The association of sex hormone levels with poor mobility, low muscle strength and incidence of falls among older men and women

Summary Objective  The objective of this study was to examine whether low levels of oestradiol and testosterone are associated with impaired mobility, low muscle strength and the incidence of falls in a population‐based sample of older men and women. Design  Cross‐sectional population‐based study, b...

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Veröffentlicht in:Clinical endocrinology (Oxford) 2005-08, Vol.63 (2), p.152-160
Hauptverfasser: Schaap, Laura A., Pluijm, Saskia M. F., Smit, Jan H., Van Schoor, Natasja M., Visser, Marjolein, Gooren, Louis J. G., Lips, Paul
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container_end_page 160
container_issue 2
container_start_page 152
container_title Clinical endocrinology (Oxford)
container_volume 63
creator Schaap, Laura A.
Pluijm, Saskia M. F.
Smit, Jan H.
Van Schoor, Natasja M.
Visser, Marjolein
Gooren, Louis J. G.
Lips, Paul
description Summary Objective  The objective of this study was to examine whether low levels of oestradiol and testosterone are associated with impaired mobility, low muscle strength and the incidence of falls in a population‐based sample of older men and women. Design  Cross‐sectional population‐based study, based on data of the Longitudinal Ageing Study Amsterdam (LASA), including 623 men and 663 women, aged 65–88 years. Measurements  Serum levels of oestradiol, testosterone, albumin and sex hormone‐binding globulin (SHBG) were measured. Physical performance, functional limitations and muscle strength were assessed, and a follow‐up on falls was performed prospectively within 3 years. Results  After adjustment for age, level of education, alcohol use, physical activity, chronic disease and body mass index (BMI), men in the highest quartile of the oestradiol/SHBG ratio had significantly higher physical performance scores than men in the lowest quartile (β = 0·103). Serum levels of total testosterone were positively associated with muscle strength (β = 0·085). Calculated bioavailable testosterone levels were positively associated with physical performance and muscle strength (β = 0·128 and 0·109 respectively). No associations of oestradiol levels with mobility were seen in women. Levels of oestradiol and testosterone were not associated with falls. Conclusions  It can be concluded that low levels of sex hormones were associated with impaired mobility and low muscle strength in men, but not in women. Levels of sex hormones were not associated with the incidence of falls neither in men, nor in women.
doi_str_mv 10.1111/j.1365-2265.2005.02315.x
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Results  After adjustment for age, level of education, alcohol use, physical activity, chronic disease and body mass index (BMI), men in the highest quartile of the oestradiol/SHBG ratio had significantly higher physical performance scores than men in the lowest quartile (β = 0·103). Serum levels of total testosterone were positively associated with muscle strength (β = 0·085). Calculated bioavailable testosterone levels were positively associated with physical performance and muscle strength (β = 0·128 and 0·109 respectively). No associations of oestradiol levels with mobility were seen in women. Levels of oestradiol and testosterone were not associated with falls. Conclusions  It can be concluded that low levels of sex hormones were associated with impaired mobility and low muscle strength in men, but not in women. Levels of sex hormones were not associated with the incidence of falls neither in men, nor in women.</description><identifier>ISSN: 0300-0664</identifier><identifier>EISSN: 1365-2265</identifier><identifier>DOI: 10.1111/j.1365-2265.2005.02315.x</identifier><identifier>PMID: 16060908</identifier><identifier>CODEN: CLECAP</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Accidental Falls ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Body Mass Index ; Cross-Sectional Studies ; Disability Evaluation ; Endocrinopathies ; Estradiol - blood ; Exercise Test - methods ; Female ; Fundamental and applied biological sciences. 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F.</creatorcontrib><creatorcontrib>Smit, Jan H.</creatorcontrib><creatorcontrib>Van Schoor, Natasja M.</creatorcontrib><creatorcontrib>Visser, Marjolein</creatorcontrib><creatorcontrib>Gooren, Louis J. G.</creatorcontrib><creatorcontrib>Lips, Paul</creatorcontrib><title>The association of sex hormone levels with poor mobility, low muscle strength and incidence of falls among older men and women</title><title>Clinical endocrinology (Oxford)</title><addtitle>Clin Endocrinol (Oxf)</addtitle><description>Summary Objective  The objective of this study was to examine whether low levels of oestradiol and testosterone are associated with impaired mobility, low muscle strength and the incidence of falls in a population‐based sample of older men and women. Design  Cross‐sectional population‐based study, based on data of the Longitudinal Ageing Study Amsterdam (LASA), including 623 men and 663 women, aged 65–88 years. Measurements  Serum levels of oestradiol, testosterone, albumin and sex hormone‐binding globulin (SHBG) were measured. Physical performance, functional limitations and muscle strength were assessed, and a follow‐up on falls was performed prospectively within 3 years. Results  After adjustment for age, level of education, alcohol use, physical activity, chronic disease and body mass index (BMI), men in the highest quartile of the oestradiol/SHBG ratio had significantly higher physical performance scores than men in the lowest quartile (β = 0·103). Serum levels of total testosterone were positively associated with muscle strength (β = 0·085). Calculated bioavailable testosterone levels were positively associated with physical performance and muscle strength (β = 0·128 and 0·109 respectively). No associations of oestradiol levels with mobility were seen in women. Levels of oestradiol and testosterone were not associated with falls. Conclusions  It can be concluded that low levels of sex hormones were associated with impaired mobility and low muscle strength in men, but not in women. Levels of sex hormones were not associated with the incidence of falls neither in men, nor in women.</description><subject>Accidental Falls</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Cross-Sectional Studies</subject><subject>Disability Evaluation</subject><subject>Endocrinopathies</subject><subject>Estradiol - blood</subject><subject>Exercise Test - methods</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. 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Measurements  Serum levels of oestradiol, testosterone, albumin and sex hormone‐binding globulin (SHBG) were measured. Physical performance, functional limitations and muscle strength were assessed, and a follow‐up on falls was performed prospectively within 3 years. Results  After adjustment for age, level of education, alcohol use, physical activity, chronic disease and body mass index (BMI), men in the highest quartile of the oestradiol/SHBG ratio had significantly higher physical performance scores than men in the lowest quartile (β = 0·103). Serum levels of total testosterone were positively associated with muscle strength (β = 0·085). Calculated bioavailable testosterone levels were positively associated with physical performance and muscle strength (β = 0·128 and 0·109 respectively). No associations of oestradiol levels with mobility were seen in women. Levels of oestradiol and testosterone were not associated with falls. 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source MEDLINE; Access via Wiley Online Library
subjects Accidental Falls
Aged
Aged, 80 and over
Biological and medical sciences
Body Mass Index
Cross-Sectional Studies
Disability Evaluation
Endocrinopathies
Estradiol - blood
Exercise Test - methods
Female
Fundamental and applied biological sciences. Psychology
Hand Strength - physiology
Humans
Male
Medical sciences
Sex Factors
Sex Hormone-Binding Globulin - analysis
Testosterone - blood
Vertebrates: endocrinology
title The association of sex hormone levels with poor mobility, low muscle strength and incidence of falls among older men and women
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