Table 4. Changes of anthropometric, metabolic, prostate and quality of life parameters in obese hypogonadal men receiving testosterone treatment according to age group.
Baseline age (years) |
Class I (n=214) |
Class II (n=150) |
Class III (n=47) |
|||
---|---|---|---|---|---|---|
⩽65 (n=163) | >65 (n=51) | ⩽65 (n=120) | >65 (n=30) | ⩽65 (n=40) | >65 (n=7) | |
Anthropometry | Change±s.e. | Change±s.e. | Change±s.e. | Change±s.e. | Change±s.e. | Change±s.e. |
Weight (kg) | −17.5±0.5* | −16.7±1.1* | −25.7±0.6* | −24.2±1.1* | −30.4±0.7* | −31.4±2.4* |
BMI (kg m−2) | −5.55±0.16* | −5.34±0.36* | −8.26±0.19* | −7.76±0.35* | −9.94±0.31* | −10.18±0.72* |
Weight loss (%) | −16.9±0.46* | −16.16±1.01* | −21.92±0.46* | −20.58±0.94* | −23.55±0.53* | −23.97±1.6* |
Waist circumference (cm) | −10.3±0.3* | −11.7±0.8* | −14.1±0.4* | −13.0±0.7* | −14.4±0.4* | −14.3±1.2* |
Testosterone | ||||||
Testosterone (nmol l−1) | 8±0.36* | 8.66±0.8* | 7.06±0.35* | 8.09±0.68* | 6.26±0.48* | 7.42±1.29* |
Prostate parameters | ||||||
Prostate volume (ml) | 5.08±0.31* | 3.41±0.66* | 3.81±0.3* | 3.51±0.41* | 2.79±0.34* | 1.05±2.26 |
PSA (ng ml−1) | 0.39±0.03* | 0.27±0.08# | 0.33±0.04* | 0.44±0.07* | 0.29±0.04* | −0.18±0.24 |
IPSS | −3.89±0.25* | −6.09±0.51* | −6.35±0.3* | −6.52±0.43* | −6.75±0.35* | −8.01±0.82* |
Erectile function | ||||||
IIEF-EF | 8.83±0.42* | 10.26±1.02* | 7.71±0.48* | 6.95±0.74* | 7.26±0.61* | 4.06±1.35** |
Quality of life | ||||||
AMS | −32.58±0.78* | −32.15±1.6* | −32.85±0.79* | −35.42±1.52* | −38.62±1.18* | −36.04±4.37* |
Glycaemic control | ||||||
Fasting glucose (mmol l−1) | −0.74±0.09* | −1.25±0.32§ | −0.95±0.12* | −1.81±0.28* | −1.03±0.13* | −2.14±0.87## |
HbA1c (%) | −1.12±0.07* | −1.25±0.16* | −1.74±0.09* | −2.03±0.14* | −1.84±0.14* | −2.02±0.36* |
Lipids | ||||||
Total cholesterol (mmol l−1) | −2.14±0.10* | −2.47±0.23* | −2.76±0.11* | −2.98±0.23* | −3.10±0.15* | −2.77±0.57* |
HDL (mmol l−1) | 0.57±0.03* | 0.42±0.08* | 0.60±0.04* | 0.45±0.06" | 0.55±0.05* | 0.71±0.14* |
LDL (mmol l−1) | −1.30±0.07* | −1.43±0.12* | −1.43±0.08* | −1.60±0.17* | −1.78±0.10* | −1.27±0.43§§ |
Triglycerides (mmol l−1) | −0.86±0.06* | −1.07±0.14* | −1.14±0.06* | −1.48±0.12* | −1.51±0.09* | −1.79±0.28* |
Total cholesterol:HDL ratio | −3.77±0.19* | −3.28±0.34* | −3.59±0.19* | −3.2±0.33* | −3±0.23* | −3.44±0.59* |
Erythropoiesis/blood count | ||||||
Haemoglobin (g dl−1) | 0.49±3.39 | 0.66±0.22$ | 0.26±0.09‡ | 0.3±0.21 | 0.62±0.09* | 1.18±0.31$$ |
Haematocrit (%) | 4.22±0.36* | 5.03±0.79* | 4.74±0.36* | 3.89±0.85* | 4.54±0.5* | 6.49±1.38* |
Leukocytes (109 l−1) | −0.29±0.16 | 0.21±0.32 | −0.85±0.2* | −1.6±0.38* | −0.38±0.22 | −0.87±0.64 |
Liver transaminases | ||||||
AST (U l−1) | −10.9±1.1* | −9.46±2.4§ | −20.6±1.41* | −18.32±2.47* | −27.5±2.23* | −30.35±8.59†† |
ALT (U l−1) | −12.22±1.47* | −11.79±3.7† | −22.67±1.68* | −23.26±3.69* | −27.93±2.82* | −38.42±10.31‡‡ |
Inflammation | ||||||
CRP (mg dl−1) | −1.91±0.16* | −1.47±0.24* | −3.29±0.32* | −3.74±0.55* | −3.91±0.47* | −4.53±0.93* |
Blood pressure | ||||||
Systolic (mm Hg) | −19.68±0.83* | −28.91±2.36* | −32.25±1.17* | −26.93±1.88* | −33.05±1.57* | −33.51±3.43* |
Diastolic (mm Hg) | −11.6±0.77* | −15.88±1.86* | −20.34±1.78* | −21.51±1.41* | −22.84±1.51* | −27.84±2.7* |
Abbreviations:
ALT, alanine transaminase; AMS, Aging Males' Symptom scale; AST, aspartate aminotransferase; BMI, body mass index; CRP, C-reactive protein; HDL, high-density lipoprotein; IIEF-EF, international index of erectile function, erectile function; IPSS, International Prostate Symptom Score; LDL, low-density lipoprotein; PSA, prostate-specific antigen.
*P<0.0001 vs baseline; #P=0.0008; §P=0.0001; $P=0.0031; †P=0.0016; ‡P=0.0037; **P=0.0048; ##P=0.0185; §§P=0.0057; $$P=0.0005; ††P=0.0012; ‡‡P=0.0007.