Reproductive endocrinology

Physiological declines in sex steroid exposure in relation to changes in body composition in healthy men—a prospective cohort study

Eur J EndocrinolPublished Prospective population-based cohort study

Authors' conclusion

Aging leads to increases in FM indices and insulin resistance, whereas changes in parameters of LM are less unequivocal. In healthy adult men, physiological changes in sex steroid exposure clearly correlate with changes in adiposity but not so with lean mass, insulin resistance, or grip strength.

Study context

Population
Healthy men aged 24–46 years, measured at baseline and after ±12 years
Participants
676 men
Outcome
Changes in body composition and metabolic health in relation to changes in sex steroid levels
Follow-up
±12 years
Methodological detailslongitudinal
  • Longitudinal

Main finding

As reported in the abstract

±12 years
Mean fat mass, lean mass and homeostasis model assessment for insulin resistance (HOMA-IR) increased
all P < .001
Decreasing androgen and sex hormone-binding globulin (SHBG) levels associated with increasing fat mass; decreasing (cF)E2 levels associated with decreasing fat mass
all P < .005
Decreasing (cF)E2 levels and increasing SHBG levels associated with decreasing lean mass
all P < .002

Observational data: associations, not effects.

Original publication

Physiological declines in sex steroid exposure in relation to changes in body composition in healthy men—a prospective cohort study. Eur J Endocrinol. Published 8 June 2023. doi:10.1093/ejendo/lvad059

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