PMID- 33578871 OWN - NLM STAT- MEDLINE DCOM- 20210514 LR - 20210514 IS - 1648-9144 (Electronic) IS - 1010-660X (Print) IS - 1010-660X (Linking) VI - 57 IP - 2 DP - 2021 Feb 10 TI - The Role of Exercise to Reduce the Impact of Diabetes in the Seminal Quality: A Systematic Review. LID - 10.3390/medicina57020159 [doi] LID - 159 AB - BackgroundandObjectives: One of the most relevant consequences of diabetes mellitus is the temporal or complete infertility which can happen in young individuals. Therefore, the current systematic review aimed to investigate the effects of exercise to reduce the impact of Type 2 Diabetes Mellitus (T2DM) in seminal quality and related parameters. MaterialsandMethods: A systematic search was conducted in Pubmed and Web of Science databases following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Guidelines (PRISMA). The inclusion criteria were: (1) the study included at least one experimental and one comparison group, (2) the sample of the study was comprised of humans or animals with diabetes mellitus, (3) an intervention based on physical exercise was conducted, and (4) the study reported variables related to the seminal quality. Results: A total of 115 articles were identified. However, only six accomplished the inclusion and exclusion criteria. This systematic review includes a sample size of 260 participants (180 rats and 80 humans). Intervention ranged from 6 to 14 weeks, with 3-6 days per week. All interventions performed endurance training (50-70% VO(2)max or maximum heart rate). Physical exercise increased sperm count, motility, and morphology, as well as improved testosterone, Luteinizing Hormone (LH), and Follicle Stimulating Hormone (FSH) levels. Moreover, physical exercise intervention reduced the percentages of sperms with negative Tubular Differentiation Index (TDI) and Spermiogenesis Index (SPI), DNA fragmentation, and also ameliorated the diabetes-induced apoptosis and improved sperm apoptosis index. Conclusions: Physical exercise could ameliorate diabetic pathological effects on sperm quality and related parameters that cause infertility or subfertility conditions. However, further homogeneous studies are needed to confirm these findings. FAU - Lavin-Perez, Ana Myriam AU - Lavin-Perez AM AUID- ORCID: 0000-0001-9357-9987 AD - Centre for Sport Studies, Rey Juan Carlos University, Fuenlabrada, 28943 Madrid, Spain. AD - GO fitLAB, Ingesport, 28003 Madrid, Spain. FAU - Collado-Mateo, Daniel AU - Collado-Mateo D AUID- ORCID: 0000-0002-5140-465X AD - Centre for Sport Studies, Rey Juan Carlos University, Fuenlabrada, 28943 Madrid, Spain. FAU - Villafaina, Santos AU - Villafaina S AUID- ORCID: 0000-0003-0784-1753 AD - Physical Activity and Quality of Life Research Group (AFYCAV), Faculty of Sport Sciences, University of Extremadura, 10004 Caceres, Spain. FAU - Calle-Guisado, Violeta AU - Calle-Guisado V AD - Department of Specific Didactics, Faculty of Human Sciences and Education, Experimental Sciences Area, University of Zaragoza, 50009 Zaragoza, Spain. LA - eng GR - PD16008/The regional department of economy and infrastructure of the Government of Extremadura and the European Social Fund/ GR - DIN2018- 010129/Spanish Ministry of Sciences, Innovation and Universities (National Subprogram of Education)/ PT - Journal Article PT - Review PT - Systematic Review DEP - 20210210 PL - Switzerland TA - Medicina (Kaunas) JT - Medicina (Kaunas, Lithuania) JID - 9425208 RN - 3XMK78S47O (Testosterone) RN - 9002-67-9 (Luteinizing Hormone) SB - IM MH - Animals MH - DNA Fragmentation MH - *Diabetes Mellitus, Type 2 MH - Luteinizing Hormone MH - Male MH - Rats MH - Spermatozoa MH - Testosterone PMC - PMC7916555 OTO - NOTNLM OT - animals OT - diabetes OT - fertility OT - human OT - physical exercise OT - sperm quality COIS- The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results. EDAT- 2021/02/14 06:00 MHDA- 2021/05/15 06:00 PMCR- 2021/02/10 CRDT- 2021/02/13 01:01 PHST- 2021/01/04 00:00 [received] PHST- 2021/02/01 00:00 [revised] PHST- 2021/02/02 00:00 [accepted] PHST- 2021/02/13 01:01 [entrez] PHST- 2021/02/14 06:00 [pubmed] PHST- 2021/05/15 06:00 [medline] PHST- 2021/02/10 00:00 [pmc-release] AID - medicina57020159 [pii] AID - medicina-57-00159 [pii] AID - 10.3390/medicina57020159 [doi] PST - epublish SO - Medicina (Kaunas). 2021 Feb 10;57(2):159. doi: 10.3390/medicina57020159.