Body mass index in relation to semen quality and reproductive hormones in New Zealand men: a cross-sectional study in fertility clinics.

STUDY QUESTION: Is there an association between body mass index (BMI) and routine semen analysis parameters in adult men? SUMMARY ANSWER: No significant correlation was found between BMI and semen parameters measured with the exception of normal sperm morphology. WHAT IS KNOWN ALREADY: Multiple cross-sectional studies have found inconsistent results, with two meta-analyses finding no correlation between BMI and semen parameters. A relationship between BMI and male reproductive hormones, particularly total testosterone, has been established in several studies and a systematic review. STUDY DESIGN, SIZE, DURATION: Cross-sectional study of 511 men recruited at the time of semen analysis over 4 years (2008-2012). PARTICIPANTS/MATERIALS, SETTING, METHODS: Men presenting for semen analysis for any reason at participating fertility clinics in Auckland, New Zealand were recruited, with BMI measured or self-reported at this time. Exclusion criteria included azoospermia and pathological conditions of male genital tract. Conventional BMI categories were used (underweight <18.5 kg/m(2), normal 18.5-24.99 kg/m(2), overweight 25.00-29.99 kg/m(2), obese ≥30 kg/m(2)). The routine semen analysis results for sperm concentration, total sperm count, sperm motility (total motility), sperm morphology, semen volume and total motile sperm (primary outcome) from one semen sample were recorded. Consent from 175 men was obtained to measure LH, FSH, estradiol, total testosterone, free testosterone and sex hormone-binding globulin (SHBG) in a blood sample (secondary outcome). Associations between BMI and these outcomes were assessed using Spearman correlation and analysis of variance, and a multiple linear regression analysis was performed. In addition, the relative risks for men having abnormal semen analysis results according to reference ranges of the World Health Organization, such as oligozoospermia, were calculated. This study has sufficient power to detect a doubling in abnormally low sperm concentration and total sperm count in overweight or obese men compared with men with normal BMI. Participation rate was not recorded. MAIN RESULTS AND THE ROLE OF CHANCE: The body mass indices from measured and self-reported samples had an equivalent range of values which did not differ statistically. Median BMI was 27.1 kg/m(2) [10th-90th percentile: 22.8-32.9]. Overall, 72.8% of the study population were overweight or obese (BMI >25 kg/m(2)), while 19 men (3.72%) had a BMI of 35-40 kg/m(2) and 7 men (1%) had a BMI of >40 kg/m(2). No significant correlation was found between BMI and the semen parameters measured with the exception of normal sperm morphology (r = 0.12, P = 0.024), although this finding is derived from only 330 samples. Overweight and obese men showed no significantly increased relative risk of abnormal semen parameters. Of the reproductive hormones, significant negative relationships with BMI were found for total testosterone (r = -0.35, P = <0.0001), free testosterone (r = -0.25, P = <0.0012) and SHBG (r = -0.44, P = <0.0001). Multiple linear regression analysis also showed that BMI had a marginally significant effect on normal sperm morphology (effect estimate =0.47, P = 0.038). In addition, <2 days of abstinence was negatively associated with semen volume (effect estimate =-0.80, P = 0.0074) and summer season was negatively associated with sperm concentration (effect estimate =-14.9, P = 0.020). LIMITATIONS, REASONS FOR CAUTION: The power of this study is limited by the relatively small overall sample size, although it does have one of the largest proportions of obese men (23.3%) in published cross-sectional studies. The study involved samples from men attending a fertility clinic, who are likely to have a lower semen quality and higher rate of pathology compared with the general population, therefore limiting the possible generalization of this study to all adult men. WIDER IMPLICATIONS OF THE FINDINGS: Our findings are consistent with those of other cross-sectional studies as well as two meta-analyses but do disagree in part with the most recent meta-analysis (which found significant odds ratios for oligozoospermia and azoospermia with increased BMI) and with studies measuring DNA fragmentation index. Therefore a definitive conclusion on the effect of BMI on semen quality remains uncertain while our data reinforce previous findings that BMI is negatively associated with male reproductive hormones. STUDY FUNDING/COMPETING INTEREST(S): All funding for this study was from New Zealand academic and charitable sources including: Faculty of Medical and Health Sciences, University of Auckland (New Zealand), the Mercia Barnes Trust of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists and the Nurture Foundation for Reproductive Research. The authors have no conflicts of interest to declare.

The anatomy and histology of the reproductive tract of the male Babirusa (Babyrousa celebensis).

