World J Mens Health.  2014 Aug;32(2):105-109. 10.5534/wjmh.2014.32.2.105.

Do Cigarette Smoking and Obesity Affect Semen Abnormality in Idiopathic Infertile Males?

Affiliations
  • 1Department of Urology, Cheil General Hospital & Women's Healthcare Center, Kwandong University College of Medicine, Seoul, Korea. jtandro@cgh.co.kr
  • 2Department of Laboratory of Reproductive Biology, Cheil General Hospital & Women's Healthcare Center, Kwandong University College of Medicine, Seoul, Korea.

Abstract

PURPOSE
This study was conducted to find the relative risk of semen abnormality with respect to smoking history and obesity.
MATERIALS AND METHODS
Subfertile or infertile men were enrolled in this study from July 2010 to June 2011. All participants provided their cigarette use information, self-reported weight, height, semen analysis, physical examination, and sexually transmitted disease status. None of the enrolled patients had any specific pathological reason for infertility. Semen abnormality was defined as a condition in which one or more parameters did not satisfy the World Health Organization's criteria.
RESULTS
A total of 1,073 male patients were considered for this study. After the application of the inclusion criteria, 193 patients were finally analyzed. These patients were divided into two groups according to semen abnormality: the normal semen group (n=72) and the abnormal semen group (n=121). Baseline characteristics, except age and smoking history, were not significantly different between the two groups. Smoking history and age were risk factors for the semen abnormality of idiopathic infertile male patients.
CONCLUSIONS
Smoking and old age were risk factors for semen abnormality. However, obesity did not affect the semen abnormality. Smoking affected semen quality and is therefore expected to play a negative role in conception.

Keyword

Infertility, male; Semen; Smoking; Obesity

MeSH Terms

Fertilization
Humans
Infertility
Infertility, Male
Male
Obesity*
Physical Examination
Risk Factors
Semen Analysis
Semen*
Sexually Transmitted Diseases
Smoke
Smoking*
Tobacco Products
World Health
World Health Organization
Smoke

Reference

1. Zenzes MT. Cigarette smoking as a cause of delay in conception. Reprod Med Rev. 1995; 4:189–205.
Article
2. Marinelli D, Gaspari L, Pedotti P, Taioli E. Mini-review of studies on the effect of smoking and drinking habits on semen parameters. Int J Hyg Environ Health. 2004; 207:185–192. PMID: 15330386.
Article
3. Zinaman MJ, Brown CC, Selevan SG, Clegg ED. Semen quality and human fertility: a prospective study with healthy couples. J Androl. 2000; 21:145–153. PMID: 10670528.
4. Zavos PM, Correa JR, Antypas S, Zarmakoupis-Zavos PN, Zarmakoupis CN. Effects of seminal plasma from cigarette smokers on sperm viability and longevity. Fertil Steril. 1998; 69:425–429. PMID: 9531871.
5. Zenzes MT. Smoking and reproduction: gene damage to human gametes and embryos. Hum Reprod Update. 2000; 6:122–131. PMID: 10782570.
Article
6. Merino G, Lira SC, Martínez-Chéquer JC. Effects of cigarette smoking on semen characteristics of a population in Mexico. Arch Androl. 1998; 41:11–15. PMID: 9642454.
Article
7. Zhang JP, Meng QY, Wang Q, Zhang LJ, Mao YL, Sun ZX. Effect of smoking on semen quality of infertile men in Shandong, China. Asian J Androl. 2000; 2:143–146. PMID: 11232793.
8. Al-Bader A, Omu AE, Dashti H. Chronic cadmium toxicity to sperm of heavy cigarette smokers: immunomodulation by zinc. Arch Androl. 1999; 43:135–140. PMID: 10543576.
Article
9. Wang SL, Wang XR, Chia SE, Shen HM, Song L, Xing HX, et al. A study on occupational exposure to petrochemicals and smoking on seminal quality. J Androl. 2001; 22:73–78. PMID: 11191090.
10. Wegner CC, Clifford AL, Jilbert PM, Henry MA, Gentry WL. Abnormally high body mass index and tobacco use are associated with poor sperm quality as revealed by reduced sperm binding to hyaluronan-coated slides. Fertil Steril. 2010; 93:332–334. PMID: 19733846.
11. Aggerholm AS, Thulstrup AM, Toft G, Ramlau-Hansen CH, Bonde JP. Is overweight a risk factor for reduced semen quality and altered serum sex hormone profile? Fertil Steril. 2008; 90:619–626. PMID: 18068160.
Article
12. Cooper TG, Noonan E, von Eckardstein S, Auger J, Baker HW, Behre HM, et al. World Health Organization reference values for human semen characteristics. Hum Reprod Update. 2010; 16:231–245. PMID: 19934213.
Article
13. Toppari J. Environmental endocrine disrupters and disorders of sexual differentiation. Semin Reprod Med. 2002; 20:305–312. PMID: 12428210.
Article
14. Saleh RA, Agarwal A, Sharma RK, Nelson DR, Thomas AJ Jr. Effect of cigarette smoking on levels of seminal oxidative stress in infertile men: a prospective study. Fertil Steril. 2002; 78:491–499. PMID: 12215323.
Article
15. Vine MF. Smoking and male reproduction: a review. Int J Androl. 1996; 19:323–337. PMID: 9051418.
Article
16. Ramlau-Hansen CH, Thulstrup AM, Aggerholm AS, Jensen MS, Toft G, Bonde JP. Is smoking a risk factor for decreased semen quality? A cross-sectional analysis. Hum Reprod. 2007; 22:188–196. PMID: 16966350.
Article
17. de Jong AM, Menkveld R, Lens JW, Nienhuis SE, Rhemrev JP. Effect of alcohol intake and cigarette smoking on sperm parameters and pregnancy. Andrologia. 2014; 46:112–117. PMID: 23230969.
Article
18. Vermeulen A. Environment, human reproduction, menopause, and andropause. Environ Health Perspect. 1993; 101(Suppl 2):91–100. PMID: 8243411.
Article
19. Messinis IE, Milingos SD. Leptin in human reproduction. Hum Reprod Update. 1999; 5:52–63. PMID: 10333369.
Article
20. Strain GW, Zumoff B, Kream J, Strain JJ, Deucher R, Rosenfeld RS, et al. Mild Hypogonadotropic hypogonadism in obese men. Metabolism. 1982; 31:871–875. PMID: 6811834.
Article
21. Jensen TK, Andersson AM, Jørgensen N, Andersen AG, Carlsen E, Petersen JH, et al. Body mass index in relation to semen quality and reproductive hormones among 1,558 Danish men. Fertil Steril. 2004; 82:863–870. PMID: 15482761.
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