Zhang Guowei, Yan Huan, Chen Qing, Liu Kaijun, Ling Xi, Sun Lei, Zhou Niya, Wang Zhi, Zou Peng, Wang Xiaogang, Tan Lu, Cui Zhihong, Zhou Ziyuan, Liu Jinyi, Ao Lin, Cao Jia
Institute of Toxicology, College of Preventive Medicine, Third Military Medical University, Chongqing, China.
Department of Environmental Health, College of Preventive Medicine, Third Military Medical University, Chongqing, China.
Environ Int. 2016 May;91:116-21. doi: 10.1016/j.envint.2016.02.028. Epub 2016 Mar 4.
Epidemiological and experimental evidence for detrimental effects of cell phone use on semen quality is still equivocal. And that recruiting participants from infertility clinic not from general population may raise the possibility of a selection bias. To investigate effects of cell phone use on semen parameters in a general population,We screened and documented the cell phone use information of 794 young men from the Male Reproductive Health in Chongqing College students (MARHCS) cohort study in 2013, followed by 666 and 568 in 2014 and 2015, respectively. In the univariate regression analyses, we found that the daily duration of talking on the cell phone was significantly associated with decreased semen parameters, including sperm concentration [β coefficient=-6.32% per unit daily duration of talking on the cell phone (h); 95% confidence interval (CI), -11.94, -0.34] and total sperm count (-8.23; 95% CI, -14.38, -1.63) in 2013; semen volume (-8.37; 95% CI, -15.93, -0.13) and total sperm count (-16.59; 95% CI, -29.91, -0.73) in 2015]. Internet use via cellular networks was also associated with decreased sperm concentration and total sperm counts in 2013 and decreased semen volume in 2015. Multivariate analyses were used to adjust for the effects of potential confounders, and significant negative associations between internet use and semen parameters remained. Consistent but nonsignificant negative associations between talking on the cell phone and semen parameters persisted throughout the three study years, and the negative association was statistically significant in a mixed model that considered all three years of data on talking on the cell phone and semen quality. Our results showed that certain aspects of cell phone use may negatively affect sperm quality in men by decreasing the semen volume, sperm concentration, or sperm count, thus impairing male fertility.
手机使用对精液质量产生有害影响的流行病学和实验证据仍不明确。而且从不孕不育诊所而非普通人群中招募参与者可能会增加选择偏倚的可能性。为了研究手机使用对普通人群精液参数的影响,我们筛选并记录了2013年来自重庆大学生男性生殖健康(MARHCS)队列研究的794名年轻男性的手机使用信息,2014年和2015年分别为666名和568名。在单变量回归分析中,我们发现2013年手机通话的每日时长与精液参数下降显著相关,包括精子浓度[β系数 = -6.32%/手机通话每日时长单位(小时);95%置信区间(CI),-11.94,-0.34]和总精子数(-8.23;95% CI,-14.38,-1.63);2015年精液量(-8.37;95% CI,-15.93,-0.13)和总精子数(-16.59;95% CI,-29.91,-0.73)。2013年通过蜂窝网络使用互联网也与精子浓度和总精子数下降相关,2015年与精液量下降相关。使用多变量分析来调整潜在混杂因素的影响,互联网使用与精液参数之间的显著负相关仍然存在。在整个三个研究年份中,手机通话与精液参数之间始终存在一致但不显著的负相关,并且在考虑了三年手机通话和精液质量数据的混合模型中,这种负相关具有统计学意义。我们的结果表明,手机使用的某些方面可能通过降低精液量、精子浓度或精子数对男性精子质量产生负面影响,从而损害男性生育能力。