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SUN-234 Effect of Testosterone Undecanoate on Metabolic Syndrome Parameters in a Cohort of Hypogonadism
Objective: To study the prevalence of metabolic syndrome (MS) and whole-body composition in hypogonadism and studied the effects of replacement of testosterone. Methods: In a single centre prospective case control study, 33 patients with hypogonadism patients (ages 20-39 years) were studied for the...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Endocrine Society
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6553137/ http://dx.doi.org/10.1210/js.2019-SUN-234 |
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author | Yadav, Subhash Chandra Reddy, KCO |
author_facet | Yadav, Subhash Chandra Reddy, KCO |
author_sort | Yadav, Subhash Chandra |
collection | PubMed |
description | Objective: To study the prevalence of metabolic syndrome (MS) and whole-body composition in hypogonadism and studied the effects of replacement of testosterone. Methods: In a single centre prospective case control study, 33 patients with hypogonadism patients (ages 20-39 years) were studied for the effect of testosterone replacement on MS and its components and whole body composition. Results: The prevalence of MS was similar in patients and controls (21% vs. 9.1%, p = 0.3). Prevalence of hypertension was higher in patients than the control (33% vs. 3%, p = 0.00). There was no difference between patients and control in weight, BMI, waist circumference (WC) and whole body composition except for an increase in lean body mass in patients (45908 ± 7969 gm/cm(2) vs. 50712 ±7458 gm/cm(2), p=0.02). After testosterone replacement, there was significant decrease in WC (88.5 ± 13.0 cm vs. 83.9 ± 12.8 cm, p < 0.01), truncal fat, total body fat, fat mass index, fasting C-peptide (2.1 ± 0.78 ng/ml vs. 0.68 ± 0.23 ng/ml, p<0.01), serum pro insulin (1.43 pmol/l (0.32-13.4) vs. 0.5 (0.5-3.2) and a significant increase in lean mass (46906 ± 8876 gm/cm2 vs. 50083 ± 7590 gm/cm2, p <0.001). HOMA-IR (4.6±1.7 vs. 0.5±0.17, p<0.001), HOMA% β (330 ± 103 vs. 66 ± 20, p<0.001) were decreased significantly following testosterone replacement. Conclusion: Testosterone replacement resulted in significant decrease in WC and truncal fat leading to improved insulin sensitivity as evidenced by decreasing serum C-peptide, serum proinsulin levels, decreased beta cell function and decreased insulin resistance. |
format | Online Article Text |
id | pubmed-6553137 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Endocrine Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-65531372019-06-13 SUN-234 Effect of Testosterone Undecanoate on Metabolic Syndrome Parameters in a Cohort of Hypogonadism Yadav, Subhash Chandra Reddy, KCO J Endocr Soc Reproductive Endocrinology Objective: To study the prevalence of metabolic syndrome (MS) and whole-body composition in hypogonadism and studied the effects of replacement of testosterone. Methods: In a single centre prospective case control study, 33 patients with hypogonadism patients (ages 20-39 years) were studied for the effect of testosterone replacement on MS and its components and whole body composition. Results: The prevalence of MS was similar in patients and controls (21% vs. 9.1%, p = 0.3). Prevalence of hypertension was higher in patients than the control (33% vs. 3%, p = 0.00). There was no difference between patients and control in weight, BMI, waist circumference (WC) and whole body composition except for an increase in lean body mass in patients (45908 ± 7969 gm/cm(2) vs. 50712 ±7458 gm/cm(2), p=0.02). After testosterone replacement, there was significant decrease in WC (88.5 ± 13.0 cm vs. 83.9 ± 12.8 cm, p < 0.01), truncal fat, total body fat, fat mass index, fasting C-peptide (2.1 ± 0.78 ng/ml vs. 0.68 ± 0.23 ng/ml, p<0.01), serum pro insulin (1.43 pmol/l (0.32-13.4) vs. 0.5 (0.5-3.2) and a significant increase in lean mass (46906 ± 8876 gm/cm2 vs. 50083 ± 7590 gm/cm2, p <0.001). HOMA-IR (4.6±1.7 vs. 0.5±0.17, p<0.001), HOMA% β (330 ± 103 vs. 66 ± 20, p<0.001) were decreased significantly following testosterone replacement. Conclusion: Testosterone replacement resulted in significant decrease in WC and truncal fat leading to improved insulin sensitivity as evidenced by decreasing serum C-peptide, serum proinsulin levels, decreased beta cell function and decreased insulin resistance. Endocrine Society 2019-04-30 /pmc/articles/PMC6553137/ http://dx.doi.org/10.1210/js.2019-SUN-234 Text en Copyright © 2019 Endocrine Society https://creativecommons.org/licenses/by-nc-nd/4.0/ This article has been published under the terms of the Creative Commons Attribution Non-Commercial, No-Derivatives License (CC BY-NC-ND; https://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Reproductive Endocrinology Yadav, Subhash Chandra Reddy, KCO SUN-234 Effect of Testosterone Undecanoate on Metabolic Syndrome Parameters in a Cohort of Hypogonadism |
title | SUN-234 Effect of Testosterone Undecanoate on Metabolic Syndrome Parameters in a Cohort of Hypogonadism |
title_full | SUN-234 Effect of Testosterone Undecanoate on Metabolic Syndrome Parameters in a Cohort of Hypogonadism |
title_fullStr | SUN-234 Effect of Testosterone Undecanoate on Metabolic Syndrome Parameters in a Cohort of Hypogonadism |
title_full_unstemmed | SUN-234 Effect of Testosterone Undecanoate on Metabolic Syndrome Parameters in a Cohort of Hypogonadism |
title_short | SUN-234 Effect of Testosterone Undecanoate on Metabolic Syndrome Parameters in a Cohort of Hypogonadism |
title_sort | sun-234 effect of testosterone undecanoate on metabolic syndrome parameters in a cohort of hypogonadism |
topic | Reproductive Endocrinology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6553137/ http://dx.doi.org/10.1210/js.2019-SUN-234 |
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