A low intake of antioxidant nutrients is associated with poor semen quality in patients attending fertility clinics.

OBJECTIVE: To compare specific nutrient intake between normospermic and oligoasthenoteratospermic patients attending infertility clinics in two Mediterranean provinces of Spain. DESIGN: Case-control study. SETTING: Private fertility clinics in southeastern Spain. PATIENT(S): Thirty men with poor semen quality (case subjects) and 31 normospermic control subjects of couples attending our fertility clinics. INTERVENTION(S): We recorded dietary habits and nutrient consumption using a food frequency questionnaire adapted to meet specific study objectives. MAIN OUTCOME MEASURE(S): We calculated nutrient intakes by multiplying the frequency of use for each food by the nutrient composition of the portion size specified on the food frequency questionnaire and by addition across all foods to obtain a total nutrient intake for each individual. Semen quality was assessed by measuring volume, concentration, motility, and morphology. Hormones levels were also analyzed in case and control subjects. RESULT(S): In the logistic regression, control subjects had a significantly higher intake of carbohydrates, fiber, folate, vitamin C, and lycopene and lower intakes of proteins and total fat. CONCLUSION(S): A low intake of antioxidant nutrients was associated with a poor semen quality in this case-control study of Spanish men attending infertility clinics.

Food intake and its relationship with semen quality: a case-control study.

OBJECTIVE: To compare dietary habits in normospermic and oligoasthenoteratospermic patients attending a reproductive assisted clinic. DESIGN: An observational, analytical case-control study. SETTING: Private fertility clinics. PATIENT(S): Thirty men with poor semen quality (cases) and 31 normospermic control couples attending our fertility clinics. INTERVENTION(S): We recorded dietary habits and food consumption using a food frequency questionnaire adapted to meet specific study objectives. Analysis of semen parameters, hormone levels, Y microdeletions, and karyotypes were also carried out. MAIN OUTCOME MEASURE(S): Frequency of intake food items were registered in a scale with nine categories ranging from no consumption to repeated daily consumption. RESULT(S): Controls had a higher intake of skimmed milk, shellfish, tomatoes, and lettuce, and cases consumed more yogurt, meat products, and potatoes. In the logistic regression model cases had lower intake of lettuce and tomatoes, fruits (apricots and peaches), and significantly higher intake of dairy and meat processed products. CONCLUSION(S): Frequent intake of lipophilic foods like meat products or milk may negatively affect semen quality in humans, whereas some fruits or vegetables may maintain or improve semen quality.

Exposure to environmental toxins in males seeking infertility treatment: a case-controlled study.

This case-control study explored the role of environmental toxins in male infertility in patients attending an assisted reproduction clinic in southeastern Spain. Exposures were compared by questionnaire for 30 infertile oligoasthenoteratozoospermic males (cases) and 31 normozoospermic controls residing in the area. Odds ratios and 95% confidence intervals (CI) were used to estimate differences in lifestyle and chemical occupational exposures. More than two-thirds of the cases (23/30), compared with less than one-third of controls (10/31), had been exposed occupationally to at least one toxin or pollutant (OR = 6.9; 95% CI: 2.2-21.4) and were also more exposed to them currently (OR = 5.2; 95% CI: 1.6-17.2). Exposure to glues, solvents or silicones (OR = 22.9; 95% CI: 2.8-190.9), metals (OR = 8.8; 95% CI: 1.4-54.2) and physical agents (OR = 7.3; 95% CI: 1.4-36.7) in the past, as well as current exposure to glues, solvents or silicones (OR = 10.4; 95% CI: 2.6-42.5) and physical agents (OR = 4.7; 95% CI: 1.1-19.2), were significantly higher in cases than in controls. Average duration of exposure was also significantly higher in cases (P < 0.001). This study suggests that male infertility in patients attending infertility clinics may often be the result of occupational exposure.