Skip to main content
Environmental Health and Preventive Medicine logoLink to Environmental Health and Preventive Medicine
. 1999 Jul;4(2):81–86. doi: 10.1007/BF02931999

Physiological levels of estradiol correlate with lipid / lipoprotein profiles in healthy men

Naoko Shono 1,, Yasuki Higaki 1,, Mitsuru Mori 1,, Masahiro Nishizumi 1,
PMCID: PMC2723429  PMID: 21432177

Abstract

In this cross-sectional study, the relationships of the physiological levels of estradiol (E2) and dehydroepiandrosterone-sulfate (DHEA-S) to the lipid and lipoprotein profiles were investigated in 212 apparently healthy men aged from 18 to 59 years old. These subjects were divided into tertiles according to the levels of E2 and DHEA-S, respectively. We performed one-way analysis of variance and analysis of co-variance controlling for age, body mass index, percent body fat, waist to hip ratio, maximal oxygen uptake, alcohol and cigarette consumptions as confounding factors.

A lower E2 level was associated with higher concentrations of total cholesterol (TC) and low density lipoprotein cholesterol. A lower DHEA-S level was associated with a lower concentration of high density lipoprotein cholesterol (HDLC) and a higher ratio of TC / HDLC. These correlations remained significant after adjusting for the above confounding factors. Neither free testosterone nor sex hormone-binding globulin was associated with the lipids and lipoproteins. These results suggest that higher levels of E2 and DHEA-S, at least in physiological concentrations, are related to the favorable lipid and lipoprotein levels in men.

