4.5 Article

Higher testosterone levels are associated with increased high-density lipoprotein cholesterol in men with cardiovascular disease: results from the Massachusetts Male Aging Study

期刊

ASIAN JOURNAL OF ANDROLOGY
卷 10, 期 2, 页码 193-200

出版社

MEDKNOW PUBLICATIONS & MEDIA PVT LTD
DOI: 10.1111/j.1745-7262.2008.00332.x

关键词

testosterone; high-density lipoprotein cholesterol; androgens; epidemiology

资金

  1. NIA NIH HHS [K23 AG027238, K23 AG027238-03, AG 04763] Funding Source: Medline
  2. NIDDK NIH HHS [DK 51345, DK 44995, R01 DK044995] Funding Source: Medline

向作者/读者索取更多资源

Aim: To study the relationship between circulating androgens (total testosterone [TT], free testosterone [fT] and dihydrotestosterone [DHT]) and HDL-C in men with and without CVD. Methods: Cross-sectional analyses included 1 661 baseline samples from the Massachusetts Male Aging Study (MMAS), a population-based cohort of men ages 40-70 years. Serum hormones were measured by radioimmunoassay and HDL-C was determined following precipitation of the lower density lipoproteins. CVD was determined by self-report. Analyses were performed using multiple linear regression. Results: TT and HDL-C were positively correlated in the entire sample (r = 0.11, P = 0.0001). After adjusting for confounders, we found this relationship was mostly limited to the 209 men with CVD. Among men with CVD, TT (P = 0.0004), fT (P = 0.0172) and DHT (P = 0.0128) were all positively correlated with HDL-C, whereas in men without CVD only TT correlated with HDL-C (P = 0.0099). Conclusion: Our results suggest that if androgens contribute to CVD in middle-aged men, the effect is not related to a suppressive effect of endogenous T on HDL-C.

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