Searchable abstracts of presentations at key conferences in endocrinology
Endocrine Abstracts (2010) 22 P672

ECE2010 Poster Presentations Obesity (50 abstracts)

Testosterone gel significantly increase lean body mass in ageing males with relatively low bio-available testosterone and waist circumference above 94 cm: a double blinded, randomized, placebo controlled 6 months study

Louise Frederiksen 1 , David M Hougaard 2 , Kim Brixen 1 & Marianne Andersen 1


1Odense University Hospital, Odense, Denmark; 2Statens Serum Institut, Copenhagen, Denmark.


Background: Testosterone replacement therapy in severe hypogonadism is indicated, however, the treatment of late onset hypogonadism (LOH) is debated, especially what the diagnostic criteria should be. In LOH bio-available testosterone probably gives a more accurate index of gonadal status as a diagnostic criterion as it takes SHBG into consideration. SHBG is known to increase with ageing, however, SHBG is also negatively influenced by insulin and visceral adiposity.

Aim: To investigate the anabolic effects of testosterone in ageing men with bio-available testosterone below the cut-off limit for young males (Nielsen et al. JCEM 2006) and waist circumference above 94 cm.

Patients and methods: A double-blinded, randomized, placebo-controlled 6 months study in men aged 68 (60–78) (mean and range) with bio available testosterone 4.9 (2.3–7.2) nmol/l and waist circumference 108 (95–128) cm.

Thirty-eight participants were randomized to placebo (n=18) or testosterone gel 50 mg/day (n=20).

Testosterone levels were measured by liquid chromatography tandem mass spectrometry after ether extraction and SHBG was measured by autoDELFIA assay. Bio-available testosterone was calculated according to Vermeulen et al. (JCEM 1999). Dual X-ray absorptiometry (DXA) was used to determine total lean body mass and total fat mass.

Statistics were performed on delta values (0–6 months). The Students t-test was used to compare mean delta values after 24 weeks of treatment.

Results: The randomization was successful. During the 6 months study total lean body mass increased significantly (P=0.004), in the testosterone treated group compared to placebo 1.73 (−1.1–6.2) kg versus −0.07 (−3.4–1.7) kg, respectively.

Total fat mass decreased significantly (P=0.037) in the testosterone treated group compared to placebo −1.2 (−3.6–3.8) kg versus 0.6 (−4.0–1.9) kg, respectively.

Conclusion: Testosterone therapy significantly increased total lean body mass and significantly decreased total fat mass in ageing men with relatively low bio-available testosterone and waist circumference above 94 cm.

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