Key words: Estradiol, Dehydroepiandrosterone-sulfate, Lipid metabolism, Men

References

  • 1).Phillips GB. Relationship of serum sex hormones to coronary heart disease. Steroids 1993; 13: 35–9. [DOI] [PubMed]
  • 2).Kalin MF, Zumoff B. Sex hormones and coronary disease: a review of the clinical studies. Steroids 1990; 58: 286–90. [DOI] [PubMed]
  • 3).Phillips GB. Evidence for hyperoestrogenaemia as a risk factor for myocardial infarction in man. Lancet 1976; 2: 14–8. [DOI] [PubMed]
  • 4).Phillips GB. Evidence for hyperestrogenemia as the link between diabetes mellitus and myocardial infarction. Am J Med 1984; 76: 1041–8. [DOI] [PubMed]
  • 5).Mendoza SG, Zerpa A, Carrasco H, et al. Estradiol, testosterone, apolipoproteins, lipoprotein cholesterol, and lipolytic enzymes in men with premature myocardial infarction and angiographically assessed coronary occlusion. Artery 1983; 12: 1–23. [PubMed]
  • 6).Barrette-Connor E, Khaw KT. Endogenous sex hormones and cardiovascular disease in men. Circulation 1988; 78: 539–45. [DOI] [PubMed]
  • 7).Hughes GS, Mathur RS, Margoius HS. Sex steroid hormones are altered in essential hypertension. J Hypertens 1989; 7:181–7. [DOI] [PubMed]
  • 8).Kley HK, Epelmann P, Kruskemper HS. Relationship of plasma sex hormones to different parameters of obesity in male subjects. Metabolism 1980; 29:1041–5. [DOI] [PubMed]
  • 9).Bulusu NV, Lewis SP, Das A, Clayton WE. Serum lipid changes after estrogen therapy in prostatic carcinoma. Urology 1982; 20: 147–50. [DOI] [PubMed]
  • 10).Bagatell CJ, Knopp RH, Rivier JE, Bremner WJ. Physiological levels of estradiol stimulate plasma high density lipoprotein2 cholesterol levels in normal men. J Clin Endocrinol Metab 1994; 78: 855–61. [DOI] [PubMed]
  • 11).Bagatell CJ, Heiman JR, Matsumoto AM, Rivier JE, Bremner WJ. Metabolic and behavioral effects of high-dose exogenous testosterone in healthy men. J Clin Endocrinol Metab 1994; 79: 561–7. [DOI] [PubMed]
  • 12).Orentreich N, Brind JL, Rizer RL, Vogelman JH. Age changes and sex differences in serum dehydroepiandrosterone sulfate concentrations throughout adulthood. J Clin Endocrinol Metab 1984; 59: 551–5. [DOI] [PubMed]
  • 13).Drucker WD, Blumberg JM, Gandy HM, David RR, Verde AL. Biologic activity of dehydroepiandrosterone sulfate in man. J Clin Endocrinol Metab 1972; 35: 48–54. [DOI] [PubMed]
  • 14).Regelson W, Kalimi M, Loria R. DHEA: Some thoughts as to its biologic and clinical action. In: Walter de Gruyter & Co. Dehydroepiandrosterone (DHEA). Berlin. New York. 1990:405–44.
  • 15).Ebelling P, Koivisto VA. Physiological importance of dehydroepiandrosterone. Lancet 1994; 343: 1479–81. [DOI] [PubMed]
  • 16).Herrington DM, Gordon GB, Achuff SC, et al. Plasma dehydroepiandrosterone and dehydroepiandrosterone sulfate in patients undergoing diagnotic coronary angiography. J Am Coll Cardiol 1990; 16: 862–70. [DOI] [PubMed]
  • 17).Barrett-Connor E, Khaw KT, Yen SSC. A prospective study of dehydroepiandrosterone sulfate, mortality, and cardiovascular disease. N Engl J Med 1986; 315: 1519–24. [DOI] [PubMed]
  • 18).Haffner SM, Mykkanen L, Valdez RA, Katz MS. Relationship of sex hormones to lipids and lipoproteins in nondiabetic men. J Clin Endocrinol Metab 1993; 77: 1610- 5. [DOI] [PubMed]
  • 19).Nafziger AN, Jenkins PL, Bowlin SJ, Pearson TA. Dehydroepiandrosterone, lipids and apoproteins: associations in a free living population. Circulation 1990; 82 (Supple 13): 469.
  • 20).Dai WS, Gutai JP, Kuller LH, Laporte RE, Falvo Gerard L, Caggiula A. Relation between plasma high-density lipoprotein cholesterol and sex hormone concentration in men. Am J Cardiol 1984; 53: 1259–63. [DOI] [PubMed]
  • 21).Duell PB, Bierman EL.The relationship between sex hormones and high-density lipoprotein cholesterol levels in healthy adult men. Arch Intern Med 1990; 150: 2317–20. [DOI] [PubMed]
  • 22).Brozek J, Henschel A. Techniques for measuring body composition. National Academy of Science-National Research Council, Washington, D.C. 1961: 300.
  • 23).Nagamine S, Suzuki S. Anthropometry and body composition of Japanese young men and women. Human Biol 1964; 36: 473–6. [PubMed]
