News Release 

Preconceptional and prenatal exposure to paternal smoking affects semen quality of adult sons

Large population study finds lower sperm counts and concentrations than in sons of non-smokers

European Society of Human Reproduction and Embryology

Vienna, 25 June 2019: The adverse effect of maternal smoking during pregnancy is well established and associated with several negative neonatal outcomes (such as low birth weight and preterm birth). It is also evident in some studies that the semen quality of men exposed to prenatal maternal smoking is generally more impaired than that of unexposed men.(1) However, there is little known about the effect of paternal smoking in the time leading up to and during pregnancy.

Now, preliminary results from a large population study based on the Danish National Birth Cohort has found that paternal smoking is associated with lower total sperm counts and sperm concentrations independent of maternal smoking and other confounding factors (such as age, alcohol consumption or BMI).

'There have been previous studies investigating the association of paternal smoking with semen quality but these were small studies without information on key confounders,' said investigator Dr Sandra Søgaard Tøttenborg from Bispebjerg Frederiksberg Hospital, in Copenhagen, Denmark. 'Our larger study does support these previous findings that paternal smoking is associated with sperm concentrations in male offspring independently of maternal smoking. We also found the association was independent of other preconceptional and prenatal risk factors for adult semen quality - including parental age, alcohol and caffeine consumption, pre-pregnancy BMI, and household occupational status.' The results are presented today by Dr Tøttenborg at the 35th Annual Meeting of ESHRE in Vienna.

The study was a follow-up analysis of 778 19-year-old young men born to mothers registered in the Danish National Birth Cohort between 1996 and 2002. Smoking information (including that on the father) was based on a maternal report around gestational week 16. Semen quality in the young men was analysed according to WHO criteria to include sperm concentration, total sperm count, morphology and sperm motility.(2)

Results showed that in the adjusted analyses the sons of fathers who smoked daily (and where the mothers did not smoke) had a 8% lower sperm concentration and 9% lower total sperm count than the sons of paternal non-smokers.(3)

'Our results did show an association with paternal smoking,' said Dr Tøttenborg, 'but the effect of maternal smoking is much larger. If the mother but not the father smoked, the reduction was 26% for sperm concentration and 46% for sperm count. It's certainly worse for the boys if the mother smokes. Nevertheless, the circumstances in which the father smokes but the mother doesn't is much more prevalent, so this is still very relevant for public health. A decline in sperm count of 8-9% can seriously affect the fertility of men with already sub-optimal sperm quality.'

Dr Tøttenborg added that, while the association with sperm count and concentration observed in this study is not dramatic when compared to other known risk factors (such as exposure to certain pesticides and some urogenital disorders such as cryptorchidism), it still remains in the same range as that associated with smoking in the adult man.

The likely explanation for a preconceptional or prenatal effect of paternal smoking in the offspring is epigenetic, by which paternal smoking can induce alterations in the sperm genome which in turn may be transmitted to the cells of the offspring.

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Abstract O-179, Tuesday 25 June 2019

Prenatal exposure to paternal smoking and semen quality in the adult offspring.

Background notes

1. See for example, Jensen TK, Jorgensen N, Punab M, et al. Association of in utero exposure to maternal smoking with reduced semen quality and testis size in adulthood: a cross-sectional study of 1,770 young men from the general population in five European countries. Am J Epidemiol 2004; 159: 49-58.

2. The analysis model allowed adjustment for maternal smoking and age, pre-pregnancy BMI, alcohol and caffeine consumption, paternal age, household occupational status, and son's abstinence time before providing the sample.

3. The WHO reference values for semen quality are:

- sperm concentration 15 million sperms per ml or more

- total sperm count 39 million sperms per ejaculate or more

- total motility defined as 40% or more motile or 32% or more with progressive motility

* When obtaining outside comment, journalists are requested to ensure that their contacts are aware of the embargo on this release.

For further information on the details of this press release, contact:

Christine Bauquis at ESHRE
Mobile: +32 (0)499 25 80 46
Email: christine@eshre.eu

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