The anatomy and histology of the reproduction organs of the male Babirusa (Babyrousa celebensis) were studied in 21 specimens collected between birth and approximately 17 years of age. In adult animals the testes were located in a subanal position against the caudal surface of the thigh musculature. Average adult testis length was 68.9 ± 5.1 mm, width was 40.3 ± 5.7 mm, and depth was 47.9 ± 7.0 mm (N = 11). The average combined adult testicular weight was estimated to be 82.7 ± 23.2 g (N = 11). The testes of newborn Babyrousa had descended through the inguinal canal into the scrotum before birth. Adult seminiferous tubules had an average diameter of 199 ± 33.6 µm (N = 9) and were randomly distributed among a smaller volume of Leydig cells. Connective tissue was sparse. In one 13-month-old prepubertal animal the diameter of the seminiferous tubules was 85.3 ± 16.1 µm (N = 7). The spermatozoa was 42.2 ± 4.9 µm (N = 19) long and had a flat, paddle shaped head, 6.3 ± 0.6 µm (N = 50) long, 3.9 ± 0.5 µm (N = 47) wide, and a thickness of approximately 0.5 µm. An apical ridge along its front represented the acrosome. The two adult vesicular glands each had an irregular shape and were approximately 48.7 ± 7.4 mm long, 25.6 ± 4.3 mm wide, and 20.6 ± 8.7 mm deep (N = 6). The prostate, comprising a corpus and disseminate parts, lay ventral to the vesicular glands partly embedded in the dorsal wall of the urethra. The paired adult bulbourethral glands were approximately shaped like prolate (elongated) spheroids and had a length of 51.2 ± 14.2 mm, a width of 22.6 ± 4.5 mm, and a depth of 14.4 ± 4.5 mm (N = 7). The secretions from the bulbourethral glands drained into the urethral recess, which in adults measured approximately 10 to 14 mm in length and was located caudodorsal to a narrowing of the pelvic urethra. The penis was 330 ± 16 mm long and 8.2 ± 0.6 mm in diameter, and rotated approximately two and a half turns counterclockwise along its longitudinal axis toward its free end. The small prepucial diverticulum situated dorsocranial to the penis tip in adult and prepubertal Babyrousa, in adults measured 22.0 ± 1 mm in length and 17.5 ± 2.6 mm (N = 3) in width.

Vertebral column, rib and sternal muscles of Sulawesi Babirusa (Babyrousa celebensis).

The muscular anatomy of the vertebrae, ribs and sternebrae of the Sulawesi Babirusa (Babyrousa celebensis) is described. There are many similarities to the anatomy of the domestic pig (Sus scrofa). However, unlike other pigs, the M. spinalis et semispinalis cervicis et thoracis has an origin from the twelfth thoracic mamillary process. Similarly, the Babyrousa does not have the lumbar part of the M. obliquus internus abdominis which is found in other pigs. The M. sacrocaudalis dorsalis medialis of the Babyrousa is not fused to the Mm. multifidi, and the origin of the M. obliquus externus abdominis in the Babyrousa does not include rib 4 or the fascia thoracolumbalis. In the Babyrousa, the M. longissimus atlantis is clearly separated from the M. longissimus capitis, whereas in Sus the two are fused and have a more caudal origin (up to the second thoracic vertebra). The M. longissimus cervicis of the Babyrousa has a less extensive origin and insertion than is found in the domestic pig which may be related to differences between each species in its ability to dig with its nose.

Anatomy and histology of the reproductive tract of the female Babirusa (Babyrousa celebensis).

The anatomy and histology of the female reproductive tract of the Indonesian wild pig Babyrousa celebensis was studied by means of reproductive tracts obtained from seven animals aged between two and 22 years of age. The ovary appeared to have the ability to ovulate up to four ova at one time. However, the combined ovarian output seemed to average 1.86 ova. Ovulation can take place at any time from puberty to old age (22 years). The opening to the uterine tube was indicated by a 'flower-like' array of tall, broad epithelial 'petals' arising from the luminal surface of the funnel. The mucosal surfaces of these structures were covered in a mixture of prominent ciliated cells and bulbous secretory cells. The uterine tube followed a tightly convoluted path to the tip of the uterine horn. The uterus was proportionately short. The anatomical construction of the uterus was similar to those of other suids in that the columnar endometrium was heavily folded, there was a rich supply of uterine glands in the lamina propria, and the uterus was provided with a good blood supply. The cervix was thick walled and had a spiral lumen.

The impact of body mass index on semen parameters and reproductive hormones in human males: a systematic review with meta-analysis.

