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Table 1 Studies investigating the relationship between vitamin D status and semen parameters in healthy and infertile men

From: Vitamin D and assisted reproduction technologies: current concepts

Author, year, [reference #]

Country

Study design

Cases included

Sample size

Groups of patients identified by serum 25(OH)D levels

Statistical analysis used

Main finding(s)

Main confounding factors considered

Ramlau-Hansen et al., 2011 [29]

USA

Cross-sectional

Healthy men aged 18-21

307

3-24 ng/ml: low (33.5%) 25–37 ng/ml: medium (33.5%) 38–91: high (33%)

Spearman’s rank correlation test; Multivariable linear regression

No significant association between 25(OH)D levels and sperm parameters

Season

BMI

History of diseases

Duration of abstinence

Time from ejaculation to analysis

Blomberg Jensen et al., 2011 [27]

USA

Cross-sectional

Healthy men aged 18-21

300

<10 ng/ml: deficient (12%) 10-20 ng/ml: insufficient (32.7%) 21-30 ng/ml : sufficient (41.7%) >30 ng/ml: high (13.7%)

Kruskal Wallis test; Multivariable linear regression

Positive association between 25(OH)D levels and sperm progressive motility and morphology

FSH

Duration of abstinence

Time from ejaculation to analysis

Serum calcium levels

Season

Hammoud et al., 2012 [30]

USA

Cross-sectional

Healthy men aged 18-67

147

<20 ng/ml: deficient (12.4%) 20-49 ng/ml: intermediate (75.2%) ≥50 ng/ml: high (12.4%)

Multivariable linear regression

Negative association of both deficient and high 25(OH)D levels with sperm parameters

Season

Age

BMI

Alcohol intake

Smoking

Yang et al., 2012 [31]

China

Cross-sectional

Healthy and infertile men aged 20-40

195 (healthy group); 364 (infertile group)

<10 ng/ml: severely deficient 10-20 ng/ml: deficient 21-30 ng/ml: insufficient >30 ng/ml : sufficient

Spearman’s rank correlation test; Multivariable linear regression

Positive association between 25(OH)D levels, sperm motility and morphology also in the infertile group

Testosterone

Season

Duration of abstinence

Time from ejaculation to analysis