Age-Associated Discrepancy between Measured and Calculated Bioavailable Testosterone in Men

Bioavailable testosterone (BT) concentration is considered the best marker for evaluating testicular function in men. The decrease of BT in older men is more pronounced than the decrease in total testosterone because of the parallel increase in sex hormone-binding globulin (SHBG) concentrations. Mea...

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Veröffentlicht in:Clinical chemistry (Baltimore, Md.) Md.), 2007-04, Vol.53 (4), p.723-728
Hauptverfasser: Dechaud, Henri, Denuziere, Anne, Rinaldi, Sabina, Bocquet, Julien, Lejeune, Herve, Pugeat, Michel
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container_issue 4
container_start_page 723
container_title Clinical chemistry (Baltimore, Md.)
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creator Dechaud, Henri
Denuziere, Anne
Rinaldi, Sabina
Bocquet, Julien
Lejeune, Herve
Pugeat, Michel
description Bioavailable testosterone (BT) concentration is considered the best marker for evaluating testicular function in men. The decrease of BT in older men is more pronounced than the decrease in total testosterone because of the parallel increase in sex hormone-binding globulin (SHBG) concentrations. Measurement of BT is therefore crucial for the diagnosis of hypoandrogenism in the aging male population. We compared BT concentrations measured by a specific RIA after ammonium sulfate precipitation (BT(meas)) with those obtained by theoretical calculations (BT(cal)) in plasma samples from 694 young men (14 to 49 years old) and 51 older men (50 to 81 years old). We based theoretical calculations on Vermeulen's simplified mass equation using total testosterone and SHBG concentrations. BT(cal) and BT(meas) correlated significantly in young (Pearson r = 0.87) and aging (r = 0.89) men, but the BT(cal):BT(meas) ratio differed markedly between the 2 groups (2.28 vs 3.48; P
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The decrease of BT in older men is more pronounced than the decrease in total testosterone because of the parallel increase in sex hormone-binding globulin (SHBG) concentrations. Measurement of BT is therefore crucial for the diagnosis of hypoandrogenism in the aging male population. We compared BT concentrations measured by a specific RIA after ammonium sulfate precipitation (BT(meas)) with those obtained by theoretical calculations (BT(cal)) in plasma samples from 694 young men (14 to 49 years old) and 51 older men (50 to 81 years old). We based theoretical calculations on Vermeulen's simplified mass equation using total testosterone and SHBG concentrations. BT(cal) and BT(meas) correlated significantly in young (Pearson r = 0.87) and aging (r = 0.89) men, but the BT(cal):BT(meas) ratio differed markedly between the 2 groups (2.28 vs 3.48; P &lt;0.001). In men, there is an age-associated discrepancy between calculated and measured BT concentrations. We suggest some hypotheses for the discrepancy, but additional studies will be performed to finally elucidate this difference in results and to determine the most appropriate method for BT measurements in older men.</description><identifier>ISSN: 0009-9147</identifier><identifier>EISSN: 1530-8561</identifier><identifier>DOI: 10.1373/clinchem.2006.077362</identifier><identifier>PMID: 17317886</identifier><identifier>CODEN: CLCHAU</identifier><language>eng</language><publisher>Washington, DC: Am Assoc Clin Chem</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Aging ; Aging - metabolism ; Algorithms ; Ammonium ; Ammonium Sulfate ; Analytical, structural and metabolic biochemistry ; Androgens ; Binding sites ; Biological and medical sciences ; Chemical Precipitation ; Computer Science ; Fundamental and applied biological sciences. 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The decrease of BT in older men is more pronounced than the decrease in total testosterone because of the parallel increase in sex hormone-binding globulin (SHBG) concentrations. Measurement of BT is therefore crucial for the diagnosis of hypoandrogenism in the aging male population. We compared BT concentrations measured by a specific RIA after ammonium sulfate precipitation (BT(meas)) with those obtained by theoretical calculations (BT(cal)) in plasma samples from 694 young men (14 to 49 years old) and 51 older men (50 to 81 years old). We based theoretical calculations on Vermeulen's simplified mass equation using total testosterone and SHBG concentrations. BT(cal) and BT(meas) correlated significantly in young (Pearson r = 0.87) and aging (r = 0.89) men, but the BT(cal):BT(meas) ratio differed markedly between the 2 groups (2.28 vs 3.48; P &lt;0.001). In men, there is an age-associated discrepancy between calculated and measured BT concentrations. 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The decrease of BT in older men is more pronounced than the decrease in total testosterone because of the parallel increase in sex hormone-binding globulin (SHBG) concentrations. Measurement of BT is therefore crucial for the diagnosis of hypoandrogenism in the aging male population. We compared BT concentrations measured by a specific RIA after ammonium sulfate precipitation (BT(meas)) with those obtained by theoretical calculations (BT(cal)) in plasma samples from 694 young men (14 to 49 years old) and 51 older men (50 to 81 years old). We based theoretical calculations on Vermeulen's simplified mass equation using total testosterone and SHBG concentrations. BT(cal) and BT(meas) correlated significantly in young (Pearson r = 0.87) and aging (r = 0.89) men, but the BT(cal):BT(meas) ratio differed markedly between the 2 groups (2.28 vs 3.48; P &lt;0.001). In men, there is an age-associated discrepancy between calculated and measured BT concentrations. We suggest some hypotheses for the discrepancy, but additional studies will be performed to finally elucidate this difference in results and to determine the most appropriate method for BT measurements in older men.</abstract><cop>Washington, DC</cop><pub>Am Assoc Clin Chem</pub><pmid>17317886</pmid><doi>10.1373/clinchem.2006.077362</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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ispartof Clinical chemistry (Baltimore, Md.), 2007-04, Vol.53 (4), p.723-728
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1530-8561
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source MEDLINE; Oxford University Press Journals All Titles (1996-Current)
subjects Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Aging
Aging - metabolism
Algorithms
Ammonium
Ammonium Sulfate
Analytical, structural and metabolic biochemistry
Androgens
Binding sites
Biological and medical sciences
Chemical Precipitation
Computer Science
Fundamental and applied biological sciences. Psychology
Humans
Indicators and Reagents
Investigative techniques, diagnostic techniques (general aspects)
Life Sciences
Male
Medical sciences
Men
Methods
Middle Aged
Patients
Plasma
Radioimmunoassay
Reproductive health
Sensitivity analysis
Testosterone
Testosterone - blood
title Age-Associated Discrepancy between Measured and Calculated Bioavailable Testosterone in Men
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