BACKGROUND: It has been suggested that body mass index (BMI), especially obesity, is associated with subfertility in men. Semen parameters are central to male fertility and reproductive hormones also play a role in spermatogenesis. This review aimed to investigate the association of BMI with semen parameters and reproductive hormones in men of reproductive age. METHODS: MEDLINE, EMBASE, Biological Abstracts, PsycINFO and CINAHL databases and references from relevant articles were searched in January and February 2009. Outcomes included for semen parameters were sperm concentration, total sperm count, semen volume, motility and morphology. Reproductive hormones included were testosterone, free testosterone, estradiol, FSH, LH, inhibin B and sex hormone binding globulin (SHBG). A meta-analysis was conducted to investigate sperm concentration and total sperm count. RESULTS: In total, 31 studies were included. Five studies were suitable for pooling and the meta-analysis found no evidence for a relationship between BMI and sperm concentration or total sperm count. Overall review of all studies similarly revealed little evidence for a relationship with semen parameters and increased BMI. There was strong evidence of a negative relationship for testosterone, SHBG and free testosterone with increased BMI. CONCLUSIONS: This systematic review with meta-analysis has not found evidence of an association between increased BMI and semen parameters. The main limitation of this review is that data from most studies could not be aggregated for meta-analysis. Population-based studies with larger sample sizes and longitudinal studies are required.

Cranial muscles of the Sulawesi Babirusa (Babyrousa celebensis).

The detailed muscular anatomy of the head of the Sulawesi Babirusa (Babyrousa celebensis) is described for the first time. The results show that the muscular anatomy of the Babyrousa is very similar to the pig genus Sus, despite long geological separation from it. Some differences were noted: the M. parietoauricularis was more clearly separated into two parts in the Babirusa than in the domestic pig; the rostral fibres of the M. levator anguli oculi reached the infraorbital sinus in the Babirusa but only as far as the medial corner of the eye in the domestic pig; the M. palatinus of the Babirusa is paired and did not reach the Os palatinum, unlike its description in the domestic pig and the Platysma pars zygomatica originates from the fascia of the neck in the Babirusa, whereas that of the domestic pig originates largely or entirely from the scapula.

A lectin histochemical study on the testis of the babirusa, Babyroussa babyrussa (Suidae).

The distribution of lectin bindings in the testis of babirusa, Babyrousa babyrussa (Suidae) was studied histochemically using 10 biotinylated lectins, Peanut agglutinin (PNA), Ricinus communis agglutinin (RCA I), Dolichos biflorus agglutinin (DBA), Vicia villosa agglutinin (VVA), Soybean agglutinin (SBA), Wheat germ agglutinin (WGA), Lens culinaris agglutinin (LCA), Pisum sativum agglutinin (PSA), Concanavalin A(Con A) and Ulex europaeus agglutinin (UEA I). Nine of 10 lectins showed a variety of staining patterns in the seminiferous epithelium and interstitial cells. The acrosome of Golgi-, cap- and acrosome-phase spermatids displayed various PNA, RCA I, VVA, SBA and WGA bindings, indicating the presence of glycoconjugates with D-galactose, N-acetyl-D-galactosamine and N-acetyl-D-glucosamine sugar residues respectively. No affinity was detected in the acrosome of late spermatids. LCA, PSA and Con A which have affinity for D-mannose and D-glucose sugar residues were positive in the cytoplasm of spermatids and spermatocytes. DBA was positive only in spermatogonia. In addition to DBA, positive binding in spermatogonia was found for VVA, WGA and Con A, suggesting the distribution of glycoconjugates with N-acetyl-D-galactosamine, N-acetyl-D-glucosamine, D-mannose and D-glucose sugar residues. Sertoli cells were stained intensely with RCA I, WGA and Con A. In Leydig cells, RCA I and Con A were strongly positive, while WGA, LCA and PSA reactions were weak to moderate. The present findings showed that the distribution pattern of lectin binding in the testis of babirusa is somewhat different from that of pig or other mammals reported previously.

The New Veterinary College, Edinburgh, 1873 to 1904.

This year's BVA Congress takes place in Edinburgh, home of the Royal (Dick) School of Veterinary Studies. However, the Scottish capital has been host to more than one veterinary school over the years, as Colin Warwick and Alastair MacDonald explain.

Immunohistochemical study on the distribution of endocrine cells in the gastrointestinal tract of the babirusa, Babyrousa babyrussa (Suidae).

