2012
DOI: 10.1016/j.mce.2011.05.048
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Regional differences and temporal trends in male reproductive health disorders: Semen quality may be a sensitive marker of environmental exposures

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Cited by 148 publications
(107 citation statements)
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“…This needs to be confirmed with more precise data on men's actual location. In the light of the present results, perennial surveillance of semen quality, which allows assessing temporal and spatial trends in what is considered a public health biomarker (Jensen et al 2009, Joffe 2010 and may even be a sensible biomarker of environmental exposure (Nordkap et al 2012), appears to be necessary. In this context, development and comparison of consistent indicators among countries at a continental level may allow for further progresses in the understanding of patterns in sperm quality and their underlying causes.…”
Section: Resultsmentioning
confidence: 95%
“…This needs to be confirmed with more precise data on men's actual location. In the light of the present results, perennial surveillance of semen quality, which allows assessing temporal and spatial trends in what is considered a public health biomarker (Jensen et al 2009, Joffe 2010 and may even be a sensible biomarker of environmental exposure (Nordkap et al 2012), appears to be necessary. In this context, development and comparison of consistent indicators among countries at a continental level may allow for further progresses in the understanding of patterns in sperm quality and their underlying causes.…”
Section: Resultsmentioning
confidence: 95%
“…The decline in semen quality, including in countries that previously boasted good sperm characteristics, highlights the male reproductive system as one of the major targets of environmental toxicants [36]. It seems likely that the cumulative effects of various low-dose exposures to environmental contaminants are responsible for male reproductive effects.…”
Section: Discussionmentioning
confidence: 99%
“…Although this appears to suggest a negligible human male reproductive system risk, phthalates are only one component of a mixture of chemicals to which humans are exposed. Since humans are continuously exposed to multiple combinations of compounds with anti-androgenic and estrogenic effects, it is important to assess the joint action exhibited by mixtures of chemicals that disrupt a common system or target tissue instead of chemicals sharing a narrowly defined mechanism of toxicity Kortenkamp and Faust, 2010;Nordkap et al, 2012). When combined with other EDC in rats, it is clear that phthalates contribute to reproductive toxicity below the no-observed-adverse-effect level of individual phthalate congener exposures (Committee on the Health Risks of Phthalates, 2008;Johnson et al, 2012).…”
Section: Phthalatesmentioning
confidence: 99%