Waist Circumference and Testosterone Levels in Community Dwelling Men. The Tromsø Study
Abstract
To examine the relationship of total and free testosterone and sex hormone-binding globulin (SHBG) with central obesity in men, we studied 1548 men aged 25-84 years that took part in the 1994--1995 survey of the Tromsø study. Total testosterone and SHBG were measured by immuno-assay and the free testosterone fraction was calculated. These measurements were analyzed in relation to anthropometric data and lifestyle factors. The age-adjusted correlation between waist circumference (WC) and total testosterone was -0.34 (p or = 102 cm had significantly lower levels of total testosterone and SHBG compared to men with an optimal WC, defined as < 94 cm (12.3 vs. 13.9 nmol/l; p < 0.01 and 48.5 vs. 55.1 nmol/l; p < 0.001, respectively). The lowest levels of total and free testosterone were observed in men with relatively high WC despite relatively low overall obesity (BMI), suggesting that WC should be the preferred anthropometric measurement in predicting endogenous testosterone levels.
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Other indices used in assessment of central obesity, such as waist circumference and waist-hip ratio, also exhibit a negative association with SHBG.
“Other indices used in assessment of central obesity, such as waist circumference and waist–hip ratio, also exhibit this negative association with SHBG [88].”
From Role of sex hormone-binding globulin in the free hormone hypothesis and the relevance of free testosterone in androgen physiology (2022) · cites this paper as [88]
Waist circumference is more strongly associated with total and free testosterone than body mass index.
“We have previously shown that WC is more strongly associated with total and free testosterone than body mass index (BMI; Svartberg et al., 2004), and we have therefore used WC in our analyses.”
From Endogenous testosterone levels and smoking in men. The fifth Tromsø study (2007) · cites this paper as Svartberg et al., 2004
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References 42 · Cited by 229
- Authors
- Svartberg, J., von Mühlen, D., Sundsfjord, J., & Jorde, R.
- Affiliations
- University Hospital of North Norway (NO)
- Corresponding author
- Svartberg, Johan
- ORCID
- Jorde, Rolf
- Venue
- European Journal of Epidemiology
- Published
- 2004-07
- Volume
- 19
- Issue
- 7
- Pages
- 657-663
- ISSN
- 0393-2990 (ISSN-L)
- 1573-7284
- OpenAlex
- W2089401583
- Cited by
- 229
- References
- 42
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 7 · 2023: 7 · 2022: 8 · 2021: 12 · 2020: 6 · 2019: 8 · 2018: 6 · 2017: 13 · 2016: 13 · 2015: 7 · 2014: 17 · 2013: 14 · 2012: 18
- FWCI
- 4.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- European Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Health Sciences › Medicine › Reproductive Medicine › Sperm and Testicular Function
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- waist circumference, testosterone, free testosterone, sex hormone-binding globulin, abdominal obesity, men, anthropometric measures, body mass index, waist-to-hip ratio, endogenous sex hormones, lifestyle factors
- MeSH terms
- Adult, Aged, Aged, 80 and over, Anthropometry, Humans, Immunoassay, Male, Middle Aged, Norway, Population Surveillance, Surveys and Questionnaires, Sex Hormone-Binding Globulin, Testosterone
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