Key Lab of Medical Protection for Electromagnetic Radiation, Ministry of Education of China, Institute of Toxicology, College of Preventive Medicine, Third Military Medical University , Chongqing, China.
Ecological and Environmental Monitoring Center of Chongqing, Chongqing, China.
Environ Sci Technol. 2018 Feb 6;52(3):1571-1581. doi: 10.1021/acs.est.7b05206. Epub 2018 Jan 24.
Studies have shown that the effects of ambient particulate matter (PM) may be related to particle's size. However, results on the relationships between different PM and reproductive health are controversial. To explore the impacts of various PM fractions on male reproductive health, a total of 796 eligible subjects recruited in 2013 baseline investigation. In addition, there were 656 (82.4%) and 568 (71.3%) subjects participated follow-up surveys in 2014 and 2015, respectively. We used multivariable regression analysis and mixed-effect model to investigate the associations between air pollutants PM, PM, and PM exposures and semen quality, sperm DNA fragmentation and serum reproductive hormones of subjects. In the preliminary regression analysis, PM, PM, and PM exposure all associated with sperm concentration, morphology, sperm high DNA stainability (HDS), serum estradiol and testosterone levels. However, in mixed models, we only found that PM exposure were negatively associated with sperm normal morphology (95% CI: -14.13, -24.47) but positively associated with sperm progressive motility (95% CI: 23.00, 8.49), and PM exposure was inversely associated with sperm concentration (95% CI: -9.06, -27.31) after multiplicity adjustment. Our results provide the evidence that air PM and PM exposures, not PM, are risk factors of semen quality.
研究表明,环境颗粒物(PM)的影响可能与颗粒的大小有关。然而,不同 PM 与生殖健康之间的关系的结果仍存在争议。为了探讨不同 PM 成分对男性生殖健康的影响,我们共招募了 796 名符合条件的研究对象,于 2013 年进行了基线调查。此外,分别有 656 名(82.4%)和 568 名(71.3%)对象参与了 2014 年和 2015 年的随访调查。我们采用多变量回归分析和混合效应模型,研究了空气中 PM、PM 和 PM 暴露与研究对象精液质量、精子 DNA 碎片化和血清生殖激素之间的关系。在初步回归分析中,PM、PM 和 PM 暴露均与精子浓度、形态、精子高 DNA 染色率(HDS)、血清雌二醇和睾酮水平有关。然而,在混合模型中,我们仅发现 PM 暴露与精子正常形态呈负相关(95%CI:-14.13,-24.47),而与精子前向运动呈正相关(95%CI:23.00,8.49),并且在多重调整后,PM 暴露与精子浓度呈负相关(95%CI:-9.06,-27.31)。我们的研究结果提供了证据,表明空气 PM 和 PM 暴露而不是 PM 是精液质量的危险因素。