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Objective: To study the associations between serum testosterone and risk factors for atherosclerosis in 119 men from general population. Methods: Systolic pressure, body mass index (BMI), testosterone, fasting glucose, glucose tolerance test, apolipoprotein A-1 (ApoA-1), apolipoprotein B (ApoB), and ApoB/ApoA-1 ratio were assessed. Subjects classified into hypogonadal (testosterone ≤ 12 nmol/l), and eugonadal men (testosterone > 12 nmol/l). Results: BMI (28 vs. 26 kg/ m<sup>2</sup>, p = 0.01), systolic pressure (129 vs. 123 mmHg, p = 0.03), fasting glucose (5.9 vs. 5.5 mmol/l, p = 0.03), ApoB (1.1 vs. 1.0 g/l, p = 0.03), and ApoB/ApoA-1 ratio (0.8 vs. 0.7, p = 0.03) were higher in hypogonadal compared to eugonadal men, respectively. In adjusted multivariate regression analysis model, testosterone showed negative associations with BMI (β = -1.832, p = 0.030, 95% CI = -3.485 - -0.180), fasting glucose (β = -0.394, p = 0.011, 95% CI = -0.696 - -0.091), glucose tolerance test (β = -0.957, p = 0.045, 95% CI = -1.892 - -0.022), ApoB (β = -0.157, p = 0.017, 95% CI = -0.286 - -0.029), and ApoB/ApoA-1 ratio (β = -0.118, p = 0.046, 95% CI = -0.234 - -0.002). Conclusions: These results suggest an inverse association between testosterone levels and risk factors for atherosclerosis.
Current Urology – Karger
Published: Jan 1, 2019
Keywords: Apolipoprotein B; Atherosclerosis; Hyperlipidemia; Hypogonadism
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