检索结果-南通市图书馆

Predictive factors for efficacy of testosterone replacement therapy for late-onset hypogonadism in Japanese men:a preliminary report

引用

Asian Journal of Andrology 2023年第5期25卷 587-590页

作者： Nobuyuki Kondoh Yohei Kaizuka Seiji Nagasawa Yoshikazu Togo Shingo Yamamoto Department of Urology Kawanishi City Medical CenterKawanishiHyogo 6660017Japan Department of Urology Hyogo Medical UniversityNishinomiyaHyog 6638501Japan

Although testosterone replacement therapy(TRT)is the first-choice method used worldwide for late-onset hypogonadism(LOH),clinical benefits are not seen in all cases.This study was conducted to determine the predictors of TRT efficacy for LOH.Fifty-six patients who visited our Men’s Health Clinic(Kawanishi City Medical Center,Kawanishi and Hyogo Medical University,Nishinomiya,Hyogo,Japan)between November 2003 and June 2021 with data available before and after TRT were enrolled.They were divided into responders(Group 1;n=45,accounting for 80.4%)and nonresponders(Group 2;n=11,accounting for 19.6%)based on the clinical response to TRT,including patient satisfaction.Factors noted before TRT included age,body mass index,aging males’symptoms score,sexual health inventory for men,luteinizing hormone,follicular-stimulating hormone,testosterone,free testosterone,prolactin(PRL),estradiol(E2),and testosterone/estradiol(T/E2)ratio in serum.For statistical analysis,a multivariable logistic regression model was used.Univariate analysis revealed PRL(odds ratio TORI:0.9624;95%confidence interval[Cl]:0.9316-0.9943,P<0.05),E2(OR:0.8692;95%Cl:0.7745-0.9754,P<0.05),and T/E2 ratio(OR:1.1312;95%Cl:1.0106-1.2661,P<0.05)to be predictive factors.Multivariate analyses showed that T/E2 ratio was an independent predictive factor(OR:1.1593;95%Cl:1.0438-1.2875,P<0.01).The present results suggest that a low value for T/E2 ratio may predict a reduced response to TRT.The T/E2 ratio threshold to predict nonresponders based on receiver-operating characteristics(ROC)curve analysis was shown to be 17.3.Although additional studies with larger number of patients are necessary,we propose the determination of serum E2 level and testosterone level prior to performing TRT.

关键词： estradiol late-onset hypogonadism predictive factor testosterone treatment

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Effects of long-term androgen replacement therapy on the physical and mental statuses of aging males with late-onset hypogonadism： a multicenter, randomized controlled trial in Japan （EARTH Study）

引用

Asian Journal of Andrology 2016年第1期18卷 25-34页

作者： Hiroyuki Konaka Kazuhiro Sugimoto Hideki Orikasa Teruaki Iwamoto Toshinari Takamura Yoshiyu Takeda Kazuyoshi Shigehara Masashi Iijima Eitetsu Koh Mikio Namiki Department of Integrative Cancer Therapy and Urology Kanazawa University Graduate School of Medical Science Kanazawa Ishikawa Japan Division of Biostatistics and Clinical Epidemiology University of Toyama School of Medicine Toyama Toyama Japan Division of Male Infertility Center for Infertility and IVF International University of Health and Welfare Nasushiobara Tochigi Japan Department of Disease Control and Homeostasis Kanazawa University Graduate Schoofof Medical Science Kanazawa Ishikawa Japan Departrnent of Internal Medicine. Division of Endocrinology and Hypertension Kanazawa University Graduate School of Medical Science Kanazawa Ishikawa Japan.

