The effectiveness of zinc supplementation in men with isolated hypogonadotropic hypogonadism
ASIAN JOURNAL OF ANDROLOGY
Authors: Liu, Yan-Ling; Zhang, Man-Na; Tong, Guo-Yu; Sun, Shou-Yue; Zhu, Yan-Hua; Cao, Ying; Zhang, Jie; Huang, Hong; Niu, Ben; Li, Hong; Guo, Qing-Hua; Gao, Yan; Zhu, Da-Long; Li, Xiao-Ying
Abstract
A multicenter, open-label, randomized, controlled superiority trial with 18 months of follow-up was conducted to investigate whether oral zinc supplementation could further promote spermatogenesis in males with isolated hypogonadotropic hypogonadism (IHH) receiving sequential purified urinary foil icular-stimulating hormone/human chorionic gonadotropin (uFSH/hCG) replacement. Sixty-seven Chinese male IHH patients were recruited from the Departments of Endocrinology in eight tertiary hospitals and randomly allocated into the sequential uFSH/hCG group (Group A, n = 34) or the sequential uFSH plus zinc supplementation group (Group B, n = 33). In Group A, patients received sequential uFSH (75 U, three times a week every other 3 months) and hCG (2000 U, twice a week) treatments. In Group B, patients received oral zinc supplementation (40 mg day(-1)) in addition to the sequential uFSH/hCG treatment given to patients in Group A. The primary outcome was the proportion of patients with a sperm concentration >= 1.0 x 10(6) ml(-1) during the 18 months. The comparison of efficacy between Groups A and B was analyzed. Nineteen of 34 (55.9%) patients receiving sequential uFSH/hCG and 20 of 33 (60.6%) patients receiving sequential uFSH/hCG plus zinc supplementation achieved sperm concentrations >= 1.0 x 10(6) ml(-1) by intention to treat analyses. No differences between Group A and Group B were observed as far as the efficacy of inducing spermatogenesis (P = 0.69). We concluded that the sequential uFSH/hCG plus zinc supplementation regimen had a similar efficacy to the sequential uFSH/hCG treatment alone. The additional improvement of 40 mg day(-1) oral zinc supplementation on spermatogenesis and masculinization in male IHH patients is very subtle.
Effects of an intervention program (HHP) on the promotion of healthy habits in early adolescence
NUTRICION HOSPITALARIA
Authors: Nebot Paradells, Vicente; Pablos Monzo, Ana; Elvira Macagno, Laura; Guzman Lujan, Jose Francisco; Pablos Abella, Carlos
Abstract
Background: it is vital to monitor and promote healthy lifestyle habits in early adolescence, as it is a time of changes when future lifestyle habits are formed. Methods: a study was conducted to find out the effects of a Healthy Habits Program (HHP) in children between the ages of 10 and 12 years (N=158). The study included an intervention group (IG) (n=90), which participated in the BHP for 8 months, and a control group (CG) (n=100). In order to assess healthy habits in these children we used the Inventory of Healthy Habits (HIM, the reliability of which was previously evaluated (N=134). Results: the IHH obtained good reliability, Interclass Correlation Coefficient (range.506-884; p<.001) and Spearman Correlation Coefficient (range r=529-884; p<.001). As regards the IMP, there were no differences in eating habits initially (p=.564), but by the end of the study (p=.001) the IG showed better habits. As for the other healthy habits indicators, the CG had better habits initially (p=.047), but the score of the IG improved and there were no differences between the groups at the end of the study. Conclusions: it was shown that the Hill is a suitable and reliable questionnaire for studying habits in adolescents. The HEW brought about changes in the IG, which achieved better scores for eating habits and sum of health habits.