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收稿:2020-10-01,
纸质出版:2021-01-15
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熊英, 王芙蓉, 陈卿, 等. 重庆市环境气态污染物暴露与男性精液质量及性激素水平的关联研究[J]. 第三军医大学学报, 2021,43(1):10-16.
Ying XIONG, Furong WANG, Qing CHEN, et al. Association of exposure to environmental gaseous pollutants in Chongqing with semen quality and sex hormone levels in Chongqing young men[J]. Journal of Third Military Medical University, 2021, 43(1): 10-16.
熊英, 王芙蓉, 陈卿, 等. 重庆市环境气态污染物暴露与男性精液质量及性激素水平的关联研究[J]. 第三军医大学学报, 2021,43(1):10-16. DOI: 10.16016/j.1000-5404.202010001.
Ying XIONG, Furong WANG, Qing CHEN, et al. Association of exposure to environmental gaseous pollutants in Chongqing with semen quality and sex hormone levels in Chongqing young men[J]. Journal of Third Military Medical University, 2021, 43(1): 10-16. DOI: 10.16016/j.1000-5404.202010001.
Objective
2
To investigate the effects of atmospheric gaseous pollutants SO
2
NO
2
CO and O
3
on the reproductive endocrine system of male college students.
Methods
2
Established cohort of the male reproductive health in Chongqing college students (MARHCS) study. A total of 796 subjects were recruited to complete the baseline survey in 2013
and then followed up in 2014 and 2015. Their semen parameters
sperm DNA damage
and serum sex hormone levels were detected. Air pollution data and meteorological data were also collected during the study period. The mixed effect model was used to analyze the associations of exposure to SO
2
NO
2
O
3
and CO with semen routine parameters
sperm DNA damage indexes and sex hormone levels.
Results
2
There were no significant differences in sperm motility and serum progesterone level between the 3 investigations. But statistical differences were observed in semen volume
sperm density
total sperm count
sperm motility and normal sperm morphology
and high DNA stainability (HDS) between the 3 investigations (
P
<
0.05). So were in the serum levels of estradiol
luteinizing hormone (LH)
prolactin and testosterone. The results of the mixed effect model showed that significant negative correlations were seen in SO
2
concentration with serum prolactin and progesterone levels
in O
3
concentration with follicle stimulating hormone (FSH) and testosterone to estradiol ratio (T/E
2
)
in NO
2
with sperm normal morphology rate
and in CO with FSH level. After Bonferroni multiple correction
the differences were still statistically significant (corrected
P
<
0.05). In addition
O
3
concentration was positively correlated with sperm motility (
β
=4.88; 95%
CI
: 2.60~7.22; corrected
P
<
0.05) and normal sperm morphology rate (
β
=7.28; 95%
CI
: 3.44~11.27; corrected
P
<
0.05). So were the concentration of NO
2
with serum FSH
LH and testosterone levels (corrected
P
<
0.05).
Conclusion
2
Exposure to gaseous pollutants SO
2
NO
2
O
3
and CO might affect the semen quality and reproductive hormone levels in young men.
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