Adrenal disease

Racial and ethnic differences in classic and 11-oxygenated androgens in men

J Clin Endocrinol MetabPublished Cross-sectional study

Authors' conclusion

Circulating 11-ketotestosterone concentrations were higher in Black and Hispanic men than in White men with similar age and BMI.

Study context

Population
Male participants in the Dallas Heart Study-2; mean age 51 ± 10 years
Participants
1,025 men
Exposure
Classic and 11-oxygenated androgens across races/ethnicities
  • Blackn = 478
  • Hispanicn = 141
  • Whiten = 375reference
  • Other racesn = 31
Outcome
Serum androstenedione, testosterone and 11-oxyandrogens by liquid chromatography-tandem mass spectrometry, compared across races
Methodological detailsmultiethnic, adjusted for age, BMI and comorbidities
  • Multiethnic
  • Adjusted for age, BMI and comorbidities

Main finding

As reported in the abstract

Β (testosterone)

47.06 ng/dL

P < 0.05

± 13.05; adjusted for age and BMI

Β (11-ketotestosterone)

7.30 ng/dL

P < 0.05

± 1.90; adjusted for age and BMI

Observational data: associations, not effects.

Further findings

Androgens by BMI (race- and age-adjusted)

Testosterone and androstenedione decreased with BMI; all 11-oxyandrogens increased with BMI (P < 0.05)

Androgens by age (race- and BMI-adjusted)

11β-hydroxyandrostenedione increased with age (P < 0.001); all other androgens stable across ages

Original publication

Racial and ethnic differences in classic and 11-oxygenated androgens in men. J Clin Endocrinol Metab. Published 14 August 2026. doi:10.1210/clinem/dgag335

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