Projects per year
Abstract
Objective Low endogenous sex hormones and low physical activity (PA) levels have been associated with CVD risk. Whether these interact to influence CVD outcomes remains unclear. We assessed whether sex hormone concentrations and PA were additively associated with lower central adiposity and CVD risk. Patients 3351 community-dwelling men, mean age 77 years. Measurements Baseline testosterone (T), dihydrotestosterone (DHT) and oestradiol (E2) were assayed. Levels of PA were ascertained by questionnaire. Men were stratified using median splits into high hormone + high PA (H/H), high hormone + low PA (H/L); low hormone + high PA (L/H) and low hormone + low PA (L/L) groups. Results A total of 865 CVD events and 499 CVD deaths occurred during 10-year mean follow-up. Men with higher T, DHT or SHBG and higher PA had the lowest BMI, waist circumference and risk of metabolic syndrome. Men with higher T had the lowest risk of incident CVD events, irrespective of PA level. Men with higher T or DHT and higher PA had the lowest risk of dying from CVD (eg, hazard ratios for T/PA H/H 0.76 P = 0.031; H/L 0.85 P = 0.222; L/H 0.80 P = 0.075; L/L 1.00). Conclusion Higher circulating androgens and higher PA were associated with less central adiposity at baseline and fewer CVD deaths during follow-up. These findings are consistent with a potential additive effect of androgens and PA on cardiometabolic outcomes in older men.
Original language | English |
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Pages (from-to) | 375-383 |
Number of pages | 9 |
Journal | Clinical Endocrinology |
Volume | 90 |
Issue number | 2 |
DOIs | |
Publication status | Published - Feb 2019 |
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Dive into the research topics of 'Higher circulating androgens and higher physical activity levels are associated with less central adiposity and lower risk of cardiovascular death in older men'. Together they form a unique fingerprint.Projects
- 7 Finished
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Do sex hormones slow biological ageing to improve health outcomes in men?
Yeap, B. (Investigator 01), Beilby, J. (Investigator 02), Hui, J. (Investigator 03), Knuiman, M. (Investigator 04) & Flicker, L. (Investigator 05)
NHMRC National Health and Medical Research Council
1/01/17 → 31/12/19
Project: Research
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Personalised Exercise as Medicine - Optimising the Prescription to Maximise the Benefit
Green, D. (Investigator 01)
NHMRC National Health and Medical Research Council
1/01/15 → 31/12/20
Project: Research
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Trajectories of circulating testosterone and estradiol and implications for the health of ageing men
Yeap, B. (Investigator 01), Flicker, L. (Investigator 02) & McCaul, K. (Investigator 03)
NHMRC National Health and Medical Research Council
1/01/14 → 30/06/16
Project: Research