The distribution and relative frequency of endocrine cells in the gastrointestinal tract of the babirusa were studied immunohistochemically using the avidin-biotin-peroxidase complex method. Thirteen types of gut endocrine cells were detected; they were immunoreactive for chromogranin, serotonin, somatostatin, gastrin, bovine pancreatic polypeptide (BPP), glucagon, secretin, cholecystokinin (CCK), methionine-enkephalin-Arg6-Gly7-Leu8 (MENK8), motilin, gastric inhibitory polypeptide (GIP) and peptide tyrosine tyrosine (PYY). Cells that were immunoreactive for chromogranin, serotonin, somatostatin and glucagon were found in all portions of the gastrointestinal tract. MENK8-immunoreactive cells were observed in the stomach and small intestine. Gastrin-immunoreactive cells were detected in the pyloric region and duodenum. PYY-immunoreactive cells were found in the small and large intestine. Cells immunoreactive for motilin, CCK, GIP, and secretin were observed in the proximal small intestine and those immunoreactive for neurotensin were found only in the ileum. Although the distribution pattern of endocrine cells in the gastrointestinal tract of babirusa was similar to those reported for pig, restricted distribution of several endocrine cells, gastrin, BPP, MENK8, motilin, CCK, GIP, secretin and neurotensin and wider distribution of glucagon and PYY were observed in the babirusa. The unexpected presence of MENK8 in all glandular regions of the stomach and PYY in the small intestine was also noted. The distribution of gut endocrine cells might be related to the regulatory characteristics of the babirusa digestive tract.

Scanning electron microscopy of the microcotyledonary placenta of the horse (Equus caballus) in the latter half of gestation.

Scanning electron microscopy was used to examine the microstructure of the maternal and fetal placenta from 25 pregnant ponies (Equus caballus) throughout the second half of gestation. Samples of placenta, 2-6 cm(2)in area, were collected from the antimesometrial region of the pregnant horn at 105 days (n=1), 165-219 days (n=5), 260 days (n=3), 270-277 days (n=3), 313-337 days (n=11) and immediately after spontaneous delivery at term (n=2). The maternal microcaruncle appears to be created from a clustering of about 16 uterine crypts encapsulated in a connective tissue sheath. There is a gestational increase in the depth of the microcaruncle during the second half of pregnancy. The fetal microcotyledon appears to be formed by a clustering of individual fetal villi. The length and branching of the villi increased considerably during the last 2-3 months of gestation. Tufts of from three to six branches were seen arising from close to the base of a villous stem. Branching of the villous stem occurred not only at the base but also along the secondary and tertiary branches. There was evidence of continued branching at the tips of the villi in the few days before birth.

Anatomy and histology of the babirusa (Babyrousa babyrussa) stomach.

Stomachs from six adult and one 12-month-old babirusa (Babyrousa babyrussa) were collected from zoological gardens. The babirusa stomach was larger than that of the domestic pig (Sus scrofa), and possessed a large diverticulum ventriculi. Its gastric glands were confined to a small, easily identifiable unit at the end of the corpus ventriculi, and the connections between the different stomach parts were wide and unrestricted, with the exception of the well-defined connection between the diverticulum ventriculi and the fundus ventriculi. Microscopically, the structure of the cardiac, gastric and pyloric glands was similar to that of Sus scrofa. However, the mucusproducing cardiac glands of babirusa occupied a larger area within the stomach (> 70% versus 33%). The pH in the lumen of the cardiac gland area lay between 5.3 and 6.4 and micro-organisms were found here. It was hypothesised that the babirusa is a nonruminant foregut-fermenting frugivore/concentrate selector.

Glucose, lactate and oxygen metabolism in the fetal pig during late gestation.

Using [U-14C]glucose tracer, rates of umbilical uptake, utilization and production of glucose, and of CO2 production from glucose carbon, were measured in seven chronically catheterized fetal pigs, when the sow was in the fed state, between 100 and 113 days of gestation (term, 114 +/- 2 days). At the same time, rates of umbilical O2 and lactate uptake were determined in all seven fetuses by the Fick principle. The mean fetal rates of umbilical glucose uptake, glucose utilization and CO2 production from glucose carbon were 38.4 +/- 4.2, 41.3 +/- 5.2 and 126.9 +/- 12.6 mumol min-1 (kg fetal body weight)-1, respectively (n = 7), No glucose production was therefore detected in the fetuses. Production of CO2 from glucose carbon accounted for 37.3 +/- 3.4% (n = 7) of the umbilical O2 uptake, which averaged 340 +/- 13 mumol min-1 kg-1 (n = 7). There was also significant umbilical lactate uptake in the fetal piglets when the sow was in the fed state (32.6 +/- 10.4 mumol min-1 kg-1, n = 7, P < 0.05). No significant changes in fetal glucose, O2 or lactate metabolism were observed with increasing age towards term. The fetal rates of glucose metabolism and of umbilical uptake of O2 and lactate were not correlated with fetal blood glucose level. Hence, glucose is used for both oxidative and non-oxidative metabolism in utero and is an important, although not the sole, source of carbon for metabolic processes in the fetal pig during late gestation.

