PMID- 37768924 OWN - NLM STAT- MEDLINE DCOM- 20231002 LR - 20231003 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 18 IP - 9 DP - 2023 TI - Consequences of Type-2 diabetes mellitus and Malaria co-morbidity on sperm parameters in men; a case-control study in a district hospital in the Ashanti Region of Ghana. PG - e0286041 LID - 10.1371/journal.pone.0286041 [doi] LID - e0286041 AB - Type-2 diabetes mellitus (T2DM) and malaria infection are highly prevalent in Africa particularly, in the Sub-Saharan Region. A greater number of people in the Ghanaian population who have T2DM are also reported to harbor malaria parasites. This study aimed to investigate the influence of T2DM & Malaria co-morbidity on sperm parameters among patients in the Ashanti Region of Ghana. This hospital-based cross-sectional analytic case-control study comprised 254 adult male study participants comprising 80 T2DM & Malaria co-morbidity, 80 T2DM only, and 94 normal controls. A blood sample (10mL) was drawn from each participant to measure FBG, HbA1c levels, Testosterone levels, Total cholesterol, and determination of Malaria parasite density. Seminal fluid was also collected from each participant for semen analysis. Sperm kinetics of the T2DM & Malaria co-morbidity group particularly; total motility, rapid progressive motility, and slow progressive motility were negatively affected compared to both T2DM only (p<0.0001) and the Normal control (p<0.0001). Normal sperm morphology was significantly affected in the co-morbidity group compared to T2DM only (p<0.0001). Sperm vitality was also statistically significantly reduced in the T2DM & Malaria co-morbidity than in T2DM only (t (64) = -8.62; p<0.001). There was a significant decline in testosterone levels in the T2DM & Malaria co-morbidity group than in the T2DM only (p<0.0001) and the control (p <0.0001). In conclusion, T2DM and malaria infection have a stronger propensity to alter sperm morphology and lower sperm motility and vitality. CI - Copyright: (c) 2023 Abdulai et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. FAU - Abdulai, Ratif AU - Abdulai R AD - Pan African University Institute of Life and Earth Sciences-Including Health and Agriculture, University of Ibadan, Ibadan, Nigeria. AD - Department of Obstetrics and Gynaecology, College of Medicine, University of Ibadan/University College Hospital, Ibadan, Nigeria. FAU - Akwetey, Samuel Addo AU - Akwetey SA AUID- ORCID: 0000-0002-8723-2271 AD - Department of Clinical Microbiology, School of Medicine, University for Development Studies, Tamale, Ghana. FAU - Ogunbode, Olayinka Oladunjoye AU - Ogunbode OO AD - Pan African University Institute of Life and Earth Sciences-Including Health and Agriculture, University of Ibadan, Ibadan, Nigeria. AD - Department of Obstetrics and Gynaecology, College of Medicine, University of Ibadan/University College Hospital, Ibadan, Nigeria. FAU - Aboagye, Benjamin AU - Aboagye B AUID- ORCID: 0000-0002-8799-2545 AD - Department of Forensic Sciences, School of Biological Sciences, College of Agriculture and Natural Sciences, University of Cape Coast, Cape Coast, Ghana. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230928 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 3XMK78S47O (Testosterone) SB - IM MH - Adult MH - Humans MH - Male MH - Ghana/epidemiology MH - Semen MH - Case-Control Studies MH - Cross-Sectional Studies MH - Hospitals, District MH - Sperm Motility MH - Spermatozoa MH - *Diabetes Mellitus, Type 2/complications/epidemiology MH - *Malaria/complications/epidemiology MH - Testosterone MH - Morbidity MH - Sperm Count PMC - PMC10538753 COIS- The authors have declared that no competing interests exist. EDAT- 2023/09/28 18:42 MHDA- 2023/10/02 06:42 PMCR- 2023/09/28 CRDT- 2023/09/28 13:34 PHST- 2023/03/09 00:00 [received] PHST- 2023/05/08 00:00 [accepted] PHST- 2023/10/02 06:42 [medline] PHST- 2023/09/28 18:42 [pubmed] PHST- 2023/09/28 13:34 [entrez] PHST- 2023/09/28 00:00 [pmc-release] AID - PONE-D-23-06530 [pii] AID - 10.1371/journal.pone.0286041 [doi] PST - epublish SO - PLoS One. 2023 Sep 28;18(9):e0286041. doi: 10.1371/journal.pone.0286041. eCollection 2023.