Ïã¸ÛÁùºÏ²Ê¿ª½±½á¹û

Vol. 22 No. 1 (2023)
Literature Review

Impact of zinc supplementation on male infertility: a systematic review

Jean F. de Lima
Departamento de Nutrição, Universidade Paulista Unip. Campinas, SP, Brazil.
Bio
Natália V. S. Daniel
Departamento de Nutrição, Universidade Paulista Unip. Campinas, SP, Brazil.
Bio
Luciana Pietro
Departamento de Biomedicina, Universidade Paulista Unip. Campinas, SP, Brazil.
Bio
DOI:

Published 2023-07-17

Keywords

  • Supplementation,
  • Zinc sulfate,
  • Male infertility,
  • Seminal parameters

How to Cite

1.
Jean F. de Lima, Natália V. S. Daniel, Luciana Pietro. Impact of zinc supplementation on male infertility: a systematic review. BJHBS [Internet]. 2023 Jul. 17 [cited 2024 Oct. 12];22(1):58-67. Available from: /bjhbs/article/view/63
Crossref
Scopus

Abstract

Introduction: According to the World Health Organization (WHO), infertility is defined as a failure in fertilization without any use of a contraceptive method for at least 12 consecutive months, with the individual being of reproductive age and having an active sexual life, where male infertility has been assuming a prominent position. This condition is considered to be of high importance in the contemporary world. Objectives: To systematically review the literature on the impact of oral zinc supplementation on male infertility and to assess whether its intake exerts a therapeutic effect, based on the evaluation of seminal parameters, according to manuals published by the WHO. Methodology: A systematic review was carried out by means of a search, in the English and Portuguese languages, for original articles in the Pubmed, Science Direct, Lilacs and Scielo scientific databases. Results: The intervention groups ranged from 18 to 77 individuals and the control groups ranged from 8 to 113 individuals. Regarding age, the average age of the participants in the studies was 31 years. The daily dose of zinc administered in the trials varied from 66mg to 500mg and its use time ranged from three to six months. In the end, 87.5% of the studies showed positive results on the sperm parameters evaluated after the intervention. Conclusion: The results were mainly attributed to the protective effect that the trace element provided, reducing the lipid peroxidation index of plasma membranes and improving DNA integrity, thus increasing the fertilization capacity. 

Metrics

Metrics Loading ...

