Testosterone: Relationships with Metabolic Disorders in Men—An Observational Study from SPECT-China

Background. The strength of associations between total testosterone (TT) and metabolic parameters may vary in different nature of population structure; however, no study has ever given this information in Chinese population, especially those without metabolic syndrome (MS). We aimed to analyze the a...

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Main Authors: Jing Cheng, Bing Han, Qin Li, Fangzhen Xia, Hualing Zhai, Ningjian Wang, Michael Jensen, Yingli Lu
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2017/4547658
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author Jing Cheng
Bing Han
Qin Li
Fangzhen Xia
Hualing Zhai
Ningjian Wang
Michael Jensen
Yingli Lu
author_facet Jing Cheng
Bing Han
Qin Li
Fangzhen Xia
Hualing Zhai
Ningjian Wang
Michael Jensen
Yingli Lu
author_sort Jing Cheng
collection DOAJ
description Background. The strength of associations between total testosterone (TT) and metabolic parameters may vary in different nature of population structure; however, no study has ever given this information in Chinese population, especially those without metabolic syndrome (MS). We aimed to analyze the association magnitudes between TT and multiple metabolic parameters in general Chinese men. Methods. 4309 men were recruited from SPECT-China study in 2014-2015, which was performed in 22 sites in East China. TT, weight status, and various metabolic parameters were measured. Linear and logistic regressions were used to analyze the associations. Results. Men in lower TT quartiles had worse metabolic parameters including body mass index, triglycerides, HbA1c, and HOMA-IR (all P for trend < 0.001). Body mass index (B −0.32, 95%CI −0.35 to −0.29) and obesity (OR 0.40, 95%CI 0.35–0.45) had the largest association magnitude per one SD increment in TT, while blood pressure and hypertension (OR 0.90, 95%CI 0.84–0.98) had the smallest. These associations also persisted in individuals without metabolic syndrome. Conclusions. Obesity indices had closer relationships with TT than most other metabolic measures with blood pressure the least close. These associations remained robust after adjustment for adiposity and in subjects without metabolic syndrome.
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spelling doaj-art-78f273f04d174c2da2eea6a00f360e4c2025-02-03T05:53:01ZengWileyInternational Journal of Endocrinology1687-83371687-83452017-01-01201710.1155/2017/45476584547658Testosterone: Relationships with Metabolic Disorders in Men—An Observational Study from SPECT-ChinaJing Cheng0Bing Han1Qin Li2Fangzhen Xia3Hualing Zhai4Ningjian Wang5Michael Jensen6Yingli Lu7Institute and Department of Endocrinology and Metabolism, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaInstitute and Department of Endocrinology and Metabolism, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaInstitute and Department of Endocrinology and Metabolism, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaInstitute and Department of Endocrinology and Metabolism, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaInstitute and Department of Endocrinology and Metabolism, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaInstitute and Department of Endocrinology and Metabolism, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaEndocrine Research Unit, Mayo Clinic, Rochester, MN, USAInstitute and Department of Endocrinology and Metabolism, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaBackground. The strength of associations between total testosterone (TT) and metabolic parameters may vary in different nature of population structure; however, no study has ever given this information in Chinese population, especially those without metabolic syndrome (MS). We aimed to analyze the association magnitudes between TT and multiple metabolic parameters in general Chinese men. Methods. 4309 men were recruited from SPECT-China study in 2014-2015, which was performed in 22 sites in East China. TT, weight status, and various metabolic parameters were measured. Linear and logistic regressions were used to analyze the associations. Results. Men in lower TT quartiles had worse metabolic parameters including body mass index, triglycerides, HbA1c, and HOMA-IR (all P for trend < 0.001). Body mass index (B −0.32, 95%CI −0.35 to −0.29) and obesity (OR 0.40, 95%CI 0.35–0.45) had the largest association magnitude per one SD increment in TT, while blood pressure and hypertension (OR 0.90, 95%CI 0.84–0.98) had the smallest. These associations also persisted in individuals without metabolic syndrome. Conclusions. Obesity indices had closer relationships with TT than most other metabolic measures with blood pressure the least close. These associations remained robust after adjustment for adiposity and in subjects without metabolic syndrome.http://dx.doi.org/10.1155/2017/4547658
spellingShingle Jing Cheng
Bing Han
Qin Li
Fangzhen Xia
Hualing Zhai
Ningjian Wang
Michael Jensen
Yingli Lu
Testosterone: Relationships with Metabolic Disorders in Men—An Observational Study from SPECT-China
International Journal of Endocrinology
title Testosterone: Relationships with Metabolic Disorders in Men—An Observational Study from SPECT-China
title_full Testosterone: Relationships with Metabolic Disorders in Men—An Observational Study from SPECT-China
title_fullStr Testosterone: Relationships with Metabolic Disorders in Men—An Observational Study from SPECT-China
title_full_unstemmed Testosterone: Relationships with Metabolic Disorders in Men—An Observational Study from SPECT-China
title_short Testosterone: Relationships with Metabolic Disorders in Men—An Observational Study from SPECT-China
title_sort testosterone relationships with metabolic disorders in men an observational study from spect china
url http://dx.doi.org/10.1155/2017/4547658
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