Androgen replacement therapy （ART） efficacy on late-onset hypogonadism （LOH） has been widely investigated in Western countries; however, it remains controversial whether ART can improve health and prolong active lifestyles. We prospectively assessed long-term ART effects on the physical and mental statuses of aging men with LOH in Japan. The primary endpoint was health-related quality of life assessed by questionnaires. Secondary endpoints included glycemic control, lipid parameters, blood pressure, waist circumference, body composition, muscular strength, International Prostate Symptom Scores （IPSS）, International Index of Erectile Function-5 （IIEF-5） scores, and serum prostate-specific antigen levels. Of the 1637 eligible volunteers, 334 patients 〉 40 years with LOH were randomly assigned to either the ART （n = 169） or control groups （n = 165）. Fifty-two weeks after the initial treatment, ART significantly affected the role physical subdomain of the short form-36 health survey （SF-36） scale （P= 0.0318）. ART was also associated with significant decreases in waist circumstance （P = 0.002） and serum triglyceride （TG）（P = 0.013） and with significant increases in whole-body and leg muscle mass volumes （P= 0.071 and 0.0108, respectively）, serum hemoglobin （P 〈 0.001）, IPSS voiding subscore （P = 0.0418）, and the second question on I IEF-5 （P = 0.0049）. There was no significant difference between the groups in terms of severe adverse events. In conclusion, in patients with LOH, long-term ART exerted beneficial effects on Role Physical subdomain of the SF-36 scale, serum TG, waist circumstance, muscle mass volume, voiding subscore of IPSS, and the second question of IIEF-5. We hope our study will contribute to the future development of this area.

关键词： androgen replacement therapy health-related quality of life late-onset hypogonadism randomized controlled trial testosterone

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Prevalence of late-onset hypogonadism among middle-aged and elderly males in China:results from a national survey

引用

Asian Journal of Andrology 2021年第2期23卷 170-177页

作者： Yi-Jun Liu Xu-Bo Shen Na Yu Xue-Jun Shang Yi-Qun Gu Lian-Dong Zuo Cheng-Liang Xiong Zhen Ye Yuan-Zhong Zhou School of Public Health Zunyi Medical UniversityZunyi 563000China Scientific Research Center The Third Affiliated Hospital of Guang Dong Medical University(Long Jiang Hospital of Shunde District Foshan City)Foshan 528318China Department of Andrology Eastern Theater General HospitalNanjing 210002China Institute of Science and Technology National Research Institute for Family PlanningBeijing 100081China Guangzhou Women and Children’s Medical Center Guangzhou Medical UniversityGuangzhou 510632China Family Planning Research Institute Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030China Department of Urology and Andrology Wuhan Tongji Reproductive Medicine HospitalWuhan 430013China

This study aimed to propose an operational definition of late-onset hypogonadism(LOH)that incorporates both clinical symptoms and serum testosterone measurements to evaluate the prevalence of LOH in aging males in China.A population-based sample of 6296 men aged 40 years-79 years old was enrolled from six representative provinces in China.Serum total testosterone(TT),sex hormone-binding globulin(SHBG),and luteinizing hormone(LH)were measured and free testosterone(cFT)was calculated.The Aging Males’Symptoms(AMS)scale was used to evaluate the LOH symptoms.Finally,5078 men were included in this analysis.The TT levels did not decrease with age(P=0.59),and had no relationship with AMS symptoms(P=0.87 for AMS total score,P=0.74 for≥3 sexual symptoms).The cFT levels decreased significantly with age(Phypogonadism,respectively.After adjustment for confounding factors,primary and secondary hypogonadism was positively related to age and comorbidities.Body mass index was an independent risk factor for secondary hypogonadism.The results suggest that the AMS total score is not an appropriate indicator for decreased testosterone,and that the cFT level is more reliable than TT for LOH diagnosis.Secondary hypogonadism is the most common form of LOH.

关键词： Aging Males'Symptoms calculated free testosterone late-onset hypogonadism middle-aged and elderly male total testosterone

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Effects of Saikokaryukotsuboreito on Spermatogenesis ant Fertility in Aging Male Mice

引用

Chinese Medical Journal 2016年第7期129卷 846-853页

作者： Zhi-Jun Zang Su-Yun Ji Ya-Nan Zhang Yong Gao Bin Zhang Department of Infertility and Sexual Medicine The Third Affiliated Hospital Sun Yat-sen University Guangzhou Guangdong 510630 China Department of Dermatology Guangdong Provincial Dermatology Hospital Guangzhou Guangdong 510091 China Reproductive Medicine Centre and Guangdong Provincial Key Laboratory of Reproductive Medicine The First Affiliated Hospital Sun Yat-sen University Guangzhou Guangdong 510080 China

Background： Aspermia caused by exogenous testosterone limit its usage in late-onset hypogonadism （LOH） patients desiring fertility. Saikokaryukotsuboreito （SKRBT） is reported to improve serum testosterone and relieve LOH-related symptoms. However, it is unclear whether SKRBT affects fertility. We aimed to examine the effects of SKRBT on spermatogenesis and fertility in aging male mice. Methods： Thirty aging male mice were randomly assigned to three groups, Mice were orally administered with phosphate-buffer solution or SKRBT （300 mg/kg, daily） or received testosterone by subcutaneous injections （10 mg/kg, every 3 days）. Thirty days later, each male mouse was mated with two female mice. All animals were sacrificed at the end of 90 days. lntratesticular testosterone （ITT） levels, quality of sperm, expression of synaptonemal complex protein 3 （SYCP3）, and fertility were assayed. Results： In the SKRBT-treated group, ITT, quality of sperm, and expression of SYCP3 were all improved compared with the control group （ITT： 85.50 ＋ 12.31 ng/g vs. 74.10 ±11.45 ng/g, P = 0.027; sperm number： [ 14.94 ± 4.63] × 106 cells/ml vs. [8.79±4.38] × 106 cells/ml, P = 0.002; sperm motility： 43.16 ± 9.93% vs. 33.51 ± 6.98%, P = 0.015; the number of SYCP3-positive cells/tubule： 77.50 ± 11.01 ng/ml vs. 49.30 - 8.73 ng/ml, P 〈 0.001 ; the expression of SYCP3 protein： 1.23± 0.09 vs. 0.84 ± 0.10, P 〈 0.001 ）, but fertility was not significantly changed （P 〉 0.05, respectively）. In the testosterone-treated group, ITT, quality of sperm, and expression of SYCP3 were markedly lower than the control group （ITT： 59.00 ±8.67, P = 0.005; sperm number： [4.34 ± 2.45] 100 cells/ml, P = 0.018： sperm motility： 19.53 ± 7.69%, P = 0.001 ; the number of SYCP3-positive cells/tubule section 71.98 ：k 8.88%, P= 0.001 ; the expression of SYCP3 protein： 30.00 ± 11.28, P 〈 0.001 ; the percentage of SYCP3-positive tubules/ 0.71± 0.09, P 〈 0.001 ）, and fertility was also suppressed （P 〈 0.05, respectively）. Conclusion： SKRBT had no adverse effect on fertility potent

关键词： late-onset hypogonadism Male Mice Saikokaryukotsuboreito Spermatogenesis Testosterone Synthesis

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Testosterone replacement therapy： dilemmas and challenges in China and Asia

引用

Asian Journal of Andrology 2018年第2期20卷 149-151页

作者： Qi An Yi-Qun Gu Graduate School Peking Union Medical College Beijing 100730 China Nationa Health and Family Planning Key Laboratory of Male Reproductive Health National Research Institute for Family Planning Beijing 100081 China

late-onset hypogonadism （LOH） has been described as a clinical syndrome comprising symptoms consistent with androgen deficiency and a circulating concentration of testosterone in the low-to-normal range in some middle-aged and elderly men. The presence of symptoms may affect the health and quality of life in aging men and it has become a hot spot in global medical research, diagnosis, and treatment in the recent years.

