Sleep duration and quality in relation to semen quality in healthy men screened as potential sperm donors

被引：42

作者：

Chen, Heng-Gui ^{[1
,2
,3
]}

Sun, Bin ^{[1
,2
,3
]}

Chen, Ying-Jun ^{[1
,2
,3
]}

Chavarro, Jorge E. ^{[4
,5
]}

Hu, Si-Heng ^{[6
,7
]}

Xiong, Cheng-Liang ^{[6
,7
]}

Pan, An ^{[1
,2
,3
]}

Meng, Tian-Qing ^{[6
,7
]}

Wang, Yi-Xin ^{[1
,2
,3
,4
]}

Messerlian, Carmen ^{[5
,8
]}

机构：

[1] Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Epidemiol & Biostat, Wuhan, Hubei, Peoples R China

[2] Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Minist Educ,Key Lab Environm & Hlth, Wuhan, Hubei, Peoples R China

[3] Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, State Key Lab Environm Hlth Incubating, Wuhan, Hubei, Peoples R China

[4] Harvard TH Chan Sch Publ Hlth, Dept Nutr, Boston, MA USA

[5] Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA USA

[6] Huazhong Univ Sci & Technol, Tongji Med Coll, Ctr Reprod Med, Wuhan, Hubei, Peoples R China

[7] Hubei Prov Human Sperm Bank, Wuhan, Hubei, Peoples R China

[8] Harvard TH Chan Sch Publ Hlth, Dept Environm Hlth, Boston, MA USA

来源：

ENVIRONMENT INTERNATIONAL | 2020年 / 135卷

关键词：

Semen quality; Sleep duration; Sleep quality; Repeated measurements; SUBJECT VARIATION; WITHIN-SUBJECT; NITRIC-OXIDE; TESTOSTERONE; ASSOCIATION; ABSTINENCE; DEPRIVATION; PARAMETERS; SYSTEM;

D O I：

10.1016/j.envint.2019.105368

中图分类号：

X [环境科学、安全科学];

学科分类号：

08 ; 0830 ;

摘要：

Background: Short sleep duration and poor sleep quality are increasingly prevalent in modern society and may be associated with impaired semen quality, yet studies are inconclusive. Objectives: To investigate the reproducibility of semen quality parameters among 842 healthy men screened as potential sperm donors and explore the associations of sleep duration and quality with repeated measures of semen quality parameters. Methods: We assessed sleep duration (night sleep and daytime napping) and sleep quality using the Pittsburgh Sleep Quality Index (PSQI) among 842 healthy men screen as potential sperm donors. We examined sleep characteristics in relation to repeated measurements (n = 5601) of semen parameters using linear mixed-effects models. Results: High degrees of within-individual variability were found for total and progressive sperm motility with intraclass correlation coefficient (ICC) of 0.20 and 0.22, respectively; while fair-to-good reproducibilities were observed for sperm volume, concentration, and total count (ICC = 0.54, 0.62, and 0.50, respectively). Compared to men with total sleep duration of 8.0-8.5 h/day (h/d), men who slept less than 6.0 h/d and higher than 9.0 h/d had lower sperm volume of 12% [95% confidence interval (CI): - 22%, - 0.68%] and 3.9% (95% CI: - 7.3%, - 0.44%), respectively. Compared to men with night sleep duration of 7.5-8.0 h/d, men who slept less than 6.0 h/d had lower total and progressive sperm motility of 4.4% (95 CI: -8.4%, - 0.24%) and 5.0% (95% CI: - 9.2%, - 0.48%), respectively. Compared to men who reported good sleep quality (total PSQI score 5.0), those reporting poor sleep quality (total PSQI score > 5.0) had lower total sperm count, total motility, and progressive motility of 8.0% (95% CI: -15%, - 0.046%), 3.9% (95% CI: - 6.2%, -1.5%), and 4.0% (95% CI: - 6.5%, - 1.4%), respectively. Conclusions: Both long and short sleep duration and poor sleep quality were associated with impaired semen quality parameters. The high within-individual variability of total and progressive sperm motility suggests that a single measurement may result in a moderate degree of classification error.

引用

页数：8

共 47 条

[1]

[Anonymous], 1999, WHO laboratory manual for the examination and processing of human semen

[2] Fast and Elegant Numerical Linear Algebra Using the RcppEigen Package [J].