The DOI matches its Crossref record; 40 of the 40 references it cites were found in a registry or an index.
Decreased testosterone and dehydroepiandrosterone sulfate concentrations are associated with increased insulin and glucose concentrations in nondiabetic men.
Abstract
Although many studies indicate that increased androgenicity is associated with insulin resistance and hyperinsulinemia in both premenopausal and postmenopausal women, relatively few data are available on this relationship in men. We examined the association of sex hormone-binding globulin (SHBG), total and free testosterone, dehydroepiandrosterone sulfate (DHEA-SO4), and estradiol to glucose and insulin concentrations before and during an oral glucose tolerance test in 178 men from the San Antonio Heart Study, a population-based study of diabetes and cardiovascular disease. Total and free testosterone and DHEA-SO4 were significantly inversely associated with insulin concentrations. Free testosterone and DHEA-SO4 were also significantly inversely correlated with glucose concentrations. SHBG was weakly positively associated with glucose concentrations. Estradiol was not related to glucose or insulin concentrations. After adjustment for age, obesity, and body fat distribution, insulin concentrations remained significantly inversely correlated with free testosterone (r = -.23), total testosterone (r = -.21), and DHEA-SO4 (r = -.21; all P < .01). In conclusion, we observed that increased testosterone and DHEA-SO4 are associated with lower insulin concentrations in men. This is in striking contrast to women, where increased androgenicity is associated with insulin resistance and hyperinsulinemia.
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“DHEA has been found to improve glucose tolerance (312).”
From Endocrine and intracrine sources of androgens in women: inhibition of breast cancer and other roles of androgens and their precursor dehydroepiandrosterone (2003) · cites this paper as [312]
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Cites
Krotkiewski, M., Björntorp, P. A., Sjöström, L., & Smith, U. (1983) · Journal of Clinical Investigation · doi:10.1172/jci111040 · Cited by 1,475
ORENTREICH, N., BRIND, J. L., RIZER, R. L., & VOGELMAN, J. H. (1984) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-59-3-551 · Cited by 1,349
Prospective Analysis of The Insulin-Resistance Syndrome (Syndrome X)
Haffner, S. M., Valdez, R. A., Hazuda, H. P., Mitchell, B. D., Morales, P. A., & D, M. P. S. M. (1992) · Diabetes · doi:10.2337/diab.41.6.715 · Cited by 1,234
Self-citationANDERSON, D. C. (1974) · Clinical Endocrinology · doi:10.1111/j.1365-2265.1974.tb03298.x · Cited by 1,127
A prospective study of dehydroepiandrosterone sulfate, mortality and cardiovascular disease.
Barrett-Connor, E., Khaw, K.-T., & Yen, S. S. C. (1986) · New England Journal of Medicine · doi:10.1056/nejm198612113152405 · Cited by 681
EVANS, D. J., Hoffmann, R. G., Kalkhoff, R. K., & Kissebah, A. H. (1983) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-57-2-304 · Cited by 582
Effect of obesity and body fat distribution on sex hormones and insulin in men
Pasquali, R., Casimirri, F., Cantobelli, S., Melchionda, N., Labate, A. M. M., Fabbri, R., Capelli, M., & Bortoluzzi, L. (1991) · Metabolism · doi:10.1016/0026-0495(91)90199-7 · Cited by 337
D, M. P. S. M., ROSENTHAL, M., Haffner, S. M., Hazuda, H. P., & FRANCO, L. J. (1984) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a113956 · Cited by 308
Self-citationProspective analysis of the insulin-resistance syndrome (syndrome X)
Haffner, S. M., Valdez, R. A., Hazuda, H. P., et al. (1992) · Diabetes · doi:10.2337/diabetes.41.6.715 · Cited by 273
Self-citationLindstedt, G., Lundberg, P.-A., Lapidus, L., Lundgren, H., Bengtsson, C., & Björntorp, P. (1991) · Diabetes · doi:10.2337/diab.40.1.123 · Cited by 252
Research works printed but not linked: 1
- World Health Organization Expert Committee, 1980, Second report on diabetes mellitus, WHO Tech Rep Ser No. 646
Cited by
Sorted by citations
Items 201–223 of 223
Metabolic risk factors as a connecting link for men's health issues
Мамедов, М. Н. (2008) · Journal of Men s Health · doi:10.1016/j.jomh.2008.01.003 · Cited by 2
Mohammad, A. A., Laleh, B., Ardakani, J. M., Chiti, Z., Rashidi, M., & Azod, L. (2010) · Iranian journal of diabetes and obesity · Cited by 2
[Action of androgens on fat distribution and metabolic balance].
