By KIM CAROLLO (@kimcarollo) and DR. JESSICA ROSE
Diets high in saturated fat are bad for waistlines, but they can also have a negative impact below the waist. They may lower sperm count and sperm concentration, according to a new study published in the journal Human Reproduction.
Researchers from Massachusetts General Hospital, Brigham and Women's Hospital and Harvard Medical School collected semen samples from 99 mostly overweight or obese men and assessed their diets by asking them how often over the previous year they had certain foods and beverages.
They found that eating a lot of saturated fat was associated with a lower total sperm count and concentration. Diets high in omega-3 polyunsaturated fats -- the fats commonly found in fish and plant oils -- were associated with better-quality semen, meaning the sperm cells were of a better size and shape. The study did not determine what particular kinds of saturated fats were linked to sperm count.
The study's lead author, Dr. Jill Attaman, now a reproductive endocrinologist at Dartmouth-Hitchcock Medical Center, said the study could lead to a better understanding of how lifestyle factors affect male fertility.
"There are few clearly identifiable lifestyle modifications that can be made to optimize natural fertility, especially for males," Attaman told ABC News in an email. "This is the first report of a relation between specific dietary fats and semen quality."
The Effect of a Poor Diet on Male Fertility Watch Video
Experts not involved with the study have different opinions on the role diet plays in male fertility. Some say the research opens up an important door to future studies, while others say there are factors that play a much bigger role in fertility.
"The study explores an inadequately studied field in andrology and suggests associations between dietary habits and sperm parameters among subfertile, mostly overweight men," said Dr. Tamer Yalcinkaya, associate professor and section head of reproductive endocrinology and infertility at Wake Forest University School of Medicine.
Diet is an important fertility-related variable, other doctors told ABC News.
"Maintaining a healthy, well-balanced diet will be the key to optimizing sperm parameters," said Dr. John Petrozza, director of the MGH Fertility Center, a center involved in the study. "The concept of omega-3 fatty acids will be the key, since it has been well established as an important cell membrane stabilizer."
"We have been discussing diet with our female patients for quite a while," said Dr. Alan Penzias, associate professor of obstetrics, gynecology and reproductive biology at Harvard Medical School. Researchers at Harvard Medical School were also involved with the study, though Penzias was not. "This evidence is entirely plausible and affords us the opportunity to expand the discussion to the male partners of our female patients."
Research has also implicated diet as a factor in the production of healthy eggs by women's reproductive systems. A Canadian study found that nutrients such as coenzyme Q10, a substance used by the body to produce energy, contributed to egg production.
It's also entirely possible, said Dr. Lawrence Ross, professor of urology at the University of Illinois at Chicago, that since many of the men in the study were obese, their weight was what adversely affected their semen.
"Many of them may have elevated levels of estradiol, a 'female' hormone, that can lower endogenous testosterone and decrease sperm production. Some of them may also have undiagnosed Type 2 diabetes which can affect ejaculation as well as erectile function and hence total sperm count," he said. Obesity may also cause other medical problems that can affect sperm count.
But Dr. Sherman Silber of the Infertility Center of St. Louis said that higher estrogen levels in obese men play only a minor role in sperm levels.
"We cannot expect to correct male infertility with a low fat diet, but of course, Americans are obese, and any weight reduction and fat reduction program would be welcome for health in general," he said. Silber said that the shape and size of sperm -- known as sperm morphology -- are largely determined by genetics.
The Effect of a Poor Diet on Male Fertility Watch Video
Another doctor, Jamie Grifo of the NYU Fertility Center, argued that sperm count also does not necessarily affect a woman's ability to become pregnant, so the study conclusions have little relevance to fertility.
Grifo said patients with abnormal sperm morphology can "usually always get pregnant using intrauterine insemination [IUI] if you take the time." IUI is the placement of sperm directly into the uterus to facilitate fertilization. "The outcome is not changed by sperm count."
Attaman added that if future studies can replicate these findings, they can have a substantial impact on overall health.
"Although these findings need to be reproduced, adapting these nutritional modifications may not only be beneficial for reproductive health but for global general health as well," she said.
http://abcnews.go.com/Health/sperm-count-diet-high-saturated-fat-harvard-study/story?id=15912533&page=2