关键词： late-onset hypogonadism CARDIOVASCULAR RISKS ANDROGEN DEFICIENCY MEN METAANALYSIS EVENTS AGE

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Study clarifies associations between hypogonadism and health in aging men

引用

Asian Journal of Andrology 2012年第6期14卷 809-810页

作者： John Amory Department of Medicine University of Washington Seattle WA 98195 USA

Tajar and colleagues present the associations between moderate and severe hypogonadism, symptoms of androgen deficiency and the prevelence of end-organ evidence of androgen deficency in 2966 older men in the European ... 详细信息

关键词： SYMPTOMATIC ANDROGEN DEFICIENCY late-onset hypogonadism TESTOSTERONE MORTALITY

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

restosterone replacement therapy for late-onsel lypogonadism： current trends in Korea

引用

Asian Journal of Andrology 2011年第4期13卷 563-568页

作者： Young Hwii Ko Je Jong Kim Department of Urology Korea University Medical Center and Korea University Institute of Regenerative Medicine Seou1136-705 Korea

Testosterone levels in men older than 40 years can decrease at a rate of 1%-2% per year, and reports show that more than 50% of 80-year-old men have testosterone levels consistent with hypogonadism. late-onset hypogonadism （LOH） is a clinical and biochemical syndrome associated with advancing age and characterized by typical symptoms of serum testosterone deficiency. In recent decades, the concept of LOH in ageing men has become familiar in European countries and the United States. It is also a topic of interest and debate throughout Korea. However, most of the data regarding advantages or disadvantages of testosterone replacement therapy （TRT） as treatment for LOH have been primarily obtained from studies on Western populations; therefore, studies of the effects of TRT in Asian men, who may have different serum testosterone compared to Western men, are needed. TRT is commonly prescribed in Korea, despite the paucity of studies on the effects of TRT in Asian populations. Data from various TRT studies based on Korean have shown its efficacy in increasing serum testosterone levels and improving subjective symptoms as assessed by questionnaires. Currently, patches and short-acting intramuscular injections are displaced by gels and long-acting formulations. However, to prevent overdiagnosis and overtreatment, indication for TRT should include both low testosterone levels and symptoms and signs of hypogonadism.

关键词： androgens androgenic agents late-onset hypogonadism testosterone replacement therapy

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Effects of Guhanyangshengjing Tablet on Testosterone Synthesis and Expression of SYCP3 in the Testis of Aging Male Rats

引用

Chinese Medicine 2016年第2期7卷 37-44页

作者： Zhijun Zang Yong Gao Suyun Ji Meihua Jiang Department of Infertility and Sexual Medicine The Third Affiliated Hospital Sun Yat-sen University Guangzhou China Reproductive Medicine Centre and Guangdong Provincial Key Laboratory of Reproductive Medicine The First Affiliated Hospital Sun Yat-sen University Guangzhou China Department of Dermatology Guangdong Provincial Dermatology Hospital Guangzhou China Department of Anatomy Zhongshan School of Medicine Sun Yat-sen University Guangzhou China

Objective: The objective of this article is to investigate the effect of Guhanyangshengjing Tablet (GT) on expression of synaptonemal complex protein 3 (SYCP3), a meiotic marker, in the testis tissue of aging male rats. Methods: Forty aging male rats were randomly assigned into 4 equal groups (n = 10 per group). Rats in each group were treated with GT at dose of 0 (control), 1.5 g/kg, 3.0 g/kg or 4.5 g/kg respectively by gavage daily for 30 days. At the end of the experiment, all animals were sacrificed and the blood samples were drawn to evaluate serum testosterone levels. The reproductive organs of each rat were taken and weighted. The right testis of each rat was removed for the analysis of intratesticular testosterone (ITT) concentrations, and the left one was used for immunohistochemical staining. Results: Compared with the control, reproductive organs’ weights, serum testosterone levels, ITT concentrations, quality of sperm, and expression of SYCP3 in the GT-treated groups were all improved in a dose-dependent manner. Conclusion: GT can improve testosterone synthesis and promote spermatogenesis simultaneously, indicating that GT is suitable for late-onset hypogonadism (LOH) patients with fertility requirements.

关键词： Guhanyangshengjing Tablet (GT) Synaptonemal Complex Protein 3 Testosterone Synthesis late-onset hypogonadism Rat

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：