一项关于含糖饮料消费与精液质量的孕前队列研究。

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC ACS Applied Electronic Materials Pub Date : 2024-11-01 Epub Date: 2024-03-07 DOI:10.1111/andr.13615
Marlon D Joseph, Martha R Koenig, Andrea S Kuriyama, Tanran R Wang, Amelia K Wesselink, Michael L Eisenberg, Greg J Sommer, Kenneth J Rothman, Sherri O Stuver, Lauren A Wise, Elizabeth E Hatch
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引用次数: 0

摘要

背景:包括高糖摄入量在内的饮食因素可能会对男性生殖产生不利影响。有关含糖饮料(SSB)摄入量与精液质量之间关系的研究报告结果并不一致:我们在一项北美孕前队列研究中估算了饮用含糖饮料对精液质量的影响:我们分析了 690 名男性(n = 1,247 个样本)的基线数据,这些男性在 2015-2022 年期间参与了在线妊娠研究 (PRESTO)。年龄≥21岁的参与者填写了一份基线调查问卷,其中报告了关于苏打水、能量饮料、运动饮料和果汁等固态饮料摄入量的信息。注册后,我们邀请美国参与者参加精液检测子研究,使用家用精液检测试剂盒采集并分析两份样本。我们使用线性回归模型来估计 SSB 摄入量与精液量、精子浓度、精子总数 (TSC)、活力和活动精子总数 (TMSC) 的调整后差异百分比 (%D) 和 95% 置信区间 (CI)。我们使用改进的泊松回归模型来估算 SSB 摄入量与世界卫生组织精液参数临界点相关性的调整风险比 (RR) 和 95% CI:与不摄入 SSB 的人相比,每周摄入 SSB≥7 次的人精液量(%D = -6,95% CI:-13,0)、精子浓度(%D = -22,95% CI:-38,0)、TSC(%D = -22,95% CI:-38,-2)、活力(%D = -4,95% CI:-10,2)和 TMSC(%D = -25,95% CI:-43,-2)均较低。SSB 摄入量高的人精子浓度低(≤1,600 万/毫升;RR = 1.89,95% CI:1.11,3.21)、TSC 低(≤3,900 万;RR = 1.75,95% CI:0.92,3.33)、活力低(≤42%;RR = 1.23,95% CI:0.87,1.75)和 TMSC 低(≤2,100 万;RR = 1.95,95% CI:1.12,3.38)的风险也更高。体重指数≥25 kg/m2的参与者的相关性更强:在北美的一个孕前队列中,摄入更多的 SSB 与精液质量下降有关。
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A preconception cohort study of sugar-sweetened beverage consumption and semen quality.

Background: Dietary factors, including high sugar intake, may have adverse effects on male reproduction. Studies of the association between sugar-sweetened beverage (SSB) intake and semen quality have reported inconsistent results.

Objective: We estimated the effects of SSB consumption on semen quality in a North American preconception cohort study.

Methods: We analyzed baseline data from 690 males (n = 1,247 samples) participating in Pregnancy Study Online (PRESTO) during 2015-2022. Participants aged ≥21 years completed a baseline questionnaire on which they reported information about intake of SSBs, including sodas, energy drinks, sports drinks, and fruit juices. After enrollment, we invited U.S. participants to a semen testing substudy, in which they collected and analyzed two samples using an at-home semen testing kit. We used linear regression models to estimate adjusted percent differences (%D) and 95% confidence intervals (CI) for associations of SSB intake with semen volume, sperm concentration, total sperm count (TSC), motility, and total motile sperm count (TMSC). We used modified Poisson regression models to estimate adjusted risk ratios (RRs) and 95% CIs for the association of SSB intake with World Health Organization semen parameter cut points.

Results: Relative to non-consumers of SSBs, those who consumed ≥7 SSBs/week had lower semen volume (%D = -6, 95% CI: -13, 0), sperm concentration (%D = -22, 95% CI: -38, 0), TSC (%D = -22, 95% CI: -38, -2), motility (%D = -4, 95% CI: -10, 2), and TMSC (%D = -25, 95% CI: -43, -2). High SSB consumers also had greater risks of low sperm concentration (≤16 million/mL; RR = 1.89, 95% CI: 1.11, 3.21), low TSC (≤39 million; RR = 1.75, 95% CI: 0.92, 3.33), low motility (≤42%; RR = 1.23, 95% CI: 0.87, 1.75) and low TMSC (≤21 million; RR = 1.95, 95% CI: 1.12, 3.38). Associations were stronger among participants with body mass index ≥ 25 kg/m2.

Conclusion: Greater SSB consumption was associated with reduced semen quality in a North American preconception cohort.

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