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Association between ambient PM1 and semen quality: A cross-sectional study of 27,854 men in China

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单位: [1]Department of Epidemiology and Biostatistics, School of Public Health, Capital Medical University, Beijing 100069, China [2]Beijing Municipal Key Laboratory of Clinical Epidemiology, Capital Medical University, Beijing 100069, China [3]Department of Atmospheric and Oceanic Science, Earth System Science Interdisciplinary Center, University of Maryland, College Park, MD 20740, USA [4]Department of Occupational and Environmental Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan,Hubei, China [5]Key Laboratory of Environment and Health, Ministry of Education & Ministry of Environmental Protection, State Key Laboratory of Environmental Health (incubating),School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China [6]Department of Social Medicine and Health Education, School of Public Health, Peking University, Beijing 100191, China [7]Department of Global Health, Peking University School of Public Health, Beijing, China [8]Institute for Global Health and Development, Peking University, Beijing 100191, China [9]Reproductive Medicine Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095, Jiefang Avenue, Wuhan, Hubei, China [10]School of Public Health, Guizhou Medical University, Guiyang 550025, China
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关键词: Semen quality Chinese men Particulate matter Infertility PM1

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Background: Exposure to ambient fine and respirable particulate matter is associated with poor sperm quality, but evidence for particulate matter with an aerodynamic diameter ≤ 1 μm (PM1) is scarce. We aimed to estimate the association between PM1 exposure and sperm concentration, sperm count, sperm total motility, and sperm progressive motility in Chinese men. Methods: We conducted a cross-sectional study of 33,221 men attending an infertility clinic in Hubei, China, between 2014 and 2020. Daily concentrations of PM1 data were estimated from a validated spatiotemporal artificial intelligence model. We used multivariate linear regression to estimate the association between PM1 exposure and sperm parameters during the spermatogenesis period after adjusting for age, body mass index (BMI), education, ever having fathered a child, and season of semen collection. In addition, we performed stratified analysis to assess whether the association was varied by age, BMI, and educational attainment. Results: A total of 27,854 participants were included in the final analysis. An interquartile range (17.2 μg/m3 ) increase in PM1 during the entire period of semen development was associated with declined semen concentration [-4.39% (95% CI: − 7.67%, − 1.12%)] and sperm count [–23.56% (95% CI: − 28.95%, − 18.18%)], reduced total motility [-0.86% (95% CI: − 1.66%, − 0.06%)] and progressive motility [-2.22% (95% CI: − 3.00%, − 1.43%)]. The associations were homogeneous across subgroups defined by age and education, but were more pronounced among men with underweight for sperm concentration and sperm count. We identified a critical exposure window of 0–9 lag days, 10–14 lag days, and 70–90 lag days before semen collection for sperm count and progressive motility. Conclusions: Among men attending an infertility clinic in China, exposure to PM1 was associated with poor semen quality, especially during the 70–90 days before ejaculation. These results suggest that exposure to PM1 might be a novel risk factor for impaired semen quality.

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大类 | 1 区 环境科学与生态学
小类 | 1 区 环境科学
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大类 | 1 区 环境科学与生态学
小类 | 1 区 环境科学
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Q1 ENVIRONMENTAL SCIENCES
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Q1 ENVIRONMENTAL SCIENCES

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第一作者单位: [1]Department of Epidemiology and Biostatistics, School of Public Health, Capital Medical University, Beijing 100069, China [2]Beijing Municipal Key Laboratory of Clinical Epidemiology, Capital Medical University, Beijing 100069, China
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通讯机构: [1]Department of Epidemiology and Biostatistics, School of Public Health, Capital Medical University, Beijing 100069, China [2]Beijing Municipal Key Laboratory of Clinical Epidemiology, Capital Medical University, Beijing 100069, China [4]Department of Occupational and Environmental Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan,Hubei, China [5]Key Laboratory of Environment and Health, Ministry of Education & Ministry of Environmental Protection, State Key Laboratory of Environmental Health (incubating),School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China [10]School of Public Health, Guizhou Medical University, Guiyang 550025, China
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