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. 2021 May 25;4(5):e2111398. doi: 10.1001/jamanetworkopen.2021.11398

Table 2. Serial Hormone Concentrations in Men.

Hormone concentration Concentration, median (IQR)
Day 0 Day 3 Day 7 Day 14 Day 28
Testosterone, ng/dL
With severe COVID-19 53 (18-114) 19 (6-68)a,b 20 (12-93) 53 (10-95) 102 (26-219)
Without severe COVID-19 151 (95-217)c,d 111 (49-274)c,e 180 (71-229)c,f NA NA
Estradiol, pg/mL
With severe COVID-19 15 (10-23) 12 (7-20) 13 (7-19) 17 (9-23) 13 (10-20)
Without severe COVID-19 15 (11-20) 18 (13-20) 12 (11-13) NA NA
Estradiol to testosterone ratio, %
With severe COVID-19 2.3 (1.0-9.0) 3.6 (1.3-2.9) 2.3 (0.9-1.8) 5.0 (1.1-14.8) 0.6 (0.3-4.8)
Without severe COVID-19 1.1 (0.5-1.9)c,g 1.1 (0.5-1.7)c,h 0.7 (0.5-1.7)c,i NA NA
IGF-1, ng/mL
With severe COVID-19 85 (60-116) 79 (54-116) 75 (50-111) 110 (41-124) 73 (58-107)
Without severe COVID-19 99 (66-153) 50 (16-118) 75 (40-111) NA NA

Abbreviations: IGF-1, insulinlike growth factor 1; IQR, interquartile range; NA, not applicable (indicated if there were insufficient patients in a category).

SI conversion factors: To convert estradiol to picomoles per liter, multiply by 3.671; IGF-1 to nanomoles per liter, multiply by 0.131; and testosterone to nanomoles per liter, multiply by 0.0347.

a

Significant for comparison with day 0.

b

P = .004.

c

Significant compared with men with severe COVID-19, adjusted for group differences in age, body mass index, Charlson Comorbidity Index score, smoking history, and race.

d

P = .008.

e

P = .01.

f

P = .04.

g

P = .02.

h

P = .03.

i

P = .04.