Serum androgen concentrations in young men: a longitudinal analysis of associations with age, obesity, and race. The CARDIA male hormone study.

Details

Serval ID
serval:BIB_F0D74B6945E2
Type
Article: article from journal or magazin.
Collection
Publications
Title
Serum androgen concentrations in young men: a longitudinal analysis of associations with age, obesity, and race. The CARDIA male hormone study.
Journal
Cancer epidemiology, biomarkers & prevention
Author(s)
Gapstur S.M., Gann P.H., Kopp P., Colangelo L., Longcope C., Liu K.
ISSN
1055-9965 (Print)
ISSN-L
1055-9965
Publication state
Published
Issued date
10/2002
Peer-reviewed
Oui
Volume
11
Number
10 Pt 1
Pages
1041-1047
Language
english
Notes
Publication types: Journal Article ; Research Support, U.S. Gov't, P.H.S.
Publication Status: ppublish
Abstract
Serum testosterone concentration appears to be higher in black men than white men, particularly at younger ages. The higher incidence of prostate cancer in blacks has been attributed, at least in part, to this difference. Other factors associated with androgen levels in men include age and obesity. However, most of the studies of adult androgen levels are limited by their cross-sectional design. We conducted longitudinal analyses (Generalized Estimating Equation) of the associations of age, body mass index (BMI), and waist circumference with total and free testosterone and sex hormone-binding globulin (SHBG) concentrations during an 8-year period and compared these hormonal factors between black (n = 483) and white (n = 695) male participants of the Coronary Artery Risk Development in Young Adults (CARDIA) Study. For men ages 24 years and older at the time of the first hormone measurement, increasing age was associated with a statistically significant decrease in serum total and free testosterone and an increase in SHBG (P < 0.05). BMI and waist circumference were inversely associated with total testosterone and SHBG, but only BMI was inversely associated with free testosterone. After adjustment for age and BMI, total testosterone was higher in blacks (0.21 ng/ml; P = 0.028) than whites, an approximately 3% difference. However, after further adjustment for waist circumference, there was no black-white difference (0.05 ng/ml; P = 0.62). These results indicate that the age-associated decrease in circulating testosterone and increase in SHBG begin during the 3rd decade of life, and that increasing obesity, particularly central obesity, is associated with decreasing total testosterone and SHBG. Results also suggest that the previously observed difference in total testosterone between black and white men could be attributed, for the most part, to racial differences in abdominal obesity.
Keywords
Adolescent, Adult, African Continental Ancestry Group, Age Factors, Anthropometry, Body Mass Index, European Continental Ancestry Group, Humans, Longitudinal Studies, Male, Middle Aged, Prostatic Neoplasms/drug therapy, Risk Factors, Sex Hormone-Binding Globulin/analysis, Testosterone/blood
Pubmed
Web of science
Create date
30/12/2020 15:48
Last modification date
31/12/2020 7:26
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