新冠疫情期间上海单一生殖中心2021—2025年精液质量的时间趋势
Temporal trends in semen quality at a single reproductive center in Shanghai, China, during 2021-2025 amid the COVID-19 pandemic
摘要
该回顾性研究分析了2021—2025年新冠疫情期间在上海一家生殖中心就诊的21,932名男性的精液质量随时间的变化,是对该中心2015—2021年趋势报告的延续。精液样本经2—7天禁欲后用计算机辅助精液分析(CASA)检测常规参数与运动学参数,并按WHO 2010参考限分层,用方差分析、Kruskal-Wallis检验、t检验及协方差分析比较组间差异;在上限组中用多元线性回归校正年龄与禁欲时间。结果显示,精液量、精子总数、浓度及多个CASA运动学参数随时间显著上升,而精子活动力显著下降(回归系数-0.7112)。作者认为,这一上升趋势与疫情前同一中心的下降趋势相反,提示疫情可能改变了精液质量的年度变化方向。
原文摘要
BACKGROUND: Accumulating epidemiological and andrological evidence has raised concerns about potential long-term declines in semen quality worldwide, highlighting the need for sustained, population-specific surveillance. In this study, we retrospectively analyzed temporal changes in semen quality during the period of 2021-2025 amid the COVID-19 pandemic. This work extends our previous report on annual trends in semen quality at the same center from 2015 to 2021. METHODS: This retrospective study evaluated temporal changes in semen quality parameters among 21,932 men who attended a reproductive center in Shanghai between 2021 and 2025, a period characterized by widespread COVID-19 pandemic. After 2-7 days of sexual abstinence, semen samples were analyzed using computer-assisted sperm analysis to assess conventional semen parameters, including semen volume, sperm count, sperm concentration, and sperm motility, as well as sperm kinematic parameters, including curvilinear velocity, straight-line velocity, average path velocity, and beat-cross frequency. To better characterize temporal changes across different baseline semen-quality strata, participants were classified according to the WHO 2010 reference criteria into above-reference-limit and below-reference-limit groups. Differences among groups were assessed using one-way analysis of variance, the Kruskal-Wallis test, independent-samples t-test, and analysis of covariance, as appropriate. In the above-reference-limit group, multiple linear regression models including year, age, and abstinence duration were used to adjust for potential confounders and evaluate temporal trends in semen quality. RESULTS: In the overall cohort and in both the above-reference-limit and below-reference-limit subgroups, sperm count, sperm concentration, and several CASA-derived kinematic parameters, including curvilinear velocity, straight-line velocity, average path velocity, and beat-cross frequency, generally showed increasing temporal trends from 2021 to 2025. After adjustment for age and abstinence duration, multiple linear regression analyses in the above-reference-limit group supported these associations. Semen volume, sperm count, sperm concentration, curvilinear velocity, straight-line velocity, average path velocity, and beat-cross frequency increased significantly over the study period, with regression coefficients of 0.0876, 4.815, 0.6929, 0.9423, 0.3553, 0.5150, and 0.1172, respectively. In contrast, sperm motility decreased significantly over time, with a regression coefficient of -0.7112. CONCLUSION: The observed increases in semen volume, sperm count, and sperm concentration contrast with the declining trends previously reported at the same reproductive center before the COVID-19 pandemic. These findings suggest widespread COVID-19 pandemic have reversed the annual changes in parameters related to semen quality.
推荐理由:大样本、连续5年、同一中心前后对照,报告疫情期精液参数趋势“反转”,对男性生殖健康监测与ART实验室解读精液数据有参考价值;但单中心回顾性设计、缺乏生活方式与感染史等混杂控制,结论需谨慎外推。
文献解读
尚未生成。