Air pollution and semen parameters in men seeking fertility treatment for the first time

• Authors: Artur Wdowiak , Edyta Wdowiak , Agnieszka Bień , Iwona Bojar , Grażyna Iwanowicz-Palus , Dorota Raczkiewicz

Abstracts

EN

Objectives The purpose of this paper was to analyze the relationship between the selected chemical air pollutants found in the Lublin Province and the semen parameters of men seeking fertility treatment for the first time. Material and Methods The study involved an analysis of semen sample test results obtained from male patients first reporting for fertility treatment in reproductive health centers in the Lublin Province, Poland. The data set comprises semen parameters of 13 148 men, and the number of samples in the reference period was 255–769 annually. Data on air pollution were obtained from the website of the Polish General Environmental Inspectorate and included selected chemical air pollutant levels, i.e., NO₂, SO₂, O₃, and PM₁₀. Results The mean PM₁₀ levels in the air increased, on average, by 0.65 μg/m₃ annually in 2000–2015 (p = 0.029); the mean levels of O₃, NO₂, SO₂ did not change significantly in the analyzed period. There were increasing trends in the mean sperm density and total sperm count of the subjects in 1992–2015 (p < 0.001). The mean percentage of sperm with normal morphology significantly decreased in the subsequent analysis periods: 1992–1998 (p = 0.001); 1999–2009 (p < 0.001); 2010–2015 (p = 0.001). A significant negative correlation was found between the ozone levels in the air in the Lublin Province and the percentage of sperm with normal morphology (r = –0.8311, p = 0.040). Conclusions Exposure to ozone in the air contributes to decreased percentages of sperm with normal sperm morphology. Over the years, there was an increasing trend in sperm density in the men first reporting for fertility treatment, and a decreasing trend in the percentage of sperm with normal morphology. Int J Occup Med Environ Health. 2019;32(3):387–99

Keywords

EN

air pollution; reproductive health; male infertility; semen analysis; sperm; sperm quality

• Publisher: Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
• Journal: International Journal of Occupational Medicine and Environmental Health
• Year: 2019
• Volume: 32
• Issue: 3
• Pages: 387-399

Dates

published

2019

Contributors

author

Artur Wdowiak

• Medical University of Lublin, Lublin, Poland (Faculty of Health Sciences, Diagnostic Techniques Unit)

author

Edyta Wdowiak

• International Scientific Association for the Support and Development of Medical Technologies, Lublin, Poland

author

Agnieszka Bień

• Medical University of Lublin, Lublin, Poland (Faculty of Health Sciences)

author

Iwona Bojar

• Institute of Rural Health in Lublin, Lublin, Poland (Department for Woman Health)

author

Grażyna Iwanowicz-Palus

• Medical University of Lublin, Lublin, Poland (Faculty of Health Sciences)

author

Dorota Raczkiewicz

• SGH Warsaw School of Economics, Warsaw, Poland (Institute of Statistics and Demography, Collegium of Economic Analysis)

Identifiers

DOI

10.13075/ijomeh.1896.01355

Biblioteka Nauki

2161969