The impact of polystyrene resins in solid-phase organic synthesis.

A major objective of the DIVERSOMER technology is to provide pure and characterized compounds for biological testing in order to prevent 'false negatives' in our libraries. On several occasions, analysis of the final products by 1H-NMR and MS, has revealed by-products from the polystyrene solid support. Subsequently, three alternative methods were studied to remove polystyrene by-products; (i) prewashing of the resin prior to execution of the synthesis; (ii) pretreatment of the resin with the cleavage conditions consistent with the solid-phase synthesis reaction scheme; and (iii) parallel purification.

Descriptive and comparative myology of the hindlimb of the babirusa (Babyrousa babyrussa L. 1758).

A description is given of the anatomy of the muscles of the hindlimb of the babirusa (Babyrousa babyrussa L. 1758). Four adult animals, two males and two females were dissected and the results compared with previously published information. Significant differences were found between the accounts and these were analysed within the contexts of material availability and advances in anatomical nomenclature. Comparisons made with published descriptions of the pig (Sus scrofa) showed that the muscular anatomies of the two species are very similar. Those differences which are apparent, despite intraspecies variation in structure, include a thoracic vertebral origin for the M. psoas minor in babirusa but not pig, a smaller gluteal tongue to the M. gluteus medius in the babirusa, a failure of the Mm. gluteus medius to meet on the dorsal midline in the babirusa unlike the case in the pig, the two heads of the M. gluteus accessorius are of unequal size in the babirusa but not in the pig, the vertebral head of the M. obturatorius externus is absent in the babirusa and present in the pig.

Comparative anatomy of the cardiac foramen ovale in cats (Felidae), dogs (Canidae), bears (Ursidae) and hyaenas (Hyaenidae).

The structure of the foramen ovale from 16 species representing 4 carnivore families, the Felidae, Canidae, Ursidae and Hyaenidae, was studied using the scanning electron microscope. The Felidae were represented by 9 domestic cat fetuses (Felis catus), 2 snow leopard neonates (Uncia uncia), an ocelot neonate (Leopardus pardalis), 2 lion neonates (Panthera leo), a panther neonate (Panthera pardus) and 3 tigers (Neofelis tigris), comprising 2 fetuses and a neonate. The Canidae were represented by a golden jackal neonate (Canis aureus), a newborn wolf (Canis lupus), 8 domestic dog fetuses (Canis familiaris), 3 red fox neonates (Vulpes vulpes) and a dhole neonate (Cuon alpinus). The Ursidae were represented by a brown bear neonate (Ursus arctos), a day-old grizzly bear cub (Ursus arctos horribilis), a polar bear neonate (Ursus maritimus), and 2 additional bear fetuses (species unknown). The Hyaenidae were represented by a striped hyaena neonate (Hyaena hyaena). In each species, the foramen ovale, when viewed from the terminal part of the caudal vena cava, had the appearance of a short tunnel. A thin fold of tissue, the developed remains of the embryonic septum primum, extended from the distal end of the caudal vena cava for a variable distance into the lumen of the left atrium and contributed towards the 'tunnel' appearance in all specimens. It constituted a large proportion of the tube, and its distal end was straight-edged. There was fibrous material underlying the endothelium of the flap, the apparent morphology of which suggested that it comprised cardiac muscle.(ABSTRACT TRUNCATED AT 250 WORDS)

The placenta and cardiac foramen ovale of the babirusa (Babyrousa babyrussa).

The structures of the placenta and the cardiac foramen ovale of the babirusa (Babyrousa babyrussa) were studied by means of light and scanning electron microscopy, with material from eleven fetal and neonatal animals. The babirusa has a diffuse epitheliochorial placenta. The chorion of the term placenta is fusiform in shape, and most of its surface comprises rows of villi interrupted by round, oval or irregularly shaped aerolae. A network of fetal placental capillaries indents the epithelial layer covering the tops and sides of the interareolar villi. The round and oval areolae have slender, irregularly shaped villi. The irregular areolae have undulating surfaces without villi. The umbilical cord contains two arteries, one vein and the urachus. The foramen ovale, when viewed from the terminal part of the caudal vena cava has the appearance of a tunnel; a fold of tissue projects from the caudal edge of the foramen ovale into the lumen of the left atrium. This fold, the distal end of which is straight-edged, constitutes a large proportion of the tube, the remainder being formed by the atrial septum. Comparison of the anatomy of the placenta and heart with those of members of the Suidae and Hippopotamidae indicates that the babirusa has more characters in common with the pigs than with the hippos.