References

  1. Souza AM, Cenci CMB; Luz SK; Patias ND. Casais inférteis e a busca pela parentalidade biológica: uma compreensão das experiências envolvidas. Pensando Famílias, 2017, 21(2):76-88. ISSN: 1679-494X
  2. WORLD HEALTH ORGANIZATION - WHO. Department of Reproductive Health and Research, including UND. 2020.
  3. Leitec RRQ, Frota AMMC. O desejo de ser mãe e a barreira da infertilidade: uma compreensão fenomenológica. Rev. Abordagem Gestalt. 2014, v.20, p.151-160. ISSN: 1809-6867
  4. Bhongade, M. B., Prasad, S., Jiloha, R. C., Ray, P. C., Mohapatra, S., & Koner, B. C. (2015). Effect of psychological stress on fertility hormones and seminal quality in male partners of infertile couples. Andrologia, 47(3), 336–342.
  5. Federação Brasileira das Associações de Ginecologia e Obstetrícia - FEBRASGO. Manual de orientação: reprodução humana, 2017. São Paulo, pg 19-27.
  6. Eliasson R et al. (1970). Empfehlungen zur Nomenklatur in der Andrologie. Andrologia, V.2: 1257.
  7. Semen quality nomenclature. Laboratory manual for the examination and processing of human semen - 6th ed. World Health Organization - WHO, 2021. Pg 185.
  8. Ford CE, Jones KW, Miller OJ, Mittwoch U, Penrose LS, Ridler M et al. The chromosomes in a patient showing both mongolism and the Klinefelter syndrome. Rev. The Lancet; 1959. Pg. 709-710. DOI: 10.1016/s0140-6736(59)91891-4
  9. Brooker RJ. Genetics: analysis and principles. (4ª ed.), McGraw-Hill. Higher Education, Ohio – EUA, 2011.
  10. Carvalho OF, Ferreira JDJ, Silveira NA, Freneau GE. Efeito oxidativo do óxido nítrico e infertilidade no macho. J. Bras. Patol. Med. Lab. 2002, 38(1), p.33-38. DOI: 10.1590/S1676-24442002000100007
  11. Bansal AK and Bilaspuri GS. Impacts of Oxidative Stress and Antioxidants on Semen Functions. Veterinary Medicine International, 2011, p.1-7. DOI:10.4061/2011/686137
  12. SIES H. Antioxidant defense strategies. Eur J. Biochem, 1993. Pg. 213 – 219. DOI: 10.1111/j.1432-1033.1993.tb18025.x
  13. Agarwal A, Majzoub A, Esteves SC, Ko E, Ramasamy R, Zini A. Clinical utility of sperm DNA fragmentation tests: practical recommendations based on clinical scenarios. Androl Urol., 2016. Pg. 935 – 950. doi: 10.21037/tau.2016.10.03
  14. Belloc S, Benkhalifa M, Cohen-Bacrie M, Dalleac A, Amar E, Zini A, Sperm deoxyribonucleic acid damage in normozoospermic men is related to age and sperm progressive motility. Fertility and Sterility, 2014, vol 101(6), p.1588-1593. DOI:10.1016/j.fertnstert.
  15. Gharagozloo P, Gutiérrez-Adá A, Champroux A, Noblcn A, Kocer A, Calle A, et al. A new antioxidant formulation developed to treat male infertility associated with oxidative stress: promising preclinical evidence for animal models. Human Reprodution, 2016 Pg. 252 – 2562. DOI: 10.1093/humrep/dev302
  16. Dinesh V, Shamsi M, Dada R. Supraphysiological free radical levels and their pathogenesis in male infertility. Reprod Sys Sex Disord 1; 2012. Pg 2. DOI: 10.4172/2161-038X.1000114
  17. Vickram, S.; Rohini, K.; Srinivasan, S.; Nancy Veenakumari, D.; Archana, K.; Anbarasu, K.; Jeyanthi, P.; Thanigaivel, S.; Gulothungan, G.; Rajendiran, N.; Srikumar, P.S. Role of Zinc (Zn) in Human Reproduction: A Journey from Initial Spermatogenesis to Childbirth. Int. J. Mol. Sci. 2021, 22, 2188.
  18. Freedman LP. Anatomy of the steroid receptor zinc finger region. Endocr Rev. 1992; 13: 129-145. DOI: 10.1210/edrv-13-2-129
  19. Kothari RP, Chaudhari AR. Zinc Levels in Seminal Fluid in Infertile Males and its Relation with Serum Free Testosterone. Journal of Clinical & Diagnostic Research, 2016. CC05-CC08. DOI: 10.7860/JCDR/2016/14393.7723
