Reproductive endocrinology

Body Composition by DXA in Patients with Klinefelter and Kallmann Syndrome: The Kama Study

J Clin Endocrinol MetabPublished Retrospective observational study

Authors' conclusion

This study demonstrated a significant difference in lean mass between Klinefelter and Kallmann syndromes, supporting a potential role for FSH in modulating muscle mass independently of T levels.

Study context

Population
Patients with Klinefelter or Kallmann syndrome receiving T replacement therapy; body composition by whole-body DXA
Participants
50 patients
Exposure
Klinefelter syndrome vs Kallmann syndrome
  • Klinefeltern = 29
  • Kallmannn = 21reference
Outcome
Prevalence of altered body composition parameters and comparison of body composition between the 2 groups
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

P < 0.001

Radiologic sarcopenic obesity, all patients
7 (14%); 6/29 Klinefelter, 1/21 Kallmann
Osteosarcopenic obesity, all patients (both Klinefelter)
2 (4%)

Observational data: associations, not effects.

Secondary outcomes

Association between follicle-stimulating hormone (FSH) levels and ALMI

Univariable B
−0.026; P = .002
Adjusted for confounders B
−0.030; P = .0022
  • Inverse association

Original publication

Body Composition by DXA in Patients with Klinefelter and Kallmann Syndrome: The Kama Study. J Clin Endocrinol Metab. Published 10 October 2025. doi:10.1210/clinem/dgaf565

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