Reference ranges of 17-hydroxyprogesterone, DHEA, DHEAS, androstenedione, total and free testosterone determined by TurboFlow-LC–MS/MS and associations to health markers in 304 men
Abstract
We report reference ranges based on LC-MS/MS for testosterone (T), free testosterone (FT) and its precursors, i.e. 17-hydroxyprogesterone (17-OHP), dehydroepiandrosterone (DHEA), DHEA-sulfate (DHEAS) and androstenedione (Adione), in relation to different health markers and lifestyle factors. The study was based on 304 healthy men aged 30-61 years participating in a population-based cross-sectional study (Health2008). Examination program consisted of a clinical examination, completion of a self-administered questionnaire and blood sampling. Steroid metabolites were measured by a validated and sensitive LC-MS/MS method. Older age-groups were significantly associated with decreased concentrations of DHEA, DHEAS, Adione, and FT, while no significant associations with age were shown for 17-OHP or T. Participants with BMI≥30 kg/m(2) had lower age-related steroid metabolite z-scores compared to participants with BMI<30 kg/m(2), i.e. 17-OHP: -0.51 vs. 0.08 (p<0.001); DHEA: -0.27 vs. 0.09 (p=0.014); Adione: -0.29 vs. 0.09 (p=0.012); T: -0.99 vs. 0.14 (p<0.001); and FT -0.55 vs. 0.05 (p<0.001), respectively. In conclusion, this large study on serum steroid metabolites and concomitant assessment of health markers in healthy men provides age-related reference ranges, and furthermore evaluates the impact of lifestyle factors and metabolic syndrome on androgen metabolite levels.
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Free T concentrations usually range around 1-2% of total T and are also age-dependent in women and men.
“Free T concentrations usually range around 1–2% of total T and are also age-dependent in women (Haring et al., 2012) and men (Camacho et al., 2013, Damgaard-Olesen et al., 2016).”
From Intracrine androgen biosynthesis, metabolism and action revisited (2018) · cites this paper as Damgaard-Olesen et al., 2016
In both men and women, ageing leads to decreases in C19 steroid production.
“In both men and women, ageing leads to decreases in C19 steroid production (Damgaard-Olesen et al., 2016, Haring et al., 2012, Trabert et al., 2016).”
From Intracrine androgen biosynthesis, metabolism and action revisited (2018) · cites this paper as Damgaard-Olesen et al., 2016
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- Authors
- Damgaard–Olesen, A., Johannsen, T. H., Holmboe, S. A., Søeborg, T., Petersen, J. H., Andersson, A., Aadahl, M., Linneberg, A., & Juul, A.
- Affiliations
- University of Copenhagen (DK)
- Corresponding author
- Juul, A.
- Venue
- Clinica Chimica Acta
- Publisher
- Elsevier BV
- Published
- 2016-02
- Volume
- 454
- Pages
- 82-88
- ISSN
- 0009-8981 (ISSN-L)
- OpenAlex
- W2227011085
- Cited by
- 39
- References
- 40
- Citations by year
- 2024: 3 · 2023: 2 · 2022: 8 · 2021: 4 · 2020: 5 · 2019: 3 · 2018: 5 · 2017: 7 · 2016: 2
- FWCI
- 5.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinica Chimica Acta (publishedVersion)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Funders
- Anita and Tage Therkelsen Foundation (F-22717-16)
- Kirsten and Freddy Johansens Foundation (F-22181-03)
- ReproHigh (F-22717-07)
- ReproUnion (F-22717-26)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Health Sciences › Medicine › Physiology › Clinical Laboratory Practices and Quality Control
- Keywords
- reference values, 17-hydroxyprogesterone, dehydroepiandrosterone, DHEA sulfate, androstenedione, free testosterone, total testosterone, androgen precursors, body mass index, metabolic syndrome, lifestyle factors, healthy men
- MeSH terms
- Adult, Androstenedione, Blood Chemical Analysis, Chromatography, Liquid, Cross-Sectional Studies, Dehydroepiandrosterone, Humans, Male, Middle Aged, Sulfates, Testosterone, Biomarkers, 17-alpha-Hydroxyprogesterone, Tandem Mass Spectrometry, Healthy Volunteers
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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