Relationship between serum vitamin D concentration and parameters of gonadal function in infertile male patients

男性不育患者血清维生素D浓度与性腺功能参数的关系

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作者:Mariela Holzer, Estefanía Massa, Sergio Ghersevich

Background

Vitamin D (vitD) deficiency could affect male reproductive function. Our

Conclusions

VitD may affect male reproductive parameters, and its deficiency could be associated with infertility.

Methods

Infertile patients (n = 29) and normozoospermic healthy donors (n = 27) were recruited for the study. Serum concentrations of vitD, total testosterone, estradiol, and sex hormone-binding globulin were determined using chemiluminescence assays, and free testosterone concentration was determined by radioimmunoassay. Semen analysis was performed as suggested by the World Health Organization. Statistical analysis was conducted using Student's t test, contingency tables, and linear regression studies.

Results

VitD concentrations were lower in patients than in controls (p < 0.001). A significant association (p < 0.001) was observed between vitD concentrations <20ng/mL and infertility. In the control group, significant correlations were reported between vitD concentrations >30 ng/mL and the concentrations of testosterone (p < 0.05), free testosterone (p < 0.01), and estradiol (p < 0.05). A direct correlation was found between vitD concentration and percentage of sperm vitality (p = 0.01). VitD also positively correlated with the percentage of progressive sperm motility (p <0.05) and sex hormone-binding globulin concentrations (p < 0.01). Conclusions: VitD may affect male reproductive parameters, and its deficiency could be associated with infertility.

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