Systematic review2017Open access

Coffee and caffeine intake and male infertility: a systematic review

Ricci E, Viganò P, Cipriani S, Somigliana E, Chiaffarino F, Bulfoni A, Parazzini F

Nutrition journal · 78 citations

How it was studied

Design
Systematic review (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding

Based on full-text disclosure statement.

Publication

Published
2017-06-24 · Nutr J · vol. 16 · issue 1 · p. 37
Publisher
BioMed Central
Cited
157 citations · more than 90% of similar papers · 2.4× the field average
Impact
Top 10% most cited in its field
References
63 works
Access
Open access (journal) · CC-BY
Research areas
Sperm and Testicular Function · Coffee research and impacts · Hormonal and reproductive studies
Keywords
Caffeine, Sperm, Medicine, Semen, Fertility, Male infertility, Semen quality, Semen analysis, Infertility, Physiology, Observational study, Reproductive medicine, Gynecology, Pregnancy, Andrology, Biology, Internal medicine, Population, Environmental health, Genetics
MeSH
spermatozoa, humans, infertility, male, dna damage, caffeine, sperm count, sperm motility, fertility, carbonated beverages, coffee, male, semen analysis, observational studies as topic

7 authors

From IT

  • Elena Delfina Ricci · correspondingFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
  • Paola ViganòIRCCS Ospedale San Raffaele
  • Sonia CiprianiFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
  • Edgardo SomiglianaFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
  • Francesça ChiaffarinoFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
  • Alessandro BulfoniIRCCS Humanitas Research Hospital

Abstract

Background

Semen quality, a predictor of male fertility, has been suggested declining worldwide. Among other life style factors, male coffee/caffeine consumption was hypothesized to influence semen parameters, but also sperm DNA integrity. To summarize available evidence, we performed a systematic review of observational studies on the relation between coffee/caffeine intake and parameters of male fertility including sperm ploidy, sperm DNA integrity, semen quality and time to pregnancy.

Methods

A systematic literature search was performed up to November 2016 (MEDLINE and EMBASE). We included all observational papers that reported the relation between male coffee/caffeine intake and reproductive outcomes: 1. semen parameters, 2. sperm DNA characteristics, 3. fecundability. All pertinent reports were retrieved and the relative reference lists were systematically searched in order to identify any potential additional studies that could be included.

Results

We retrieved 28 papers reporting observational information on coffee/caffeine intake and reproductive outcomes. Overall, they included 19,967 men. 1. Semen parameters did not seem affected by caffeine intake, at least caffeine from coffee, tea and cocoa drinks, in most studies. Conversely, other contributions suggested a negative effect of cola-containing beverages and caffeine-containing soft drinks on semen volume, count and concentration. 2. As regards sperm DNA defects, caffeine intake seemed associated with aneuploidy and DNA breaks, but not with other markers of DNA damage. 3. Finally, male coffee drinking was associated to prolonged time to pregnancy in some, but not all, studies.

Conclusions

The literature suggests that caffeine intake, possibly through sperm DNA damage, may negatively affect male reproductive function. Evidence from epidemiological studies on semen parameters and fertility is however inconsistent and inconclusive. Well-designed studies with predefined criteria for semen analysis, subject selection, and life style habits definition, are essential to reach a consistent evidence on the effect of caffeine on semen parameters and male fertility.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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