OBJECTIVE: To investigate to what extent alcohol consumption affects female fecundability. DESIGN: Prospective cohort study. SETTING: Denmark, 1 June 2007 to 5 January 2016. PARTICIPANTS: 6120 female Danish residents, aged 21-45 years, in a stable relationship with a male partner, who were trying to conceive and not receiving fertility treatment. MAIN OUTCOME MEASURES: Alcohol consumption was self reported as beer (330 mL bottles), red or white wine (120 mL glasses), dessert wine (50 mL glasses), and spirits (20 mL) and categorized in standard servings per week (none, 1-3, 4-7, 8-13, and ≥14). Participants contributed menstrual cycles at risk until the report of pregnancy, start of fertility treatment, loss to follow-up, or end of observation (maximum 12 menstrual cycles). A proportional probability regression model was used to estimate fecundability ratios (cycle specific probability of conception among exposed women divided by that among unexposed women). RESULTS: 4210 (69%) participants achieved a pregnancy during follow-up. Median alcohol intake was 2.0 (interquartile range 0-3.5) servings per week. Compared with no alcohol consumption, the adjusted fecundability ratios for alcohol consumption of 1-3, 4-7, 8-13, and 14 or more servings per week were 0.97 (95% confidence interval 0.91 to 1.03), 1.01 (0.93 to 1.10), 1.01 (0.87 to 1.16) and 0.82 (0.60 to 1.12), respectively. Compared with no alcohol intake, the adjusted fecundability ratios for women who consumed only wine (≥3 servings), beer (≥3 servings), or spirits (≥2 servings) were 1.05 (0.91 to1.21), 0.92 (0.65 to 1.29), and 0.85 (0.61 to 1.17), respectively. The data did not distinguish between regular and binge drinking, which may be important if large amounts of alcohol are consumed during the fertile window. CONCLUSION: Consumption of less than 14 servings of alcohol per week seemed to have no discernible effect on fertility. No appreciable difference in fecundability was observed by level of consumption of beer and wine.

译文

目的:调查饮酒在多大程度上影响女性生育能力。
设计:前瞻性队列研究。
地点:丹麦,2007年6月1日至2016年1月5日。
参与者:6120名丹麦女性居民,年龄在21-45岁之间,与一名试图受孕且未接受生育治疗的男性伴侣保持稳定关系。
主要观察指标:酒精消耗自报为啤酒(330 mL瓶),红酒或白葡萄酒(120 mL杯),甜品酒(50 mL杯)和烈酒(20 mL),并按每周标准食用量分类(无) ,1-3、4-7、8-13和≥14)。参加者将月经周期的风险提高到妊娠报告,开始生育治疗,失去随访或观察结束为止(最多12个月经周期)。使用比例概率回归模型来估计受孕率(暴露妇女中受孕的周期比受孕概率除以未暴露妇女中的受孕概率)。
结果:4210名(69%)参与者在随访期间怀孕。每周酒精摄入量中位数为2.0(四分位范围为0-3.5)。与不饮酒相比,每周饮酒1-3、4-7、8-13和14份或更多的调整后的受孕率分别为0.97(95%置信区间0.91至1.03),1.01(0.93至1.10) ),1.01(0.87至1.16)和0.82(0.60至1.12)。与不饮酒相比,仅喝葡萄酒(≥3份),啤酒(≥3份)或烈酒(≥2份)的妇女调整后的受孕率分别为1.05(0.91至1.21),0.92(0.65至1.29) )和0.85(0.61至1.17)。数据无法区分正常饮酒和暴饮酒,如果在肥沃的时段内喝了大量的酒精,这可能很重要。
结论:每周摄入少于14杯酒似乎对生育力没有明显影响。啤酒和葡萄酒的消费水平未发现生育力有明显差异。

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