Low Levels of Endogenous Androgens Increase the Risk of Atherosclerosis in Elderly Men: The Rotterdam Study
- 1 August 2002
- journal article
- Published by The Endocrine Society in Journal of Clinical Endocrinology & Metabolism
- Vol. 87 (8) , 3632-3639
- https://doi.org/10.1210/jc.87.8.3632
Abstract
In both men and women, circulating androgen levels decline with advancing age. Until now, results of several small studies on the relationship between endogenous androgen levels and atherosclerosis have been inconsistent. In the population-based Rotterdam Study, we investigated the association of levels of dehydroepiandrosterone sulfate (DHEAS) and total and bioavailable testosterone with aortic atherosclerosis among 1,032 nonsmoking men and women aged 55 yr and over. Aortic atherosclerosis was assessed by radiographic detection of calcified deposits in the abdominal aorta, which have been shown to reflect intimal atherosclerosis. Relative to men with levels of total and bioavailable tes- tosterone in the lowest tertile, men with levels of these hor- mones in the highest tertile had age-adjusted relative risks of 0.4 (95% confidence interval (CI), 0.2- 0.9) and 0.2 (CI, 0.1- 0.7), respectively, for the presence of severe aortic atherosclerosis. The corresponding relative risks for women were 3.7 (CI, 1.2- 11.6) and 2.3 (CI, 0.7-7.8). Additional adjustment for cardio- vascular disease risk factors did not materially affect the re- sults in men, whereas in women the associations diluted. Men with levels of total and bioavailable testosterone in subse- quent tertiles were also protected against progression of aor- tic atherosclerosis measured after 6.5 yr (SD 0.5 yr) of fol- low-up (P for trend 0.02). No clear association between levels of DHEAS and presence of severe aortic atherosclerosis was found, either in men or in women. In men, a protective effect of higher levels of DHEAS against progression of aortic atherosclerosis was suggested, but the corresponding test for trend did not reach statistical significance. In conclusion, we found an independent inverse association between levels of testosterone and aortic atherosclerosis in men. In women, positive associations between levels of tes- tosterone and aortic atherosclerosis were largely due to ad- verse cardiovascular disease risk factors. (J Clin Endocrinol Metab 87: 3632-3639, 2002)Keywords
This publication has 0 references indexed in Scilit: