Endogenous sex hormones and progression of carotid atherosclerosis in elderly men

The burden of atherosclerosis especially afflicts the increasing older segment of the population. Recent evidence has emphasized a protective role of endogenous sex hormones in the development of atherosclerosis in aging men. We studied the association between endogenous sex hormones and progression...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 2004-05, Vol.109 (17), p.2074-2079
Hauptverfasser: MULLER, Majon, VAN DEN BELD, Annewieke W, BOTS, Michiel L, GROBBEE, Diederick E, LAMBERTS, Steven W. J, VAN DER SCHOUW, Yvonne T
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container_issue 17
container_start_page 2074
container_title Circulation (New York, N.Y.)
container_volume 109
creator MULLER, Majon
VAN DEN BELD, Annewieke W
BOTS, Michiel L
GROBBEE, Diederick E
LAMBERTS, Steven W. J
VAN DER SCHOUW, Yvonne T
description The burden of atherosclerosis especially afflicts the increasing older segment of the population. Recent evidence has emphasized a protective role of endogenous sex hormones in the development of atherosclerosis in aging men. We studied the association between endogenous sex hormones and progression of atherosclerosis in 195 independently living elderly men. Participants underwent measurements of carotid intima-media thickness (IMT) at baseline in 1996 and again in 2000. At baseline, serum concentrations of testosterone (total and free) and estradiol (total and free E2) were measured. Serum free testosterone concentrations were inversely related to the mean progression of IMT of the common carotid artery after adjustment for age (beta=-3.57; 95% CI, -6.34 to -0.80). Higher serum total and free E2 levels were related to progression of IMT of the common carotid artery after adjustment for age (beta=0.38; 95% CI, -0.11 to 0.86; and beta=0.018; 95% CI, -0.002 to 0.038, respectively). These associations were independent of body mass index, waist-to-hip ratio, presence of hypertension and diabetes, smoking, and serum cholesterol levels Low free testosterone levels were related to IMT of the common carotid artery in elderly men independently of cardiovascular risk factors.
doi_str_mv 10.1161/01.cir.0000125854.51637.06
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source MEDLINE; American Heart Association Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Complete
subjects Aged
Aged, 80 and over
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Carotid Artery Diseases - blood
Carotid Artery Diseases - diagnostic imaging
Carotid Artery Diseases - epidemiology
Carotid Artery, Common - diagnostic imaging
Disease Progression
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Estradiol - blood
Humans
Male
Medical sciences
Prospective Studies
Risk Factors
Testosterone - blood
Tunica Intima - diagnostic imaging
Tunica Media - diagnostic imaging
Ultrasonography
title Endogenous sex hormones and progression of carotid atherosclerosis in elderly men
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