title: The Impact of Paternal and Maternal Smoking on Semen Quality of Adolescent Men.
abstract: Maternal smoking during pregnancy has been reported to negatively impact sperm counts of the sons. Sufficient data on the effect of paternal smoking is lacking.
  
  
  
  We wished to elucidate the impact of maternal and paternal smoking during pregnancy and current own smoking on reproductive function of the male offspring.
  
  
  
  Semen parameters including sperm DNA integrity were analyzed in 295 adolescents from the general population close to Malmö, Sweden, recruited for the study during 2008-2010. Information on maternal smoking was obtained from the Swedish Medical Birth Register, and regarding own and paternal smoking from questionnaires. The impacts of maternal, paternal and own smoking were evaluated in a multivariate regression model and by use of models including interaction terms. Totally, three exposures and five outcomes were evaluated.
  
  
  
  In maternally unexposed men, paternal smoking was associated with 46% lower total sperm count (95%CI: 21%, 64%) in maternally unexposed men. Both paternal and maternal smoking were associated with a lower sperm concentration (mean differences: 35%; 95%CI: 8.1%, 55% and 36%; 95%CI: 3.9%, 57%, respectively) if the other parent was a non-smoker. No statistically significant impact of own smoking on semen parameters was seen.
  
  
  
  Prenatal both maternal and paternal smoking were separately associated with some decrease in sperm count in men of whom the other parent was not reported to smoke.
authors.affiliation: Reproductive Medicine Centre, Skåne University Hospital, Malmö, Sweden ; Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden.
authors.forename: Jonatan
authors.initials: J
authors.lastname: Axelsson
authors.forename: Lars
authors.initials: L
authors.lastname: Rylander
authors.forename: Anna
authors.initials: A
authors.lastname: Rignell-Hydbom
authors.forename: Karl Ågren
authors.initials: KÅ
authors.lastname: Silfver
authors.forename: Amelie
authors.initials: A
authors.lastname: Stenqvist
authors.forename: Aleksander
authors.initials: A
authors.lastname: Giwercman
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D008297:Male; D008889:Military Personnel; D011247:Pregnancy; D011297:Prenatal Exposure Delayed Effects / Q000473:pathology*; D055101:Semen Analysis; D012907:Smoking / Q000009:adverse effects* / Q000453:epidemiology; D013076:Sperm Count; D011795:Surveys and Questionnaires; D013548:Sweden / Q000453:epidemiology; D013737:Testis / Q000473:pathology