Evidence map›Paper›PMID 25277121›Full record

ArticleBMJ open2014

Habitual alcohol consumption associated with reduced semen quality and changes in reproductive hormones; a cross-sectional study among 1221 young Danish men.

Tina Kold Jensen, Mads Gottschau, Jens Otto Broby Madsen, Anne-Maria Andersson, Tina Harmer Lassen, Niels E Skakkebæk, Shanna H Swan, Lærke Priskorn, Anders Juul, Niels Jørgensen

Abstract readVideo-Audio Media
In one paragraph

Article in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

53 citing papers in PubMed.

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  15. Male infertility.Nature reviews. Disease primers · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Tina Kold JensenDepartment of Environmental Medicine, University of Southern Denmark, Copenhagen, Denmark The Faculty of Medical and Health Sciences, University Department of Growth and Reproduction, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Mads GottschauDepartment of Environmental Medicine, University of Southern Denmark, Copenhagen, Denmark.
Jens Otto Broby MadsenDepartment of Environmental Medicine, University of Southern Denmark, Copenhagen, Denmark.
Anne-Maria AnderssonThe Faculty of Medical and Health Sciences, University Department of Growth and Reproduction, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Tina Harmer LassenThe Faculty of Medical and Health Sciences, University Department of Growth and Reproduction, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Niels E SkakkebækThe Faculty of Medical and Health Sciences, University Department of Growth and Reproduction, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Shanna H SwanDepartment of Preventive Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Lærke PriskornDepartment of Environmental Medicine, University of Southern Denmark, Copenhagen, Denmark.
Anders JuulThe Faculty of Medical and Health Sciences, University Department of Growth and Reproduction, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Niels JørgensenThe Faculty of Medical and Health Sciences, University Department of Growth and Reproduction, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

Funding

The Mount Sinai Transdisciplinary Center on Early Environmental ExposuresP30ES023515 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Robert O Wright · 2014 to 2026
$21.3M
6 · The paper itself

Abstract

objectiveStudy associations between three measures of alcohol consumption (recent, typical/habitual, binging), semen quality and serum reproductive hormones.

designCross-sectional population based study. SETTING AND

participants1221 young Danish men, aged 18-28 years were recruited when they attended a compulsory medical examination to determine their fitness for military service from 2008 to 2012. Total alcohol consumption: (1) in the week preceding (habitual/typical) the visit (recent alcohol intake), (2) in a typical week and (3) frequency of 'binge drinking' (consuming more than 5 units/day)) in the past 30 days was estimated.

main outcome measuresSemen quality (volume, sperm concentration, total sperm count, and percentages of motile and morphologically normal spermatozoa) and serum concentration of reproductive hormones (follicle-stimulating hormone, luteinising hormone, testosterone, sex hormone binding globulin, oestradiol, free testosterone and inhibin B).

resultsSperm concentration, total sperm count and percentage of spermatozoa with normal morphology were negatively associated with increasing habitual alcohol intake. This association was observed in men reporting at least 5 units in a typical week but was most pronounced for men with a typical intake of more than 25 units/week. Men with a typical weekly intake above 40 units had a 33% (95% CI 11% to 59%) reduction in sperm concentration compared to men with an intake of 1-5 units/week. A significant increase in serum free testosterone with increasing alcohol consumption the week preceding the visit was found. Binging was not independently associated with semen quality.

conclusionsOur study suggests that even modest habitual alcohol consumption of more than 5 units per week had adverse effects on semen quality although most pronounced associations were seen in men who consumed more than 25 units per week. Alcohol consumption was also linked to changes in testosterone and SHBG levels. Young men should be advised to avoid habitual alcohol intake.

Indexed as

Semen AnalysisAdolescentAdultAlcohol DrinkingAlcoholismBinge DrinkingCross-Sectional StudiesDenmarkEstradiolFollicle Stimulating HormoneHumansInhibinsLuteinizing HormoneMaleSemenSex Hormone-Binding GlobulinEstradiolFollicle Stimulating Hormoneinhibin BInhibinsLuteinizing HormoneSex Hormone-Binding GlobulinTestosteroneEPIDEMIOLOGYPUBLIC HEALTHREPRODUCTIVE MEDICINE

Identifiers

PMID25277121
PMCPMC4185337

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.