Evidence map›Paper›PMID 41919084›Full record

SynthesisFrontiers in nutrition2026

Metabolic and bariatric surgery and male endocrine and reproductive health: a GRADE-assessed meta-analysis.

Ruihui Zhu, Lili Li

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Ruihui ZhuDepartment of Clinical Laboratory, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Lili LiDepartment of Clinical Laboratory, Huzhou Central Hospital, Affiliated Central Hospital of Huzhou University, Huzhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The negative impact of obesity on male fertility and sexual health is well-established. Although metabolic and bariatric surgery (MBS) offers a powerful solution for severe obesity, its impact on the male androgens, semen quality, and sexual function are not yet fully understood. Methods: A comprehensive systematic search of the literature was conducted in PubMed, Embase, the Cochrane Library, and Web of Science for relevant studies published up to July 2024. Data about reproductive hormones, semen parameters, and sexual function in men with obesity undergoing bariatric surgery was extracted. For data synthesis, weighted mean differences (WMDs) and their 95% confidence intervals (CIs) were calculated using random- or fixed-effects models, as appropriate. Results: Fifty-nine studies with 60 arms were included in our meta-analysis. Metabolic and bariatric surgery indicated elevated levels of total testosterone (TT) (WMD: 5.46 nmol/L, Conclusion: Overally, this meta-analysis illustrated that bariatric surgery improves the hormonal profile and sexual function in obese men profoundly. These findings introduce bariatric surgery as an effective therapeutic strategy for weight loss management and male reproductive health improvement.

Indexed as

bariatric surgerymale reproductive functionobesitysemen qualitysex hormonessexual function

Identifiers

PMID41919084
PMCPMC13033656

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.