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Cross-Sectional Association of Metabolic Syndrome and Its Components with Serum Testosterone Levels in a Korean-Screened Population
We evaluated the associations of metabolic syndrome (MetS) and its components with testosterone levels in the Korean population. This cross-sectional study was performed among 6,967 adult (age≥20 years) men who attended health screening during 2006 to 2015. MetS was defined using the National Choles...
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Published in: | The world journal of men's health 2020, 38(1), , pp.85-94 |
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description | We evaluated the associations of metabolic syndrome (MetS) and its components with testosterone levels in the Korean population.
This cross-sectional study was performed among 6,967 adult (age≥20 years) men who attended health screening during 2006 to 2015. MetS was defined using the National Cholesterol Education Program Adult Treatment Panel III criteria. Associations were evaluated using unconditional logistic regression.
The estimated age-adjusted prevalence of MetS in adult and middle-aged (≥40 years) Korean men was 27.5% and 30.6%, respectively. Quartile analysis showed that high serum testosterone levels were significantly associated with a low risk of MetS (highest
. lowest quartile, odds ratio=0.528; p |
doi_str_mv | 10.5534/wjmh.190030 |
format | article |
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This cross-sectional study was performed among 6,967 adult (age≥20 years) men who attended health screening during 2006 to 2015. MetS was defined using the National Cholesterol Education Program Adult Treatment Panel III criteria. Associations were evaluated using unconditional logistic regression.
The estimated age-adjusted prevalence of MetS in adult and middle-aged (≥40 years) Korean men was 27.5% and 30.6%, respectively. Quartile analysis showed that high serum testosterone levels were significantly associated with a low risk of MetS (highest
. lowest quartile, odds ratio=0.528; p
<0.001), with an approximately 13% reduction in MetS risk per 1 ng/mL increment of serum testosterone levels. After considering covariates such as age and body mass index (BMI), the reduction in MetS risk was attenuated but remained significant (7% reduced risk per 1 ng/mL). Testosterone levels were inversely correlated with all MetS components, including hyperglycemia (r=-0.041), increased body size (r=-0.093), increased triglyceride levels (r=-0.090), decreased high-density lipoprotein cholesterol levels (r=-0.030), and elevated blood pressure (r=-0.071, all p<0.05). Among them, elevated triglyceride levels and blood pressure were independently associated with low serum testosterone levels, even after adjustment for age and BMI.
Serum testosterone levels were inversely associated with MetS in Korean men. This association was attenuated after adjustment for age and BMI but remained significant. Among MetS components, increased triglyceride levels and elevated blood pressure were independently associated with testosterone levels, regardless of obesity.</description><identifier>ISSN: 2287-4208</identifier><identifier>EISSN: 2287-4690</identifier><identifier>DOI: 10.5534/wjmh.190030</identifier><identifier>PMID: 31190483</identifier><language>eng</language><publisher>Korea (South): Korean Society for Sexual Medicine and Andrology</publisher><subject>Age groups ; asian ; Body mass index ; Cardiovascular disease ; Cholesterol ; Health care ; High density lipoprotein ; Hyperglycemia ; Hypertension ; hypogonadism ; Medical screening ; Metabolic syndrome ; Middle age ; Nutrition ; Original ; Public health ; Testosterone ; Trends ; 비뇨기과학</subject><ispartof>The World Journal of Men's Health, 2020, 38(1), , pp.85-94</ispartof><rights>Copyright © 2020 Korean Society for Sexual Medicine and Andrology.</rights><rights>2020. This work is published under http://creativecommons.org/licenses/by-nc/4.0 (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2020 Korean Society for Sexual Medicine and Andrology 2020 Korean Society for Sexual Medicine and Andrology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c509t-bd332b83ad03d14298836831f94831b0ca8254b1c7c47c1b4828a8326919b2d13</citedby><cites>FETCH-LOGICAL-c509t-bd332b83ad03d14298836831f94831b0ca8254b1c7c47c1b4828a8326919b2d13</cites><orcidid>0000-0003-4432-0340 ; 0000-0002-8336-2298 ; 0000-0001-6995-6850</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2814329893/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2814329893?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,25732,27903,27904,36991,36992,44569,53770,53772,74873</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31190483$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART002536788$$DAccess content in National Research Foundation of Korea (NRF)$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Myong</creatorcontrib><creatorcontrib>Kyung, Yoon Soo</creatorcontrib><creatorcontrib>Ahn, Tai Young</creatorcontrib><title>Cross-Sectional Association of Metabolic Syndrome and Its Components with Serum Testosterone Levels in a Korean-Screened Population</title><title>The world journal of men's health</title><addtitle>World J Mens Health</addtitle><description>We evaluated the associations of metabolic syndrome (MetS) and its components with testosterone levels in the Korean population.
