Reproductive endocrinology

Body Composition, Adipocytokine, and Metabolic Parameters in Men With Congenital Hypogonadotropic Hypogonadism

Clin Endocrinol (Oxf)Published Cross-sectional study

Authors' conclusion

Patients with untreated CHH had impaired body composition, adipokines and metabolic parameters. While hormone therapies can improve body composition and glucolipid metabolism in patients with CHH, this imperfect treatment does not fully rescue body composition abnormalities when compared to healthy individuals. Abnormal metabolic parameters in patients with CHH are associated with increased fat mass and abnormal serum leptin level. Serum testosterone levels were independently negatively correlated with leptin levels.

Study context

Population
Adult men with congenital hypogonadotropic hypogonadism (CHH) and healthy controls66 CHH, 21 controls
Exposure
Treated vs untreated CHH vs healthy controls
Outcome
Body composition (DXA), adipokines and metabolic parameters

Main finding

As reported in the abstract

Body composition, adipokines and metabolic parameters
Treated vs healthy controls: lower serum testosterone
p < 0.001
Treated vs healthy controls: increased body fat percentage (BFP) and visceral adipose tissue (VAT) volume, decreased lean soft tissue (LST) and bone mineral content (BMC)
p < 0.05
Treated vs healthy controls: increased leptin, decreased adiponectin
p < 0.05
Treated vs healthy controls: higher HOMA-IR, lower QUICKI
p < 0.05
Treated vs untreated: higher serum testosterone
p < 0.001
Treated vs untreated: decreased BFP and VAT volume, increased LST and BMC
p < 0.05
Treated vs untreated: decreased leptin
p < 0.001
Treated vs untreated: decreased HOMA-IR, increased QUICKI
p < 0.05
Treated: VAT volume, LST, BMC, HOMA-IR and QUICKI reached healthy control levels
p > 0.05

Observational data: associations, not effects.

Further findings

Serum testosterone associations (multiple stepwise linear regression)

Testosterone vs BFP
β = −0.564, p < 0.001
Testosterone vs VAT volume
β = −0.260, p = 0.045
Testosterone vs LST
β = 0.305, p = 0.018
Testosterone vs BMC
β = 0.423, p = 0.001
Testosterone vs leptin (independent)
β = −0.277, p = 0.004

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Body Composition, Adipocytokine, and Metabolic Parameters in Men With Congenital Hypogonadotropic Hypogonadism. Clin Endocrinol (Oxf). Published 5 January 2025. doi:10.1111/cen.15189

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