Relation between free testosterone levels and body composition in hemodialysis patients

Introduction Testosterone deficiency is common among hemodialysis (HD) patients. Numerous studies demonstrated a correlation between testosterone levels and body composition in the general population. However, this correlation was not thoroughly investigated in HD patients. Therefore, we conducted t...

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Main Authors: Nourhan F. Awad, Salah S. Naga, Iman E. Elgohary, Nesrine M. EL Azhary, Sara T. Ibrahim
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Alexandria Journal of Medicine
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Online Access:https://www.tandfonline.com/doi/10.1080/20905068.2024.2432811
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author Nourhan F. Awad
Salah S. Naga
Iman E. Elgohary
Nesrine M. EL Azhary
Sara T. Ibrahim
author_facet Nourhan F. Awad
Salah S. Naga
Iman E. Elgohary
Nesrine M. EL Azhary
Sara T. Ibrahim
author_sort Nourhan F. Awad
collection DOAJ
description Introduction Testosterone deficiency is common among hemodialysis (HD) patients. Numerous studies demonstrated a correlation between testosterone levels and body composition in the general population. However, this correlation was not thoroughly investigated in HD patients. Therefore, we conducted this study to assess the correlation between free testosterone levels and body composition in HD patients.Methods A total of 80 males were included in this study, compromising 40 hD males in addition to age-matched 40 healthy controls. Free testosterone levels and body composition were measured using the InBody device.Results Free testosterone level was significantly lower in the HD group (median; 75 pg/dl and interquartile range (IQR); 55.8–87.8 pg/dl) than in the control group (median; 101 pg/dl and IQR 82.8–115 pg/dl) with p = 0.004. The skeletal muscle index (SMI) was significantly lower in the HD group (median; 10.18 and IQ; 9.5–10.6) compared to the control group (median; 11.1 and IQR; 10.3–11.7), with p < 0.001. The lean tissue index (LTI) was significantly lower in the HD group (median; 18.44 and IQ; 17.3–19.3) than in the control group (median; 19.88 and IQ; 18.4–20.8), with p = 0.006. The free testosterone level demonstrated a positive correlation with SMI (r = 0.34, p = 0.03) and LTI (r = 0.33, p = 0.04).Conclusion There is a correlation between free testosterone levels and body composition in HD patients.
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spelling doaj-art-e11ba3b93bd74a768d7c5237ae4f55382024-12-09T07:30:22ZengTaylor & Francis GroupAlexandria Journal of Medicine2090-50682090-50762025-12-016119610110.1080/20905068.2024.2432811Relation between free testosterone levels and body composition in hemodialysis patientsNourhan F. Awad0Salah S. Naga1Iman E. Elgohary2Nesrine M. EL Azhary3Sara T. Ibrahim4Internal Medicine and Nephrology Department, Faculty of Medicine, Alexandria University, Alexandria, EgyptInternal Medicine and Nephrology Department, Faculty of Medicine, Alexandria University, Alexandria, EgyptInternal Medicine and Nephrology Department, Faculty of Medicine, Alexandria University, Alexandria, EgyptMedical Physiology Department, Faculty of Medicine, Alexandria University, Alexandria, EgyptInternal Medicine and Nephrology Department, Faculty of Medicine, Alexandria University, Alexandria, EgyptIntroduction Testosterone deficiency is common among hemodialysis (HD) patients. Numerous studies demonstrated a correlation between testosterone levels and body composition in the general population. However, this correlation was not thoroughly investigated in HD patients. Therefore, we conducted this study to assess the correlation between free testosterone levels and body composition in HD patients.Methods A total of 80 males were included in this study, compromising 40 hD males in addition to age-matched 40 healthy controls. Free testosterone levels and body composition were measured using the InBody device.Results Free testosterone level was significantly lower in the HD group (median; 75 pg/dl and interquartile range (IQR); 55.8–87.8 pg/dl) than in the control group (median; 101 pg/dl and IQR 82.8–115 pg/dl) with p = 0.004. The skeletal muscle index (SMI) was significantly lower in the HD group (median; 10.18 and IQ; 9.5–10.6) compared to the control group (median; 11.1 and IQR; 10.3–11.7), with p < 0.001. The lean tissue index (LTI) was significantly lower in the HD group (median; 18.44 and IQ; 17.3–19.3) than in the control group (median; 19.88 and IQ; 18.4–20.8), with p = 0.006. The free testosterone level demonstrated a positive correlation with SMI (r = 0.34, p = 0.03) and LTI (r = 0.33, p = 0.04).Conclusion There is a correlation between free testosterone levels and body composition in HD patients.https://www.tandfonline.com/doi/10.1080/20905068.2024.2432811Free testosteronebody compositionhemodialysis
spellingShingle Nourhan F. Awad
Salah S. Naga
Iman E. Elgohary
Nesrine M. EL Azhary
Sara T. Ibrahim
Relation between free testosterone levels and body composition in hemodialysis patients
Alexandria Journal of Medicine
Free testosterone
body composition
hemodialysis
title Relation between free testosterone levels and body composition in hemodialysis patients
title_full Relation between free testosterone levels and body composition in hemodialysis patients
title_fullStr Relation between free testosterone levels and body composition in hemodialysis patients
title_full_unstemmed Relation between free testosterone levels and body composition in hemodialysis patients
title_short Relation between free testosterone levels and body composition in hemodialysis patients
title_sort relation between free testosterone levels and body composition in hemodialysis patients
topic Free testosterone
body composition
hemodialysis
url https://www.tandfonline.com/doi/10.1080/20905068.2024.2432811
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