Testosterone and Regional Fat Distribution
Open accessAbstract
The effects of testosterone treatment of abdominally obese men have been assessed by evaluating the following parameters: The metabolic activity of different adipose tissue regions in vivo (using lipid label as a tracer) and in vitro (measuring lipoprotein lipase (LPL) activity), the total and visceral adipose tissue mass, insulin sensitivity, fasting blood glucose, blood lipids, and blood pressure as well as prostate volume. Middle-aged men with abdominal obesity were treated with transdermal administration of testosterone (T), dihydrotestosterone (DHT) or placebo (P) during 9 months. The study was double-blind. Treatment with T was followed by an inhibited uptake of lipid label in adipose tissue triglycerides, a decreased LPL-activity and an increased turn-over rate of lipid label in the abdominal adipose tissue region in comparisons with the DHT and P groups. These effects on adipose tissue metabolism were not detected in the femoral adipose tissue region in any of the groups. T treatment was also followed by a specific decrease of visceral fat mass (measured by CT-scan), by increased insulin sensitivity (measured with the euglycemic glucose clamp), by a decrease in fasting blood glucose, plasma cholesterol and triglycerides as well as a decrease in diastolic blood pressure. In the DHT group an increased visceral mass was detected. No other changes in these variables were found in the DHT and P groups. There were no detectable changes in prostate volume (measured by ultra-sound), prostate specific antigen concentration, genito-urinary history or urinary flow measurements in any of the groups. It is suggested that T substitution to a selected group of men results in general metabolic and circulatory improvements. The prostate area needs further careful attention.
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Testosterone treatment improves insulin sensitivity in men at risk for type 2 diabetes mellitus.
“Randomized controlled trials show that testosterone treatment improves insulin sensitivity in men at risk for type 2 diabetes mellitus (T2DM) [86, 87]”
From Sleep, testosterone and cortisol balance, and ageing men (2022) · cites this paper as [86]
Substantial evidence implicates testosterone and cortisol in the development of insulin resistance.
“substantial evidence implicate testosterone and cortisol in the development of insulin resistance.”
From Sleep, testosterone and cortisol balance, and ageing men (2022) · cites this paper as [86]
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“Vol.:(0123456789) Keywords Androgen · Glucocorticoid · Cardiometabolic health · Circadian · Sleep disordered breathing Abbreviations CPAP Continuous positive airway pressure GnRH Gonadotropin-releasing hormone LH Luteinizing hormone NREM Non-rapid eye movement OSA Obstructive sleep apnea REM Rapid eye movement SD Stan…”
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- Authors
- Mårin, P.
- Affiliations
- Sahlgrenska University Hospital (SE)
- Corresponding author
- Mårin, Per
- Venue
- Obesity Research
- Publisher
- Wiley
- Published
- 1995-11
- Volume
- 3
- Issue
- S4
- Pages
- 609S-612S
- ISSN
- 1071-7323 (ISSN-L)
- 1550-8528
- OpenAlex
- W2071063544
- Cited by
- 129
- References
- 22
- Citations by year
- 2026: 1 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 2 · 2017: 9 · 2016: 1 · 2015: 5 · 2014: 4 · 2013: 7 · 2012: 5
- FWCI
- 0.26
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Obesity Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Physiology › Adipose Tissue and Metabolism
- Keywords
- testosterone, dihydrotestosterone, abdominal obesity, visceral fat, adipose tissue metabolism, lipoprotein lipase, insulin sensitivity, serum lipids, blood pressure, prostate volume, transdermal testosterone
- MeSH terms
- Adipose Tissue, Body Constitution, Double-Blind Method, Humans, Male, Middle Aged, Obesity, Dihydrotestosterone, Testosterone, Triglycerides, Lipid Metabolism
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