Tostain, J.-B., Heim, M., & Rossi, D. (2004) · PubMed · Cited by 1
Androgen Deprivation Therapy for Prostate Cancer
(2017) · BENTHAM SCIENCE PUBLISHERS eBooks · doi:10.2174/9781681083551117080005 · Cited by 1
Mitos y verdades de la andropausia
Hernández, J. J. C., & Burgo, R. M. (2004) · Endocrinología y Nutrición · doi:10.1016/s1575-0922(04)74591-x · Cited by 1
Mano, T., Mori, K., Sawai, Y., Oda, N., Tugawa, T., Nakano, I., Watanabe, F., Hamada, M., Nakai, A., Yamamoto, H., et al. (1999) · Endocrine Research · doi:10.1080/07435809909066154 · Cited by 1
Testosterone, SHBG, and the Metabolic Cardiovascular Syndrome
Zmuda, J. M., & Winters, S. J. (2004) · Humana Press eBooks · doi:10.1007/978-1-59259-727-7_17 · Cited by 1
Hong, E. Y., Lee, S. W., Kang, J. G., Kim, C. S., Ihm, S. H., Yoo, H. J., & Lee, S. J. (2010) · The Korean Journal of Internal Medicine
Déficit androgénico y síndrome metabólico
Hernández, J. J. C. (2007) · Revista Internacional de Andrología · doi:10.1016/s1698-031x(07)74065-7
Hypoandrogen–metabolic (HAM) syndrome: an important men's health issue
Gould, D. C. (2007) · The Journal of Men s Health and Gender · doi:10.1016/j.jmhg.2007.03.007
Biabangard-Zak, A., Golalipour, M., Hadadchi, G., & Abbaspour, A. (2015) · مجله دانشگاه علوم پزشکی اراک
Antidiabetic characteristics of dehydroepiandrosterone in animal and human studies
Cleary, M. P. (1996) · Birkhäuser Boston eBooks · doi:10.1007/978-1-4612-4112-6_20
Pitfalls of Androgen Deprivation Therapy
Morgans, A. K., & Smith, M. R. (2012) · Humana Press eBooks · doi:10.1007/978-1-60761-259-9_23
Characterizing the Role of Insulin Signalling in Advanced Prostate Cancer
Sarkar, P. L. (2017) · Queensland University of Technology · doi:10.5204/thesis.eprints.110524
Prostate Diseases and the Metabolic Syndrome
Haghsheno, M. (2015) · Gothenburg University Publications Electronic Archive (Gothenburg University)
The role of DHEA in the aetiology of modern chronic disease
Powrie, Y. S. L. (2020) · SUNScholar (Stellenbosch University)
Dehydroepiandrosterone and Obesity
Svec, F., & Porter, J. R. (2011) · De Gruyter eBooks · doi:10.1515/9783110811162.173
DHEA(S) and Obesity: Potential Antiadipogenic Mechanisms of Action
McIntosh, M. (2011) · De Gruyter eBooks · doi:10.1515/9783110811162.131
Metabolic Disorders in Patients with Drug-Induced Hypogonadism
Radev, S., Siderova, M. V., & Shefket, S. (2025) · Acta Medica Bulgarica · doi:10.2478/amb-2025-00055
Breakfast skipping and exercising before breakfast- association with patterned hair loss
Nayak, S. (2026) · Journal of Hair Restoration and Regenerative Medicine · doi:10.25259/jhrrm_6_2026
РОЛЬ ТЕСТОСТЕРОНА НА КАЧЕСТВО КОСТЕЙ У МУЖЧИН С САХАРНОМ ДИАБЕТОМ 2 ТИПА И ГИПОГОНАЗДИМОМ.
Хайдарова, Ф., & Рузикулова, Г. (2022) · doi:10.70413/zdif-v01-i23-s13428
Testosteron bei Patienten mit koronarer Herzkrankheit - ein angiograpisches Langzeit-Follow-up
Lercher, P., Aigner, R., Eber, B., Klein, W. W., Luha, O., Rotman, B., & Stoschitzky, K. (1999) · Journal für Kardiologie (Krause & Pachernegg GmbH)
Metadata
- Authors
- Haffner, S. M., Valdez, R. A., Mykkänen, L., Stern, M. P., & Katz, M. S.
- Affiliations
- The University of Texas at San Antonio Health Science Center (US)
- Corresponding author
- Katz, Michael S.
- ORCID
- Valdez, Rodolfo A.
- Venue
- Metabolism
- Publisher
- Elsevier BV
- Published
- 1994-05
- Volume
- 43
- Issue
- 5
- Pages
- 599-603
- ISSN
- 0026-0495 (ISSN-L)
- OpenAlex
- W2016392921
- Cited by
- 226
- References
- 38
- Citations by year
- 2026: 1 · 2025: 2 · 2023: 2 · 2022: 3 · 2021: 4 · 2020: 4 · 2019: 2 · 2018: 5 · 2017: 4 · 2016: 4 · 2015: 6 · 2014: 3 · 2013: 8 · 2012: 7
- FWCI
- 6.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r37hl036820-10)
- National Heart, Lung, and Blood Institute (R37HL36820, R01HL024799, R01HL24799)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Reproductive Medicine › Sperm and Testicular Function
- Keywords
- testosterone, dehydroepiandrosterone sulfate, insulin, insulin resistance, hyperinsulinemia, sex hormone-binding globulin, estradiol, oral glucose tolerance test, glucose, men, androgens, San Antonio Heart Study
- MeSH terms
- Adult, Aging, Anthropometry, Blood Glucose, Dehydroepiandrosterone, Female, Humans, Insulin, Male, Middle Aged, Osmolar Concentration, Reference Values, Regression Analysis, Sex Characteristics, Sex Hormone-Binding Globulin, Testosterone, Dehydroepiandrosterone Sulfate
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