Pınar Hasdemir, Melek Kamalı, Esat Çalık, Hasan Özçakır

Subfertil erkeklerde vücut-kitle indeksi değeri ile sperm parametreleri ilişkisinin değerlendirilmesi

Amaç: Bu çalışmanın amacı infertilite yakınması ile hastaneye başvuran erkek eşlerde vücut-kitle indeksi değerleri ile sperm parametreleri arasında ilişki olup olmadığının değerlendirilmesidir.Gereç ve Yöntem: İnfertilite yakınması ile bir Üniversite Hastanesi İnfertilite Araştırma ve Uygulama Merkezine başvuran toplam 102 erkeğe ait hasta dosyası incelenmiş, kimyasal maruziyeti, sistemik hastalık mevcudiyeti gibi çalışma sonucunu etkileyebilecek özellikte olan olgular dışlandıktan sonra, toplam 94 olgu çalışmaya dahil edilmiştir. Söz konusu olguların dosyalarındaki boy, kilo ölçümüne göre vücut-kitle indeksleri hesaplanmış, spermiyogram analiz sonuçları kaydedilmiştir. Çalışmanın birincil amacı olarak, olgular vücut-kitle indeksi değeri ≤25 (normal) ve >25 (aşırı kilolu) olmak üzere iki gruba ayrılarak gruplar arası sperm parametreleri karşılaştırıldı. İkincil amaç olarak ise, olgular vücut-kitle indeksi değeri ≤30 ve >30 (obez) olmak üzere iki gruba ayrılarak gruplar arası sperm parametreleri karşılaştırıldı. Bulgular: Çalışmaya dahil edilen toplam 94 olgunun yaş ortalaması 34.44±5.58 (ortalama±standart sapma) şeklinde idi. Olguların bazal demografik verilerinin vücut-kitle indeksine göre dağılımı homojendir. Vücut-kitle indeksi değerine göre aşırı kiloluluk (>25) ve obezite (>30) sınır olarak kabul edilerek yapılan her iki analiz sonucunda gruplar arasında volüm, likefaksiyon, total sperm sayısı ve total motil sperm sayısı yönlerinden anlamlı fark olmadığı bulunmuştur. Sonuç: Vücut-kitle indeksi değeri ile konvansiyonel spermiyogram ile değerlendirilen sperm parametreleri arasında bağlantı bulunmamaktadır.

Anahtar Kelimeler:

Aşırı kilolu, infertilite, obez, spermiyogram, vücut-kitle indeksi

Evaluation of relationship between body-mass index and spermiogram parameters in subfertile males

Purpose: The aim of this study was to evaluate the relationship between body-mass index and spermiogram parameters in subfertile maleparameters in male partner of the infertile couples.Material and Methods: The study was conducted in Infertility Research and Treatment Center of a University Hospital. Hospital records of male partner of 102 infertile couple was considered and patients who had factors possibly had a negative effect on the results of the sperm analysis as chemical agent exposure and systemic disease were excluded, and a total of 94 patients included in the study after this evaluation. These 94 patients were divided in two groups (body-mass index ≤25 and body-mass index >25) and results of the sperm analysis were compared between two groups as primary out-come of the study. These 94 patients were divided in two groups (body-mass index ≤30 and body-mass index >30) and results of the sperm analysis were compared as secondary out-come of the study. Results: The mean age (±standart deviation) of the 94 cases included in the study was 34.44±5.58. Distribution of the basal demographic characteristics of the cases according to the body-mass index were similar. Results of the statistical analysis based on the cut-off values of overweight (>25) and obese (>30) were similar in terms of volum, likefaction, total sperm count and total motile sperm count. Conclusion: There was no relationship between body-mass index and sperm parameters calculating by conventional sperm analysis.

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