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男性不孕病患應避免服用大量豆類製品

http://humrep.oxfordjournals.org/content/23/11/2584.long

Soy food and isoflavone intake in relation to semen quality parameters among men from an infertility clinic

1. Jorge E. Chavarro1,2,7, 
2. Thomas L. Toth3, 
3. Sonita M. Sadio4 and
4. Russ Hauser3,5,6

+Author Affiliations

1. ¹Department of Nutrition, Harvard School of Public Health, 665 Huntington Ave., Boston, MA, USA
2. ²Channing Laboratory, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA 02115, USA
3. ³Vincent Memorial Obstetrics and Gynecology Service, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
4. ⁴Department of Urology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
5. ⁵Department of Environmental Health, Harvard School of Public Health, Boston, MA, USA
6. ⁶Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA

1. 7Correspondence address. Tel: +1-617-432-4584; Fax: +1-617-432-2435; E-mail:jchavarr@hsph.harvard.edu

• Received March 3, 2008.
• Revision received April 18, 2008.
• Accepted April 28, 2008.

 

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Abstract

BACKGROUND High isoflavone intake has been related to decreased fertility in animal studies, but data in humans are scarce. Thus, we examined the association of soy foods and isoflavones intake with semen quality parameters.

METHODS The intake of 15 soy-based foods in the previous 3 months was assessed for 99 male partners of subfertile couples who presented for semen analyses to the Massachusetts General Hospital Fertility Center. Linear and quantile regression were used to determine the association of soy foods and isoflavones intake with semen quality parameters while adjusting for personal characteristics.

RESULTS There was an inverse association between soy food intake and sperm concentration that remained significant after accounting for age, abstinence time, body mass index, caffeine and alcohol intake and smoking. In the multivariate-adjusted analyses, men in the highest category of soy food intake had 41 million sperm/ml less than men who did not consume soy foods (95% confidence interval = –74, –8; P, trend = 0.02). Results for individual soy isoflavones were similar to the results for soy foods and were strongest for glycitein, but did not reach statistical significance. The inverse relation between soy food intake and sperm concentration was more pronounced in the high end of the distribution (90th and 75th percentile) and among overweight or obese men. Soy food and soy isoflavone intake were unrelated to sperm motility, sperm morphology or ejaculate volume.

Table II.

Semen quality parameters [mean (SD)] by levels of soy isoflavones soy foods intake.

Intake range [median]	N	Total sperm count (millions)	Ejaculate volume (ml)	Sperm concentration (millions/ml)	Sperm motility (% motile)	Sperm morphology (% normal)
Daidzein (mg/day)
0 [0]	39	297 (245)	3.5 (1.9)	106 (82)	47 (22)	7.5 (5.0)
0.01–0.47 [0.34]	20	266 (162)	3.3 (1.7)	94 (66)	44 (21)	6.7 (4.1)
0.48–2.15 [1.22]	20	330 (240)	3.8 (1.6)	97 (82)	49 (18)	6.6 (3.9)
≥2.16 [5.15]	20	266 (209)	4.1 (2.2)	78 (60)	48 (24)	6.2 (3.3)
P, trend		0.66	0.26	0.13	0.71	0.26
Genistein (mg/day)
0 [0]	39	297 (245)	3.5 (1.9)	106 (82)	47 (22)	7.5 (5.0)
0.01–0.75 [0.46]	21	259 (162)	3.4 (1.8)	90 (66)	45 (20)	6.6 (4.1)
0.76–2.96 [1.80]	19	341 (240)	3.8 (1.6)	101 (83)	48 (19)	6.7 (4.0)
≥2.97 [7.48]	20	266 (209)	4.1 (2.2)	78 (60)	48 (24)	6.2 (3.3)
P, trend		0.70	0.27	0.15	0.73	0.27
Glycitein (mg/day)
0 [0]	46	300 (244)	3.4 (1.9)	106 (79)	47 (22)	7.3 (4.8)
0.01–0.08 [0.05]	16	270 (157)	3.5 (1.6)	91 (65)	46 (18)	6.6 (4.3)
0.09–0.28 [0.23]	19	341 (239)	4.0 (1.7)	100 (84)	48 (22)	7.2 (4.0)
≥0.28 [0.91]	18	236 (184)	3.9 (2.3)	73 (59)	45 (24)	5.8 (3.1)
P, trend		0.28	0.46	0.08	0.79	0.16
Soy foods (serv/day)
0 [0]	39	297 (245)	3.5 (1.9)	106 (82)	47 (22)	7.5 (5.0)
0.01–0.07 [0.04]	18	261 (171)	3.4 (1.8)	92 (69)	49 (19)	6.5 (3.9)
0.08–0.29 [0.16]	22	331 (242)	3.7 (1.6)	104 (86)	42 (22)	7.0 (4.2)
≥0.30 [0.54]	20	264 (191)	4.1 (2.1)	72 (45)	50 (22)	5.9 (3.1)
P, trend		0.65	0.24	0.03	0.59	0.14

Figure 1:

Predicted sperm concentration values according to soy food intake*.

*Values are predicted from separate multivariate linear or quantile regression models for non-smoking men with 2 days of abstinence at the median age (36 year), median BMI (26 kg/m²), median caffeine intake (111 mg/day) and median alcohol intake (0.29 drinks/day).