This cross-sectional study was performed among 6,967 adult (age≥20 years) men who attended health screening during 2006 to 2015. MetS was defined using the National Cholesterol Education Program Adult Treatment Panel III criteria. Associations were evaluated using unconditional logistic regression.
The estimated age-adjusted prevalence of MetS in adult and middle-aged (≥40 years) Korean men was 27.5% and 30.6%, respectively. Quartile analysis showed that high serum testosterone levels were significantly associated with a low risk of MetS (highest
. lowest quartile, odds ratio=0.528; p
<0.001), with an approximately 13% reduction in MetS risk per 1 ng/mL increment of serum testosterone levels. After considering covariates such as age and body mass index (BMI), the reduction in MetS risk was attenuated but remained significant (7% reduced risk per 1 ng/mL). Testosterone levels were inversely correlated with all MetS components, including hyperglycemia (r=-0.041), increased body size (r=-0.093), increased triglyceride levels (r=-0.090), decreased high-density lipoprotein cholesterol levels (r=-0.030), and elevated blood pressure (r=-0.071, all p<0.05). Among them, elevated triglyceride levels and blood pressure were independently associated with low serum testosterone levels, even after adjustment for age and BMI.
Serum testosterone levels were inversely associated with MetS in Korean men. This association was attenuated after adjustment for age and BMI but remained significant. Among MetS components, increased triglyceride levels and elevated blood pressure were independently associated with testosterone levels, regardless of obesity.</description><subject>Age groups</subject><subject>asian</subject><subject>Body mass index</subject><subject>Cardiovascular disease</subject><subject>Cholesterol</subject><subject>Health care</subject><subject>High density lipoprotein</subject><subject>Hyperglycemia</subject><subject>Hypertension</subject><subject>hypogonadism</subject><subject>Medical screening</subject><subject>Metabolic syndrome</subject><subject>Middle age</subject><subject>Nutrition</subject><subject>Original</subject><subject>Public health</subject><subject>Testosterone</subject><subject>Trends</subject><subject>비뇨기과학</subject><issn>2287-4208</issn><issn>2287-4690</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNpdkstv1DAQhyMEolXpiTuyxAWEUvxKYl-QViseKxaB2OVs-ZWut4m92EmrnvnHcTZtRfFlxp5vfh6PpyheInhRVYS-v9n3uwvEISTwSXGKMWtKWnP49N7HkJ0U5yntYV4Mwgai58UJQTmFMnJa_FnGkFK5sXpwwcsOLFIK2slpB0ILvtlBqtA5DTa33sTQWyC9AashgWXoD8Fbn90bN-zAxsaxB1ubhpAGG3MIrO217RJwHkjwNUQrfbnR0VpvDfgRDmN3vOdF8ayVXbLnd_as-PXp43b5pVx__7xaLtalriAfSmUIwYoRaSAxiGLOGKkZQS3PL0EKaslwRRXSjaaNRooyzCQjuOaIK2wQOSvezro-tuJKOxGkO9rLIK6iWPzcrkRNCKcYZ3Y1sybIvThE18t4e0w4HoR4KWQcnO6sUKZtYd1SxGBDa4wVwoy2hjDEmOG8zlofZq3DqHprdG5ZlN0j0ccR73a5pmtRcwxhTbPAmzuBGH6PucGid0nbrpPehjEJTHDDSVNhktHX_6H7MMb8sZliiJLcNT5R72ZKT78fbftQDIJimisxzZWY5yrTr_6t_4G9nyLyFz1gyFE</recordid><startdate>20200101</startdate><enddate>20200101</enddate><creator>Kim, Myong</creator><creator>Kyung, Yoon Soo</creator><creator>Ahn, Tai Young</creator><general>Korean Society for Sexual Medicine and Andrology</general><general>대한남성과학회</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7R6</scope><scope>888</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQGEN</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>QXPDG</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><scope>ACYCR</scope><orcidid>https://orcid.org/0000-0003-4432-0340</orcidid><orcidid>https://orcid.org/0000-0002-8336-2298</orcidid><orcidid>https://orcid.org/0000-0001-6995-6850</orcidid></search><sort><creationdate>20200101</creationdate><title>Cross-Sectional Association of Metabolic Syndrome and Its Components with Serum Testosterone Levels in a Korean-Screened Population</title><author>Kim, Myong ; Kyung, Yoon Soo ; Ahn, Tai Young</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c509t-bd332b83ad03d14298836831f94831b0ca8254b1c7c47c1b4828a8326919b2d13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Age groups</topic><topic>asian</topic><topic>Body mass index</topic><topic>Cardiovascular