The influence of testosterone on the quality and bone mineral density in men

Abstract

Background. The purpose of the study was to evaluate the effect of testosterone fractions on the mineral density and bone quality in men with different bone mineral density (BMD). Materials and methods. We have examined 72 men aged 40–89 years. They were divided into 2 groups depen­ding on BMD: main group — with low BMD (n = 39); control group — with age norm of BMD (n = 33). BMD, lean and fat masses were measured by the dual-energy X-ray absorptio­metry (DXA) method (Prodigy, GEHC Lunar, Madison, WI, USA). TBS iNsight® software (Med-Imaps, Pessac, France) was installed on our DXA machine to evaluate trabecular bone score (TBS) at the L1-L4. The levels of testosterone and sex hormone binding globulin (SHBG) were determined by electrochemiluminescent immunoassay. Results. It was found that men with low BMD have significantly lower indices of free testosterone and bioavai­lable testosterone, while the level of SHBG is significantly hig­her. In men with low BMD, a positive significant correlation was established between the index of free testosterone and BMD at the lumbar spine (r = 0.31; p = 0.05) and femoral neck (r = 0.32; p = 0.05). Conclusions. Free testosterone is a universal indicator that has a proven effect not only on the cortical and trabecular bone tissue, but also on the fat and lean mass.

Authors and Affiliations

V. V. Povoroznyuk, A. S. Musiienko

Keywords

Related Articles

Phosphorus and Calcium Metabolism in Postmenopausal Women with Diabetes Mellitus: Effects of the Type and Duration of the Disease, Time of Menopause and Body Mass

The article deals with the impact of diabetes mellitus (DM) on the phosphorus and calcium metabolism in postmenopausal women, depending on the type and duration of the disease, duration of menopause, body mass and type o...

Low-Frequency Ultrasound Therapy in Combination Treatment of Patients with Type 2 Diabetes Mellitus

Background. Hypoglycemic therapy used at present in patients with type 2 diabetes mellitus (DM) does not always lead to desired result and many patients live in a state of constant decompensation of metabolic processes,...

Primary hyperaldosteronism: diagnosis and treatment

The aspects of primary hyperaldosteronism that have an important social and medical value are examined in this lecture. It is underlined that in some patients with timely diagnosis and choice of optimal therapeutic appro...

Differential Diagnosis of Primary and Secondary Hyperparathyroidism Caused by Vitamin D Deficiency

Causes of secondary increase of parathyroid hormone, especially vitamin D deficiency, can significantly interfere with the diagnosis of hyperparathyroidism. The most difficult situation occurs when moderate increase in p...

Role on мicroRNA for Diabetes Mellitus Development

The review presents a brief description of microRNA (miRNA), the mechanism of its formation and functioning. There are also analyzed literature data on miRNA role for diabetes mellitus development. There is generalized t...

Download PDF file
  • EP ID EP299424
  • DOI 10.22141/2224-0721.14.2.2018.130554
  • Views 80
  • Downloads 0

How To Cite

V. V. Povoroznyuk, A. S. Musiienko (2018). The influence of testosterone on the quality and bone mineral density in men. Міжнародний ендокринологічний журнал, 14(2), 119-125. https://www.europub.co.uk/articles/-A-299424