Page 44 - ESHRE2019

Agarwal et al. Transl Androl Urol 2017 Esteves, 35
Lifestyle changes as a means to reduce SDF
Avert exposure to environmental and occupational toxicants
Exposure to air pollutants, polycyclic aromatic hydrocarbons, ionizing radiation, pesticides, bisphenol, and lead increases SDF
Clinical data about the effects of averting exposure on SDF lacking
Smoking cessation
Tobacco users have increased levels of ROS, 8-OHdG, and SDF rates than non-smokers
Effect of smoking cessation on SDF values remains unclear
Dietary changes
Western diet associated with increased SDF values
Prudent diet might reduce SDF
Weight loss
Overweight and obesity might increase SDF, but data is mixed
Nutritionist-led dietary program coupled with exercise helped to decrease SDF
Stress control
Meditation and yoga-based lifestyle helped to reduce SDF, including in smokers and alcohol users
Reviewed by Esteves, Santi & Simoni, Andrology, submitted
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