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Quantifying the exposure-response relationship between temperature exposure and semen quality.

Guangyuan Liu1,2, Jiaxin Liu1, Yawen Liu1,3

  • 1School of Public Health, Wenzhou Medical University, Wenzhou, China.

Frontiers in Public Health
|April 29, 2026
PubMed
Summary

High apparent temperature (AT) negatively impacts sperm motility, especially within 90 days before donation. Optimal semen quality is linked to temperatures between 17.57-22.69°C, highlighting the need to avoid heat exposure.

Keywords:
excessive temperatureexposure-responsenonlinearoptimal temperaturesemen qualitythreshold

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Area of Science:

  • Environmental Health
  • Reproductive Biology
  • Epidemiology

Background:

  • High ambient temperatures are known to affect male reproductive health.
  • The precise exposure-response relationship between apparent temperature (AT) and semen quality requires further investigation.

Purpose of the Study:

  • To quantify the correlations and nonlinear relationships between apparent temperature (AT) exposure and key semen quality parameters.
  • To identify potential threshold effects in the association between AT and semen quality.

Main Methods:

  • Utilized multivariate linear regression models to analyze data from 5,114 participants.
  • Employed restricted cubic spline (RCS) and piecewise regression to assess nonlinear and threshold effects.
  • Examined AT exposure in relation to semen quality parameters over various lag periods.

Main Results:

  • A 1°C increase in AT was associated with significant declines in progressive motility (-2.1165%) and total motility (-4.8823%).
  • AT negatively impacted sperm motility, particularly during lag periods of 15-69 and 70-90 days.
  • Nonlinear analysis revealed an inverse U-shaped association between AT and sperm motility, with optimal semen quality observed between 17.57-22.69°C.

Conclusions:

  • Elevated apparent temperature exposure in the 90 days preceding donation is linked to reduced semen quality.
  • Avoiding excessive heat exposure, especially within a critical 2-week pre-donation window, is crucial for maintaining optimal semen quality.