The association between lifestyle factors and the composition of the vaginal microbiota: a review.

Autor: Morsli M; VBIC, INSERM U1047, Department of Microbiology and Hospital Hygiene, University of Montpellier, CHU Nîmes, Nîmes, France., Gimenez E; Department of Gynecology and Obstetrics, University of Montpellier, CHU Nîmes, Nîmes, France., Magnan C; VBIC, INSERM U1047, Department of Microbiology and Hospital Hygiene, University of Montpellier, CHU Nîmes, Nîmes, France., Salipante F; Service de Biostatistique, Epidémiologie, Santé Publique Innovation et Méthodologie, University of Montpellier, CHU Nîmes, Nîmes, France., Huberlant S; Department of Gynecology and Obstetrics, University of Montpellier, CHU Nîmes, Nîmes, France., Letouzey V; Department of Gynecology and Obstetrics, University of Montpellier, CHU Nîmes, Nîmes, France., Lavigne JP; VBIC, INSERM U1047, Department of Microbiology and Hospital Hygiene, University of Montpellier, CHU Nîmes, Nîmes, France. jean.philippe.lavigne@chu-nimes.fr.
Jazyk: angličtina
Zdroj: European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology [Eur J Clin Microbiol Infect Dis] 2024 Oct; Vol. 43 (10), pp. 1869-1881. Date of Electronic Publication: 2024 Aug 03.
DOI: 10.1007/s10096-024-04915-7
Abstrakt: Purpose: The vaginal microbiota offers valuable insights into women's sexual health and the risk of developing sexually transmitted infections (STIs) and bacterial vaginosis. Despite the public health implications of changes in the vaginal environment, existing data on this topic remain sparse.
Methods: Following the PRISMA statement guidelines, we consulted five bibliographic databases, focusing on five main daily habits and behaviors. We included only studies published up to October 2023, investigating the influence of personal hygiene, sexual behaviors, hormonal contraception, smoking, alcohol consumption, and psychosocial stress on the vaginal microbiota using next-generation sequencing.
Results: Based on our inclusion criteria, we incorporated 37 studies into this review. Hormonal contraception and personal hygiene were found to promote eubiosis of the vaginal microbiota. In contrast, sexual behaviors, smoking, alcohol consumption, and psychosocial stress were associated with an increased susceptibility to bacterial vaginosis, STIs, and severe pelvic inflammatory diseases due to a modified vaginal microbiota. Black ethnicity emerged as a confounding factor, with this population showing unstable vaginal microbiota. Oral contraception and a stable male sexual partner were found to favor Lactobacillus colonization, acting as a protective factor. Conversely, non-hormonal contraception and unprotected or non-penile/vaginal sexual activity increased the incidence of vaginal inflammation and bacterial vaginosis by disturbing the vaginal microbiota and reducing Lactobacillus abundance.
Conclusion: Daily habits and lifestyle can influence the composition of the vaginal microbiota, thereby affecting vaginal health. Disturbances in the vaginal microbiota could be associated factors for STIs and vaginosis. Therefore, prioritizing more appropriate management of the vaginal microbiota is crucial.
(© 2024. The Author(s).)
Databáze: MEDLINE
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