Age-independent secular testosterone populational trends among Brazilian males. 2020

Walker W Laranja, and Eduardo Riccetto, and Marcelo P Amaro, and Leonardo O Reis
UroScience, Department of Urology, School of Medical Sciences, State University of Campinas, UNICAMP, Pontifical Catholic University of Campinas, Av. John Boyd Dunlop-Jardim Ipaussurama, Campinas, SP, CEP 13034-685, Brazil.

OBJECTIVE Disruptions in testosterone levels are a cause of great morbidity to male patients, with effects ranging from impotence to increased cardiovascular risk. This study analyzes populational testosterone trends in South American males over a period of 8 years. METHODS Between 2010 and 2017, Testosterone and Albumin measurements were performed in males over 19 years of age, in a routine male health program, and values outside laboratory normality ranges were excluded to reduce biases related to patients' pathologies. All data were collected on morning fasting and analyzed by tandem mass spectrometry. Data were compared by ANOVA tests with Tukey's post hoc analysis. RESULTS A total of 2874 measurements were made in 8 years, mean participant age 56.18 years (19-84). The study found an age-independent testosterone decline of 10.68 ng/dL (1.6%) per year, displaying drops per year of 13.46 ng/dL (2.5%) in participants ≤ 40 years old, 7.12 ng/dL (1.4%) at the 41-60-year-old age group, and 11.4 ng/dL (2.4%) per year in participants > 60 years old. The values of albumin displayed significant variations along the study period, but without any clear upward or downward trends in post hoc analysis. CONCLUSIONS The age-independent testosterone decline displays a worrying picture of possibly increasing rates of hypogonadism and its complications in the future. Further studies are needed to fully understand its etiology and impact in populations.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D001938 Brazil A country located on the eastern coast of South America, located between Colombia and Peru, that borders the Atlantic Ocean. It is bordered on the north by Venezuela, Guyana, Suriname, and French Guiana, on the south by Uruguay, and on the west by Argentina. The capital is Brasilia.
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000367 Age Factors Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time. Age Reporting,Age Factor,Factor, Age,Factors, Age
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old
D013739 Testosterone A potent androgenic steroid and major product secreted by the LEYDIG CELLS of the TESTIS. Its production is stimulated by LUTEINIZING HORMONE from the PITUITARY GLAND. In turn, testosterone exerts feedback control of the pituitary LH and FSH secretion. Depending on the tissues, testosterone can be further converted to DIHYDROTESTOSTERONE or ESTRADIOL. 17-beta-Hydroxy-4-Androsten-3-one,17-beta-Hydroxy-8 alpha-4-Androsten-3-one,8-Isotestosterone,AndroGel,Androderm,Andropatch,Androtop,Histerone,Sterotate,Sustanon,Testim,Testoderm,Testolin,Testopel,Testosterone Sulfate,17 beta Hydroxy 4 Androsten 3 one,17 beta Hydroxy 8 alpha 4 Androsten 3 one,8 Isotestosterone
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor
D055815 Young Adult A person between 19 and 24 years of age. Adult, Young,Adults, Young,Young Adults

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