Evidence map›Paper›PMID 25928123›Full record

ReviewReproductive biology and endocrinology : RB&E2015

Effects of increased paternal age on sperm quality, reproductive outcome and associated epigenetic risks to offspring.

Rakesh Sharma, Ashok Agarwal, Vikram K Rohra, Mourad Assidi, Muhammad Abu-Elmagd, Rola F Turki

Open access · goldAbstract readReview
In one paragraph

Review in Reproductive biology and endocrinology : RB&E, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 163 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
163citing papers in PubMed, 5 pooled it
37.1field-weighted citation impact, top 1% of its field
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

163 citing papers in PubMed, 5 syntheses or guidelines pooled it, 456 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Parental Age and the Risk of ADHD in Offspring: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2021
    Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Clinical and Pathological Characteristics of Men with Infertility at a Single Center: A Retrospective Descriptive Study.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2026
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Age-Associated Metabolomic Changes in Human Spermatozoa.International journal of molecular sciences · 2026
    Article
  19. Review
  20. Review

103 more citing papers are in PubMed but not listed here.

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

6 authors at 2 institutions in 2 countries.

Rakesh SharmaCenter for Reproductive Medicine, Cleveland Clinic, Cleveland, OH, USA. sharmar@ccf.org.
Ashok AgarwalCenter for Reproductive Medicine, Cleveland Clinic, Cleveland, OH, USA. agarwaa@ccf.org.
Vikram K RohraCenter for Reproductive Medicine, Cleveland Clinic, Cleveland, OH, USA. vikrohra@alfaisal.edu.
Mourad AssidiCenter of Excellence in Genomic Medicine Research, King AbdulAziz University, Jeddah, Saudi Arabia. mourad.assidi@gmail.com.
Muhammad Abu-ElmagdCenter of Excellence in Genomic Medicine Research, King AbdulAziz University, Jeddah, Saudi Arabia. mabuelmagd@kau.edu.sa.
Rola F TurkiKACST Technology Innovation Center in Personalized Medicine at King AbdulAziz University, Jeddah, Saudi Arabia. rola_turki@yahoo.com.
Cleveland Clinic · USKing Abdulaziz University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Over the last decade, there has been a significant increase in average paternal age when the first child is conceived, either due to increased life expectancy, widespread use of contraception, late marriages and other factors. While the effect of maternal ageing on fertilization and reproduction is well known and several studies have shown that women over 35 years have a higher risk of infertility, pregnancy complications, spontaneous abortion, congenital anomalies, and perinatal complications. The effect of paternal age on semen quality and reproductive function is controversial for several reasons. First, there is no universal definition for advanced paternal ageing. Secondly, the literature is full of studies with conflicting results, especially for the most common parameters tested. Advancing paternal age also has been associated with increased risk of genetic disease. Our exhaustive literature review has demonstrated negative effects on sperm quality and testicular functions with increasing paternal age. Epigenetics changes, DNA mutations along with chromosomal aneuploidies have been associated with increasing paternal age. In addition to increased risk of male infertility, paternal age has also been demonstrated to impact reproductive and fertility outcomes including a decrease in IVF/ICSI success rate and increasing rate of preterm birth. Increasing paternal age has shown to increase the incidence of different types of disorders like autism, schizophrenia, bipolar disorders, and childhood leukemia in the progeny. It is thereby essential to educate the infertile couples on the disturbing links between increased paternal age and rising disorders in their offspring, to better counsel them during their reproductive years.

Indexed as

Paternal AgeSemen AnalysisAge FactorsAgingEpigenesis, GeneticFemaleGenome-Wide Association StudyGenomic InstabilityHumansMaleMental DisordersPregnancyPregnancy OutcomeReproductionRisk AssessmentTelomere Shortening

Identifiers

PMID25928123
PMCPMC4455614
OpenAlexW2042220560

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.