disease</topic><topic>Cholesterol</topic><topic>Health care</topic><topic>High density lipoprotein</topic><topic>Hyperglycemia</topic><topic>Hypertension</topic><topic>hypogonadism</topic><topic>Medical screening</topic><topic>Metabolic syndrome</topic><topic>Middle age</topic><topic>Nutrition</topic><topic>Original</topic><topic>Public health</topic><topic>Testosterone</topic><topic>Trends</topic><topic>비뇨기과학</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Myong</creatorcontrib><creatorcontrib>Kyung, Yoon Soo</creatorcontrib><creatorcontrib>Ahn, Tai Young</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>GenderWatch</collection><collection>GenderWatch (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest Women's & Gender Studies</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Diversity Collection</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><collection>Korean Citation Index (Open Access)</collection><jtitle>The world journal of men's health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Myong</au><au>Kyung, Yoon Soo</au><au>Ahn, Tai Young</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cross-Sectional Association of Metabolic Syndrome and Its Components with Serum Testosterone Levels in a Korean-Screened Population</atitle><jtitle>The world journal of men's health</jtitle><addtitle>World J Mens Health</addtitle><date>2020-01-01</date><risdate>2020</risdate><volume>38</volume><issue>1</issue><spage>85</spage><epage>94</epage><pages>85-94</pages><issn>2287-4208</issn><eissn>2287-4690</eissn><abstract>We evaluated the associations of metabolic syndrome (MetS) and its components with testosterone levels in the Korean population.
This cross-sectional study was performed among 6,967 adult (age≥20 years) men who attended health screening during 2006 to 2015. MetS was defined using the National Cholesterol Education Program Adult Treatment Panel III criteria. Associations were evaluated using unconditional logistic regression.
The estimated age-adjusted prevalence of MetS in adult and middle-aged (≥40 years) Korean men was 27.5% and 30.6%, respectively. Quartile analysis showed that high serum testosterone levels were significantly associated with a low risk of MetS (highest
. lowest quartile, odds ratio=0.528; p
<0.001), with an approximately 13% reduction in MetS risk per 1 ng/mL increment of serum testosterone levels. After considering covariates such as age and body mass index (BMI), the reduction in MetS risk was attenuated but remained significant (7% reduced risk per 1 ng/mL). Testosterone levels were inversely correlated with all MetS components, including hyperglycemia (r=-0.041), increased body size (r=-0.093), increased triglyceride levels (r=-0.090), decreased high-density lipoprotein cholesterol levels (r=-0.030), and elevated blood pressure (r=-0.071, all p<0.05). Among them, elevated triglyceride levels and blood pressure were independently associated with low serum testosterone levels, even after adjustment for age and BMI.
Serum testosterone levels were inversely associated with MetS in Korean men. This association was attenuated after adjustment for age and BMI but remained significant. Among MetS components, increased triglyceride levels and elevated blood pressure were independently associated with testosterone levels, regardless of obesity.</abstract><cop>Korea (South)</cop><pub>Korean Society for Sexual Medicine and Andrology</pub><pmid>31190483</pmid><doi>10.5534/wjmh.190030</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-4432-0340</orcidid><orcidid>https://orcid.org/0000-0002-8336-2298</orcidid><orcidid>https://orcid.org/0000-0001-6995-6850</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Age groups asian Body mass index Cardiovascular disease Cholesterol Health care High density lipoprotein Hyperglycemia Hypertension hypogonadism Medical screening Metabolic syndrome Middle age Nutrition Original Public health Testosterone Trends 비뇨기과학 |
title | Cross-Sectional Association of Metabolic Syndrome and Its Components with Serum Testosterone Levels in a Korean-Screened Population |
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