Clinical Research and Translation Center, The First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian Province, China; Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, Fujian Province, China.
Department of Epidemiology and Biostatistics, Ministry of Education Key Laboratory of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
Environ Pollut. 2022 Nov 1;312:120089. doi: 10.1016/j.envpol.2022.120089. Epub 2022 Sep 1.
Cell phone use and radio-frequency electromagnetic radiation (RF-EMF) are rapidly increasing and may be associated with lower semen quality, yet results from epidemiological studies are inconclusive. Information on electronic devices use was collected through standard questionnaires from 1454 men aged 22-45 years old. Semen volume, sperm concentration, total sperm count, total motility, progressive motility, and normal morphology in repeated specimens were determined by trained clinical technicians. Percent changes [95% confidence intervals (CIs)] were estimated as (10-1) × 100 for electronic devices use associated with repeated sperm quality parameters in the linear mixed-effect models. After adjusting for multiple confounders, we found significant inverse associations of total duration of electronic devices use with sperm progressive motility and total motility, duration of cell phone and computer use with sperm concentration, progressive motility, and total motility (all P < 0.05). No significant association was found between cell phone/computer use alone and sperm quality parameters. Moreover, per hour increase of time spent on cell phone talking was associated with decreased sperm concentration and total count by an average of -8.0% (95% CI: -15.2%, -0.2%) and -12.7% (95% CI: -21.3%, -3.1%), respectively. Besides, daily calling time was associated with lower sperm progressive motility and total motility among those who used headsets during a call (P for interaction <0.05). In conclusion, our study suggested that more time spent on electronic devices use had a modest reduction effect on semen quality. Daily calling time was significantly associated with lower sperm concentration and total count, and using headsets during a call appeared to aggravate the negative association between daily calling time and sperm motility. Additional studies are needed to confirm these findings.
手机使用和射频电磁辐射(RF-EMF)正在迅速增加,可能与较低的精液质量有关,但流行病学研究的结果尚无定论。通过标准问卷收集了 1454 名年龄在 22-45 岁的男性的电子设备使用信息。由经过培训的临床技术人员在重复标本中确定精液量、精子浓度、总精子数、总活力、前向运动精子比例和正常形态。线性混合效应模型中,电子设备使用与重复精液质量参数相关的百分比变化[95%置信区间(CI)]估计为(10-1)×100。在调整了多个混杂因素后,我们发现电子设备总使用时间与精子前向运动精子和总活力、手机和电脑使用时间与精子浓度、前向运动精子和总活力呈显著负相关(均 P<0.05)。单独使用手机/电脑与精子质量参数之间没有显著关联。此外,手机通话时间每增加 1 小时,精子浓度和总计数平均降低 8.0%(95% CI:-15.2%,-0.2%)和 12.7%(95% CI:-21.3%,-3.1%)。此外,对于使用耳机通话的人,每天的通话时间与精子前向运动精子和总活力呈负相关(P 交互<0.05)。总之,我们的研究表明,更多地使用电子设备会对精液质量产生适度的降低作用。每天的通话时间与精子浓度和总计数呈显著负相关,并且在通话时使用耳机似乎会加剧每天的通话时间与精子活力之间的负相关关系。需要进一步的研究来证实这些发现。