β=20.632

95%

: 7.634~33.629); the intensity of physical exercise (β=-1.461

95%

: -2.392~-0.530) and time of physical exercise per session (β=2.608

95%

: 1.404~3.812

0.05) were influencing factors for percentage of forward motility sperm (

0.05); and physical exercise intensity (β=-1.934

95%

: -3.238~-0.630)

time of physical exercise per session (β=4.211

95%

: 2.525~5.897) and frequency of physical exercise (β=-2.008

95%

: -3.480~-0.536) were influencing factors of total sperm motility (

0.05).

Conclusion

Physical exercise may affect semen quality

greater intensity of physical exercise may be a risk factor for abnormal semen quality

and longer physical exercise time may be related to improving semen quality. Therefore

proper physical exercise can help improve semen quality.

关键词

Keywords

references

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