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. 2022 Sep 7;5(9):e2230359. doi: 10.1001/jamanetworkopen.2022.30359

Table 2. Associations of FEI With Semen Quality and Biochemistry Parameters of Seminal Plasma Before and After Adjusting for Confounding Factorsa.

Parameter All
Crude Adjusted
Effect estimate, % (95% CI)b P value Effect estimate, % (95% CI)b P value
SV −0.56 (−0.90 to 0.89) .26 −0.45 (−0.87 to 1.42) .42
SC −0.11 (−0.69 to 1.58) .81 −0.01 (−0.66 to 1.91) .98
TSC −0.34 (−0.74 to 0.65) .36 −0.22 (−0.69 to 1.00) .60
TSM −0.99 (−1.00 to −0.98) <.001c −0.99 (−1.00 to −0.98) <.001c
PSM −0.99 (−0.99 to −0.97) <.001c −0.99 (−0.99 to −0.98) <.001c
VCL −0.05 (−0.08 to −0.02) <.001c −0.05 (−0.08 to −0.02) <.001c
VSL −0.07 (−0.10 to −0.04) <.001c −0.08 (−0.11 to −0.04) <.001c
VAP −0.07 (−0.10 to −0.04) <.001c −0.08 (−0.11 to −0.04) <.001c
MAD 0.01 (−0.02 to 0.05) .47 0.02 (−0.01 to 0.05) .27
Linearity −0.02 (−0.06 to 0.00) .09 −0.03 (−0.07 to 0.00) .05
Straightness −0.06 (−0.12 to 0.00) .09 −0.07 (−0.13 to 0.00) .05
Wobble −0.03 (−0.07 to 0.00) .10 0.00 (−0.08 to 0.00) .05
ALH −0.06 (−0.28 to 0.22) .62 −0.06 (−0.28 to 0.21) .60
BCF 0.52 (0.15 to 1.02) .003c 0.57 (0.18 to 1.08) .002c
NSM −0.98 (−0.99 to −0.93) <.001c −0.98 (−0.99 to −0.93) <.001c
DFI 0.10 (0.06 to 0.14) <.001c 0.10 (0.06 to 0.14) <.001c
ACP 0.00 (−0.01 to 0.01) .71 0.00 (−0.01 to 0.01) .72
NG −0.24 (−0.35 to −0.11) .001c −0.24 (−0.35 to −0.10) .001c
Fructose 0.19 (−0.15 to 0.69) .30 0.27 (−0.09 to 0.79) .16
Zinc −0.61 (−0.66 to −0.56) <.001c −0.61 (−0.65 to −0.56) <.001c

Abbreviations: ACP, acid phosphatase; ALH, amplitude of lateral head displacement; BCF, beat cross frequency; DFI, DNA fragmentation index; FEI, formaldehyde exposure index; MAD, mean angular displacement; NG, neutral glucosidase; NSM, normal sperm morphology; PSM, progressive sperm motility; SC, sperm concentration; SV, semen volume; TSC, total sperm count; TSM, total sperm motility; VAP, average path velocity; VCL, curvilinear velocity; VSL, straight line velocity.

a

Confounding factors used in the adjusted model contained age, body mass index, income, smoking status, and alcohol consumption.

b

Effect estimates represent percentage changes in association with a 1-unit increase in FEI.

c

P < .05.