Obesity

Improvements in Sperm Motility Following Low- or High-Intensity Dietary Interventions in Men With Obesity

J Clin Endocrinol MetabPublished Randomised controlled trial

Authors' conclusion

LED or BDI may be sufficient to improve sperm motility in men with obesity. The effects of paternal dietary intervention on fertility outcomes requires investigation.

Study context

Population
Men with obesity (18–60 years) with normal sperm concentration (normal count) or oligozoospermia24 normal count, 43 oligozoospermia · or oligozoospermia 43
Comparison
800 kcal/day low-energy diet for 16 weeks vs brief dietary intervention
Primary endpoint
Semen parameters
Follow-up
Baseline and 16 weeks
Methodological detailsrandomized 1:1, stratified by sperm concentration (normal count or oligozoospermia)
  • Randomized 1:1
  • Stratified by sperm concentration (normal count or oligozoospermia)

Primary result

As reported in the abstract

Postintervention total motility (TM) and progressive motility (PM), LED vs BDI · 16 weeks
  • No differences in postintervention total motility (TM) or progressive motility (PM) between low-energy diet (LED) and brief dietary intervention (BDI) in men with normal count or oligozoospermia

Further findings

Weight loss, men with normal count · more weight loss with LED

P < 0.001

Weight loss, men with oligozoospermia · more weight loss with LED

P < 0.001

Change from baseline in TM and PM, men with normal count · baseline to 16 weeks

TM increased after LED (P < .05)
48 ± 17% to 60 ± 10%
TM increased after BDI (P < .0001)
52 ± 8% to 61 ± 6%
PM increased after LED (P < .05)
41 ± 16% to 53 ± 10%
PM increased after BDI (P < .001)
45 ± 8% to 54 ± 65%

Change from baseline in TM and PM, men with oligozoospermia · baseline to 16 weeks

TM increased after LED (P < .05)
35% [26] to 52% [16]
TM after BDI (P = .0587)
43% [28] to 50% [23]
PM increased after LED (P < .05)
29% [23] to 46% [18]
PM increased after BDI (P < .05)
33% [25] to 44% [25]

Original publication

Improvements in Sperm Motility Following Low- or High-Intensity Dietary Interventions in Men With Obesity. J Clin Endocrinol Metab. Published 1 September 2023. doi:10.1210/clinem/dgad523

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