A population-level decline in serum testosterone levels in American men.
@article{Travison2007APD,
title={A population-level decline in serum testosterone levels in American men.},
author={Thomas G. Travison and Andre B. Araujo and Amy B O'donnell and Varant Kupelian and John B. Mckinlay},
journal={The Journal of clinical endocrinology and metabolism},
year={2007},
volume={92 1},
pages={
196-202
}
}CONTEXT
Age-specific estimates of mean testosterone (T) concentrations appear to vary by year of observation and by birth cohort, and estimates of longitudinal declines in T typically outstrip cross-sectional decreases. [] Key MethodDESIGN
We describe a prospective cohort study of health and endocrine functioning in randomly selected men of age 45-79 yr. We provide three data collection waves: baseline (T1: 1987-1999) and two follow-ups (T2: 1995-1997, T3: 2002-2004).
274 Citations
The relative contributions of aging, health, and lifestyle factors to serum testosterone decline in men.
- MedicineThe Journal of clinical endocrinology and metabolism
- 2007
Both chronological aging and changes in health and lifestyle factors are associated with declines in serum T, and the possibility that age-related hormone decline may be decelerated through the management of health andifestyle factors is suggested.
A cohort effect on serum testosterone levels in Finnish men.
- Medicine, BiologyEuropean journal of endocrinology
- 2013
The more recently born Finnish men have lower testosterone levels than their earlier born peers, suggesting that while there may be detrimental changes at the gonad level, the hypothalamus-pituitary-axis is not responding appropriately to this change.
Longitudinal changes in testosterone over five years in community-dwelling men.
- MedicineThe Journal of clinical endocrinology and metabolism
- 2013
An age-related decline in T levels is not inevitable but is largely explained by smoking behavior and intercurrent changes in health status, particularly obesity and depression.
Individual testosterone decline and future mortality risk in men.
- MedicineEuropean journal of endocrinology
- 2018
Higher mortality rates were seen among the men who had the most pronounced age-related decline in TS, independent of their baseline TS levels, as well as in cause-specific mortality analyses.
Age-related changes in serum testosterone and sex hormone binding globulin in Australian men: longitudinal analyses of two geographically separate regional cohorts.
- MedicineThe Journal of clinical endocrinology and metabolism
- 2007
Age-related changes in blood testosterone and SHBG previously described in urban-dwelling men are the same in men who reside in smaller regional cities of another continent.
Temporal trends in testosterone levels and treatment in older men
- MedicineCurrent opinion in endocrinology, diabetes, and obesity
- 2009
Existing evidence, though limited, supports the hypothesis of secular declines in serum testosterone levels in adult men, and it is conceivable that these trends may influence the health of the public.
Early decline of androgen levels in healthy adult men: an effect of aging per se? A prospective cohort study.
- Medicine, BiologyThe Journal of clinical endocrinology and metabolism
- 2020
Serum androgen levels start declining early during adult life and independently from changes in BMI and other lifestyle factors, suggesting that aging per se leads to an altered sex steroid status.
Secular decline in male testosterone and sex hormone binding globulin serum levels in Danish population surveys.
- Medicine, BiologyThe Journal of clinical endocrinology and metabolism
- 2007
The observed age-independent changes in SHBG and testosterone may be explained by an initial change in SH BG levels, which subsequently lead to adjustment of testosterone at a lower level to sustain free testosterone levels.
Decline in Serum Testosterone Levels Among Adolescent and Young Adult Men in the USA.
- MedicineEuropean urology focus
- 2020
Bioavailable Testosterone Linearly Declines Over A Wide Age Spectrum in Men and Women From The Baltimore Longitudinal Study of Aging.
- MedicineThe journals of gerontology. Series A, Biological sciences and medical sciences
- 2016
In both men and women, mBT linearly declines over the life span and even at old ages, and its relationship with age-related phenotypes should be further investigated.
References
SHOWING 1-10 OF 42 REFERENCES
Age trends in the level of serum testosterone and other hormones in middle-aged men: longitudinal results from the Massachusetts male aging study.
- Medicine, PsychologyThe Journal of clinical endocrinology and metabolism
- 2002
The paradoxical finding that longitudinal age trends were steeper than cross-sectional trends suggests that incident poor health may accelerate the age-related decline in androgen levels.
Longitudinal changes in testosterone, luteinizing hormone, and follicle-stimulating hormone in healthy older men.
- Medicine, BiologyMetabolism: clinical and experimental
- 1997
Longitudinal effects of aging on serum total and free testosterone levels in healthy men. Baltimore Longitudinal Study of Aging.
- MedicineThe Journal of clinical endocrinology and metabolism
- 2001
Observations of health factor independent, age-related longitudinal decreases in T and free T, resulting in a high frequency of hypogonadal values, suggest that further investigation of T replacement in aged men, perhaps targeted to those with the lowest serum T concentrations, are justified.
Sex hormones and age: a cross-sectional study of testosterone and estradiol and their bioavailable fractions in community-dwelling men.
- Medicine, BiologyAmerican journal of epidemiology
- 1998
The importance of the age-associated decline in endogenous sex hormone levels, particularly levels of bioavailable testosterone and bioavailable estradiol, and their relation to disease and function in men deserve further research.
Age, disease, and changing sex hormone levels in middle-aged men: results of the Massachusetts Male Aging Study.
- Medicine, BiologyThe Journal of clinical endocrinology and metabolism
- 1991
Subgroup analyses suggested that obese subjects might be responsible for much of the group difference in androgen level, and serum concentrations of estrogens and cortisol did not change significantly with age or differ between groups.
Interpreting age, period and cohort effects in plasma lipids and serum insulin using repeated measures regression analysis: the CARDIA Study.
- MedicineStatistics in medicine
- 1999
To sort out contradictory assessments of the effect of age/passage of time, age and period effects are estimated under the assumptions that age effects are a smooth function of age independent of period, and thatperiod effects are changes common to persons across all ages.
Prevalence and incidence of androgen deficiency in middle-aged and older men: estimates from the Massachusetts Male Aging Study.
- Medicine, PsychologyThe Journal of clinical endocrinology and metabolism
- 2004
Estimates of the crude and age-specific prevalence and incidence rates of androgen deficiency in a randomly sampled population-based cohort of middle-aged and older men and projections for the number of cases in the 40- to 69-yr-old U.S. male population were computed.
An examination of research design effects on the association of testosterone and male aging: results of a meta-analysis.
- Medicine, PsychologyJournal of clinical epidemiology
- 1991
Relationship between testosterone serum levels and lifestyle in aging men
- Medicine, BiologyThe aging male : the official journal of the International Society for the Study of the Aging Male
- 2005
This prospective study of 375 men aged 45 to 85 years confirms the correlation between age, BMI and smoking with serum levels of testosterone and free testosterone, whereas the investigated variety of lifestyle factors did not show a significant association to serum androgen levels.
Longitudinal relation between endogenous testosterone and cardiovascular disease risk factors in middle-aged men. A 13-year follow-up of former Multiple Risk Factor Intervention Trial participants.
- MedicineAmerican journal of epidemiology
- 1997
A gradual decline in total testosterone levels with advancing age in older men is confirmed and evidence that lifestyle and psychosocial factors are related to this decline is provided, which is associated with potentially unfavorable changes in triglycerides and high density lipoprotein cholesterol.





