TUESDAY, June 17 (HealthDay News) -- Low testosterone levels put
men at high risk for cardiovascular disease, diabetes and early
death, but testosterone replacement therapy may help better the
odds, according to new studies.
Some experts believe that low testosterone levels, which become
more common with age, are linked to several health conditions.
These include loss of bone and muscle mass, depression, decreased
libido, and, most important, the metabolic syndrome -- a cluster
risk factors that increase the chances of developing heart disease,
stroke and type 2 diabetes.
The studies, all of which were expected to be presented at The
Endocrine Society's annual meeting, in San Francisco, suggest that
therapy to raise testosterone back to normal levels may have
several positive effects.
One study showed that testosterone treatment significantly
reduced abdominal fat, total cholesterol, LDL ("bad") cholesterol,
triglycerides and body mass index (a measure of body fat). It also
helped raise HDL ("good") cholesterol.
Researchers in a second study found that men older than 63
benefited as much as younger men.
"We conclude that if elderly men have a deficiency of
testosterone, it is worthwhile to treat them with testosterone,"
co-author of both studies, Farid Saad of Berlin-headquartered Bayer
Schering Pharma -- a drug company that makes a form of testosterone
therapy -- said in a prepared interview.
A third study added to previous evidence that low testosterone
increases one's chance of early death from any cause in the long
run.
In the study, funded in part by drug maker Novo Nordisc,
researchers looked the causes of death in almost 2,000 German men
aged 20 to 79 years. The men with low testosterone at the start of
study, which had an average follow up period of 7 years, had a more
than 2.5 times greater risk of dying during the next 10 years
compared with men with higher testosterone. These men tended to be
older, fatter and had a greater prevalence of diabetes and high
blood pressure than the men with higher testosterone levels, Haring
said.
This difference was not explained by age, smoking, alcohol
intake, level of physical activity or increased waist circumference
(a risk factor for diabetes and heart disease), according to
researcher author Robin Haring, a Ph.D. student from
Ernst-Moritz-Arndt University of Greifswald, Institute for
Community Medicine.
Low testosterone levels predicted increased risk of death from
cardiovascular disease and cancer but not death of any other single
cause, the study found.
More information
The Hormone Foundation has more about
low testosterone.