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  4. Relationship Between Gonadal Function and Cardiometabolic Risk in Young Men with Chronic Spinal Cord Injury

Relationship Between Gonadal Function and Cardiometabolic Risk in Young Men with Chronic Spinal Cord Injury

PM R, 2018 · DOI: 10.1016/j.pmrj.2017.08.404 · Published: April 1, 2018

Spinal Cord InjuryCardiovascular ScienceEndocrinology

Simple Explanation

This study investigates the link between testosterone levels and heart health risks in young men with long-term spinal cord injuries (SCI). Men with SCI often face a higher risk of heart and metabolic problems. The research found that lower testosterone levels are associated with increased body fat, lower good cholesterol (HDL), higher fasting glucose, and greater insulin resistance in these men. These findings suggest that monitoring testosterone levels in men with SCI could help identify those at higher risk for heart and metabolic diseases, allowing for earlier intervention and preventative strategies.

Study Duration
Not specified
Participants
58 men aged 18–45 with chronic SCI
Evidence Level
Cross-sectional analysis

Key Findings

  • 1
    Men with low free testosterone had significantly higher Framingham Risk Scores, indicating a greater risk of cardiovascular events.
  • 2
    Lower total and free testosterone levels were associated with higher body fat percentages and lower HDL cholesterol levels.
  • 3
    Men with low total or free testosterone exhibited higher fasting glucose levels and greater insulin resistance, suggesting impaired glucose metabolism.

Research Summary

This study examined the relationship between testosterone levels and cardiometabolic risk factors in young men with chronic spinal cord injury (SCI). It found that low testosterone levels are associated with a more unfavorable cardiometabolic risk profile. The research showed that men with lower total and free testosterone levels had higher body fat percentages, lower HDL cholesterol, increased insulin resistance, and elevated levels of inflammatory markers. The findings suggest that screening for testosterone deficiency in men with SCI could help identify individuals at higher risk for cardiometabolic diseases, warranting further investigation into the benefits of testosterone replacement therapy.

Practical Implications

Clinical Screening

Routine screening for testosterone deficiency may be warranted in young men with chronic SCI.

Therapeutic Interventions

Testosterone replacement therapy may help ameliorate cardiometabolic health risks sustained following SCI.

Preventative Strategies

Clinicians may recommend preventative strategies to reduce cardiometabolic risk, such as lifestyle changes and medications.

Study Limitations

  • 1
    Cross-sectional design limits the ability to determine causality.
  • 2
    Relatively small sample size (n=58) limits study power.
  • 3
    Only a single morning testosterone level was assessed for each subject.

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