Reproductive endocrinology

Persistently Decreased Quality of Life and its Determinants in Previous Illicit Androgen Users

J Clin Endocrinol MetabPublished Cross-sectional study

Authors' conclusion

Previous illicit androgen users exhibited reduced QoL 2 years after androgen discontinuation, which may be a persistent condition.

Study context

Population
Men involved in recreational strength training, grouped by history of androgen use; mean (SD) age 33 (8) years
Participants
77 / 118 / 39
Exposure
Previous illicit androgen users vs current illicit androgen users vs controls who had never used androgens
  • Previous usersn = 77
  • Current usersn = 118
  • Controlsn = 39reference
Outcome
Physical and mental health-related QoL (RAND Short-Form-36 questionnaire)

Main finding

As reported in the abstract

GroupMental component summary score, mean (SD)Physical component summary score (PCS), mean (SD)
Previous users48 (10)48 (9)
Controls54 (4)53 (3)

Mental component summary score, mean (SD)

Previous users48 (10)
Controls54 (4)

Physical component summary score (PCS), mean (SD)

Previous users48 (9)
Controls53 (3)
  • Previous users vs Controls: P = 0.004 — Mental component summary score; lower with previous users
  • Previous users vs Controls: P = 0.002 — Physical component summary score; lower with previous users

Observational data: associations, not effects.

Further findings

OutcomePrevious usersControlsP value
Serum total testosteronePrevious users vs Controls · lower with previous users · median, nmol/L14 (IQR 11–17)19 (IQR 16–21)P < 0.001
Duration since androgen cessationgeometric mean 2.0 (95% CI 1.5–2.6) years— not stated in the abstract

— not stated in the abstract

Determinants of reduced quality of life (QoL) in previous users (multivariate linear regressions)

Lower serum total testosterone, longer duration since androgen cessation, recruitment from an endocrine outpatient clinic and established chronic diseases independently associated with reduced QoL
P < 0.05

Original publication

Persistently Decreased Quality of Life and its Determinants in Previous Illicit Androgen Users. J Clin Endocrinol Metab. Published 14 September 2023. doi:10.1210/clinem/dgad551

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