  20. Wong WY, Merkus HM, Thomas CM, Menkveld R, Zielhuis GA, Steegers-Theunissen RP. Effects of folic acid and zinc sulfate on male factor subfertility: a double-blind, randomized, placebo-controlled trial. Fertil Steril; 2002; 77: 491 - 498. DOI: 10.1016/s0015-0282(01)03229-0
  21. Raigani M, Yaghmaei B, Amirjannti N, Lakpour N, Akhondi MM, Zeraati H, et al. The micronutrient supplements, zinc sulphate and folic acid, did not ameliorate sperm functional parameters in oligoasthenoteratozoospermic men. Andrologia. 2014; 46 (9): 956-62. DOI: 10.1111/and.12180
  22. Omu AE, Dashti H, Al-Othmanc S. Treatment of asthenozoospermia with zinc sulphate: andrological, immunological and obstetric outcome. European Journal of Obstetrics & Gynecology and Reproductive Biology 79; 1998. 179–184. DOI: 10.1016/s0301-2115(97)00262-5
  23. Ebisch IMW, Waander L, Heerde V, Thomas CMG, Put N, Wong WY, et al. C677T methylenetetrahydrofolate reductase polymorphism interferes with the effects of folic acid and zinc sulfate on sperm concentration. Fertility And Sterility; 2003. 80 (5):1190-4. DOI: 10.1016/s0015-0282(03)02157-5
  24. Ebisch IM, Pierik FH, De Jong FH, Thomas CM, Steegers-Theunissen RP. Does folic acid and zinc sulphate intervention affect endocrine parameters and sperm characteristics in men? Int J Androl; 2006. 29(2):339-345. DOI: 10.1111/j.1365-2605.2005.00598.x
  25. Hadwan MH, Almashhedy LA, Alsalman AS. Oral zinc supplementation restores high molecular weight seminal zinc binding protein to normal value in Iraqi infertile men. BMC Urol. 2012; 13; pg.12-32. doi: 10.1186/1471-2490-12-32
  26. Hadwan MH, Almashhedy LA, Alsalman AS. Study of the effects of oral zinc supplementation on peroxynitrite levels, arginase activity and NO synthase activity in seminal plasma of Iraqi asthenospermic patients. Reprod Biol Endocrinol. 2014. 3;12:1. doi: 10.1186/1477-7827-12-1
  27. Hartoma TR, Nahoul K, Netter A. Zinc, plasma androgens and male sterility. The Lancet 1977; 2(8048):1125–6. doi: 10.1016/s0140-6736(77)90563-3
  28. Tikkiwal M, Ajmera RL, Mathur NK. Effect of zinc administration on seminal zinc and fertility of oligospermic males. Indian J Physiol Pharmacol 1987;31(1):30–4. PMID: 3666872
  29. Padovani, RM; Amaya-Farfán J; Colugnati FAB; Domene SMA. Dietary reference intakes: aplicabilidade das tabelas em estudos nutricionais. Rev. Nutr., Campinas, 2006, v: 19(6), pg.8.
  30. Young SS, Eskenazi B, Marchetti FM, Block G, Wyrobek AJ. The association of folate, zinc and antioxidant intake with sperm aneuploidy in healthy non-smoking men. Hum Reprod. 2008; 23(5), p:1014–22. DOI: 10.1093/humrep/den036
  31. Rippe JM. Lifestyle Medicine: The Health Promoting Power of Daily Habits and Practices. Am J Lifestyle Med. 2018, v:12(6), p: 499–512. DOI: 10.1177/1559827618785554
  32. American College of Lifestyle Medicine. Lifestyle Medicine Standards. 2012 [cited 2021 Jun 2]. Available from:
  33. Benatta M, Kettache R, Buchholz N, Trinchieri A. The impact of nutrition and lifestyle on male fertility. Arch Ital di Urol e Androl [Internet]. 2020 Jun 23 [cited 2021 Jun 2];92(2):121–31. Available from:
  34. Jurewicz J, Radwan M, Sobala W, Radwan P, Bochenek M, Hanke W. Dietary Patterns and Their Relationship With Semen Quality. Am J Mens Health [Internet]. 2018 May 1 [cited 2021 Jun 1];12(3):575–83. Available from: /pmc/articles/PMC5987950/
  35. Tielemans E, Heederik D, Burdorf A, Loomis D, Habbema DF. Intraindividual variability and redundancy of semen parameters. Epidemiology 1997;8(1):99–103. DOI: 10.1097/00001648-199701000-00016
  36. Neuwinger J, Behre HM, Nieschlag E. External quality control in the andrology laboratory: an experimental multicenter trial. Fertil Steril. 1990;54(2):308–14.