| Professor Diana Vaamonde,
from the University of Cordoba Medical School, Cordoba, Spain, said that
the triathletes who did the most cycling training had the worst sperm
morphology. Professor Vaamonde's team has
previously shown that both high exercise intensity and high exercise
volume may be detrimental to sperm quality. They decided to take a more
profound look at the sportsmen who seemed to show the greatest
alteration the triathletes and assess the correlation between the
volume of training in each activity and sperm quality. Of the three
modalities, only cycling, the activity for which triathletes undertake
the most training, showed a clear correlation with sperm quality. The
more cycling training the sportsmen undertook, both in time and
kilometres, the worse their sperm quality became.
The design of this particular study did not allow the
scientists to isolate a single factor responsible for this problem, but
Dr. Vaamonde believes that it is likely to be mainly due to either the
irritation and compression caused by friction of the testes against the
saddle, or the localised heat produced by wearing tight clothing.
However, she also believes that reactive oxygen species small
molecules that are a natural by-product of oxygen metabolism and which
react to stress by increasing to such an extent that they can damage
cell structures and energetic imbalances may play an important role in
the alterations in sperm that the team observed.
"The fact that this effect is greater in triathletes
than in other sports practices seems to indicate that it is something to
do with the volume of training that they need to undertake to achieve
and maintain a high level of fitness," said Professor Vaamonde. "We
believe that the same effect would be observed in any athletes
undertaking a similar amount of cycling training."
The team studied the semen values of 15 healthy
Spanish triathletes, with an average age of 33. They were competing at
both national and international level. Their training routines were
analysed in detail, and particular note taken of the time they spent
cycling each week. Sperm was taken after three days of sexual abstinence
and analysed for their shape and form.
"We found a statistically adverse correlation between
sperm morphology and the volume of cycling training undertaken per
week," said Professor Vaamonde. "While all triathletes had less than 10%
of normal-looking sperm, the men with less than 4% at which percentage
they would generally be considered to have significant fertility
problems were systematically covering over 300km per week on their
bicycles."
Up to now, Dr. Vaamonde and her team have only
undertaken observational analysis of the triathletes' sperm. "We are now
beginning chromosomal analysis," she said, "in the hope that a better
understanding of the biological mechanisms underlying this problem will
lead us towards developing protective measures for these sportsmen."
"We believe that all the factors inherent in this
sports activity, especially with regards to the cycling part, may affect
sperm quality; moreover, we think that normal physiological homeostasis
the body's ability to regulate its own environment may become
irreversibly altered, therefore resulting in complex anomalies," she
said.
Triathletes undertake what is possibly the most
demanding sporting activity in the world, with the most punishing 'iron
man' competitions involving 3800 metres swimming, 180 kilometres
cycling, and running a marathon (just over 42 kilometres). Recent
research has shown that the risk of dying from a heart attack in a
triathlon is nearly double that of dying in a marathon alone. Dr.
Vaamonde's findings add another layer to this health problem.
The scientists believe that the changes they observed
may have to do with energetic imbalances, which they will assess in the
future. They also intend to observe semen anomalies at different
training points in order to better understand the physiopathological
processes.
"Protective measures for these sportsmen need to be
developed. Depending on the mechanism leading to the creation of
abnormal sperm, these could include giving antioxidants and modifying
training regimes to allow for recovery. Or we could take preventive
measures by freezing athletes' sperm before they start high intensity
training," said Professor Vaamonde. "We believe that we have uncovered a
serious problem affecting triathletes who undertake significant amounts
of training, and we hope that our research may lead to effective
treatment."
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