Reproductive endocrinology

Serum testosterone and sex hormone–binding globulin are inversely associated with leucocyte telomere length in men: a cross-sectional analysis of the UK Biobank study

Eur J EndocrinolPublished Cross-sectional study

Authors' conclusion

Total testosterone and SHBG were independently and inversely associated with LTL. Men with higher testosterone or SHBG had shorter telomeres, arguing against a role for testosterone to slow biological ageing in men.

Study context

Population
Community-dwelling men aged 40–69 years, UK Biobank; median age 58 years
Participants
167,706 men
Exposure
Total testosterone, cFT and sex hormone-binding globulin (SHBG) and standardised leucocyte telomere length (LTL)
Outcome
Standardised leucocyte telomere length (LTL), measured by polymerase chain reaction
Methodological detailssecondary analysis of the UK Biobank study, multivariable models
  • Secondary analysis of the UK Biobank study
  • Multivariable models

Main finding

As reported in the abstract

Standardised LTL by total testosterone (adjusted for sociodemographic, lifestyle and medical factors)
Q1 vs Q5Estimate (95% CI)P value
Longer LTL with Q1; total testosterone inversely associated with LTL
difference in standardised LTL 0.09(0.08–0.10)
P < 0.001
Longer LTL with Q1; attenuated
difference in standardised LTL, additionally adjusted for SHBG 0.03(0.02–0.05)
P = 0.003

Observational data: associations, not effects.

Further findings

OutcomeEstimateP value
Standardised LTL by SHBG (multivariable)Q1vs Q5Longer LTL with SHBG Q1; SHBG inversely associated with LTLdifference in standardised LTL 0.12 (CI 0.10–0.13)P < 0.001
Standardised LTL by SHBG (multivariable)Between Q1 and Q5 · longer LTL with SHBG Q1difference in standardised LTL, with testosterone in the model 0.10 (CI 0.08–0.12)P < 0.001

Original publication

Serum testosterone and sex hormone–binding globulin are inversely associated with leucocyte telomere length in men: a cross-sectional analysis of the UK Biobank study. Eur J Endocrinol. Published 8 February 2023. doi:10.1093/ejendo/lvad015

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