  • 24).Friedwald WT, Levy RI, Fredrickson DS. Estimation of low density lipoprotein cholesterol in plasma without use of the preparative ultracentrifuge. Clin Chem 1972; 18: 499–502. [PubMed]
  • 25).Stefanick ML, Williams PT, Krauss RM, Terry RB, Vranizan KM, Wood PD. Relationships of plasma estradiol, testosterone, and sex hormone-binding globulin with lipoproteins, apolipoproteins, and high density lipoprotein subfractions in men. J Clin Endocrinol Metab 1987; 64: 723–9. [DOI] [PubMed]
  • 26).Ellis GS, Lanza-Jacoby S, Gow A, Kendrick ZV. Effects of estradiol on lipoprotein lipase activity and lipid availability in exercised male rats. J Appl Physiol 1994; 77:209–15. [DOI] [PubMed]
  • 27).Slowinska-Srzednicka J, Zgliczynski S, Ciswicka-Sznajderman M, et al. Decreased plasma dehydroepiandrosterone sulfate and dehydrotestosterone concentrations in young men after myocardial infarction. Atherosclerosis 1989; 79:197–203. [DOI] [PubMed]
  • 28).Nestler JE, Barlascini CO, Clore JN, Blackard WG. Dehydroepiandrosterone reduces serum low density lipoprotein levels and body fat but does not alter insulin sensitivitty in normal men. J Clin Endocrinol Metabol 1988; 66:57–61. [DOI] [PubMed]
  • 29).Usiskin KS, Butterworth S, Clore JN, et al. Lack of effect of dehydroepiandrosterone in obese men. Int J Obesity 1990; 14:457–63. [PubMed]
  • 30).Morales AJ, Nolan JJ, Nelson JC, Yen SSC. Effects of replacement dose of dehydroepiandrosterone in men and women of advancing age. J Clin Endocrinol Metabol 1994; 78: 1360–7. [DOI] [PubMed]
  • 31).Despres JP, Moorjani S, Lupien PJ, Tremblay A, Nadeau A, Bouchard C. Regional distribution of body fat, plasma lipoproteins, and cardiovascular disease. Arteriosclerosis 1990;10:497–511. [DOI] [PubMed]
  • 32).Eaton CB, Lapane KL, Garber CE, et al. Physical activity, physical fitness, and coronary heart disease risk factors. Med Sci Sports Exerc 1995; 27: 340–6. [PubMed]
  • 33).Ichihara Y, Hattori R, Anno T, et al. Oxygen uptake and its relation to physical activity and other coronary risk factors in asymptomatic middle-aged Japanese. J Cardiopulmonary Rehab 1996; 16: 378–85. [DOI] [PubMed]
  • 34).Houmard JA, Wheeler WS, McCammon MR, Holbert D, Israel RG, Barakat HA. Effects of fitness level and the regional distribution of fat on carbohydrate metabolism and plasma lipids in middle- to older-aged men. Metabolism 1990; 40: 714–9. [DOI] [PubMed]
  • 35).Facchini F, Chen YD, Reaven GM. Light-to-moderate alcohol intake is associated with enhanced insulin sensitivity. Diabetes Care 1994; 17: 115–9. [DOI] [PubMed]
  • 36).Mayer EJ, Newman B, Quesenberry CP Jr, Friedman GD, Selby JV. Alcohol consumption and innsulin concentrations. Role of insulin in associations of alcohol intake with high- density lipoprotein cholesterol and triglycerides. Circulation 1993; 88: 2190–7. [DOI] [PubMed]
  • 37).Choudhury SR, Ueshima H, Kita Y, et al. Alcohol intake and serum lipids in a Japanese population. Int J Epidemiol 1994; 23:940–7. [DOI] [PubMed]
  • 38).Martinez-Riera A, Santolaria-Fernandez F, Gonzalez Reimers E, et al. Gonzalez-Martin I. Rodriguez-Rodriguez E. Alcoholic hypogonadism: hormonal response to clomiphene. Alcohol 1995; 12: 581–7. [DOI] [PubMed]
  • 39).Mendoza SG, Carrasco H, Zerpa A, et al. Effect of physical training on lipids, lipoproteins, apolipoproteins, lipases, and endogenous sex hormones in men with premature myocardial infarction. Metabolism 1991; 40: 368–77. [DOI] [PubMed]
  • 40).Klaiber EL, Broverman DM, Dalen JE. Serum estradiol levels in male cigarette smokers. Am J Med 1984; 77: 852- 62. [DOI] [PubMed]
  • 41).Barrette-Connor E, Khaw KT. Cigarette smoking and increased endogenous estrogen levels in men. Am J Epidemiol 1987; 126: 187–9. [DOI] [PubMed]
  • 42).Dai WS, Gutai JP, Kuller LH, Cauley JA. Cigarette smoking and serum hormones in men. Am J Epidemiol 1988; 128: 796–805. [DOI] [PubMed]

Articles from Environmental Health and Preventive Medicine are provided here courtesy of The Japanese Society for Hygiene

RESOURCES