The DOI matches its Crossref record.
Sex Hormones and Age: A Cross-sectional Study of Testosterone and Estradiol and Their Bioavailable Fractions in Community-dwelling Men
Abstract
The role of endogenous sex hormones in many diseases makes understanding factors that influence levels of these hormones increasingly important. This study examined age-associated variations in total and bioavailable testosterone and estradiol levels among community-dwelling Caucasian men in Rancho Bernardo, California. Plasma samples obtained from 810 men aged 24-90 years in 1984-1987 were analyzed in 1993 using radioimmunoassay. Analyses of age-hormone associations, adjusting for weight, body mass index, alcohol ingestion, smoking, physical activity, caffeine intake, specimen storage time, and disease status, were undertaken. Bioavailable testosterone and bioavailable estradiol levels decreased significantly with age independently of covariates. Total testosterone and estradiol levels decreased with age only when analyses were controlled for confounders. The importance of the age-associated decline in endogenous sex hormone levels, particularly levels of bioavailable testosterone and bioavailable estradiol, and their relation to disease and function in men deserve further research.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Numerous studies have consistently identified age-dependent decreases in T.”
From Challenges in Testosterone Measurement, Data Interpretation, and Methodological Appraisal of Interventional Trials (2016) · cites this paper as [40]
In the citing paper
“A larger study evaluating 1588 men >age 35 years over a 5-year period found that age was not an independent predictor of decreasing T on multivariate analysis, while obesity, smoking status, chronic medical conditions, lifestyle factors, depression, and marital status all likely contributed to the observed decline.”
From Challenges in Testosterone Measurement, Data Interpretation, and Methodological Appraisal of Interventional Trials (2016) · cites this paper as [40]
In the citing paper
“Two additional longitudinal studies reported a 3.6–3.8 ng/dl/year (0.12–0.13 nmol/L/year) decrease in TT, with progressive increases in the number of men characterized as biochemically hypogonadal (defined as TT<325 ng/dl [11.3 nmol/l] or fT<2.5th percentile): 20% (>60 years), 30% (>70 years), and 50% (>80 years).”
From Challenges in Testosterone Measurement, Data Interpretation, and Methodological Appraisal of Interventional Trials (2016) · cites this paper as [40]
In the citing paper
“Obesity, DM, MetS, depression and other comorbid conditions have marked effects on T levels and impact of supplementation.40”
From Challenges in Testosterone Measurement, Data Interpretation, and Methodological Appraisal of Interventional Trials (2016) · cites this paper as [40]
Citations
Cites
Still being checked.
Cited by
Sorted by citations
Items 401–469 of 469
Determining Attention Deficits In Mouse Models Of Alzheimer’s Disease Using Touchscreen Systems
Masood, T. S. (2015) · Scholarship@Western (Western University) · Cited by 1
Jacobs, H. S. (2000) · Western Journal of Medicine · doi:10.1136/ewjm.173.2.78 · Cited by 1
Interrelationship between Androgen Levels, Ageing, and Cognitive Functions
Joshi, H., & Parle, M. (2006) · Bioline International (Bioline International) · Cited by 1
Physiopathologie du déficit androgénique lié à l'âge
Shakespeare, W. (2004) · Cited by 1
Tissue Engineering of the Reproductive System
Sacco, S. D., Perin, L., & Filippo, R. E. D. (2010) · Elsevier eBooks · doi:10.1016/b978-0-12-381422-7.10052-5 · Cited by 1
Evaluation of Male Hypoactive Sexual Desire Disorder
Pizano, D. R., & IsHak, W. W. (2017) · Springer eBooks · doi:10.1007/978-3-319-52539-6_8 · Cited by 1
Linking senescence, apoptosis, and oxidative stress in fertility
Emokpae, M. A., & Igharo, O. G. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-818698-5.00011-0 · Cited by 1
Holmes, D. T., & Kline, G. A. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-818277-2.00018-2 · Cited by 1
Sex differences in Alzheimer’s disease animal models
Ippati, S., Ittner, L. M., & Ke, Y. D. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-819344-0.00003-x · Cited by 1
Bhasin, S. (2005) · Wiley eBooks · doi:10.1002/9780470757826.ch21 · Cited by 1
Brisson, G., Duval, L. P., & Lignieres, B. D. (2003) · Andrologie · doi:10.1007/bf03034422 · Cited by 1
Why Using Age as a Proxy for Testosterone is a Bad DealPreprint
Schönbrodt, F. D. (2012) · SSRN Electronic Journal · doi:10.2139/ssrn.2028882 · Cited by 1
Tissue Engineering of the Reproductive System
Giuliani, S., Perin, L., Sedrakyan, S., & Filippo, R. D. (2008) · Elsevier eBooks · doi:10.1016/b978-012369410-2.50069-3 · Cited by 1
Swift, H. J., Abrams, D., Drury, L., & Lamont, R. A. (2021) · Springer eBooks · doi:10.1007/978-3-319-19650-3_2431 · Cited by 1
Weiß, A. G. (2024) · eDiss (Georg-August-Universität Göttingen) · doi:10.53846/goediss-10273 · Cited by 1
Fertility and Aging Men: An Introduction to the Male Biological Clock
Masson, P., Lambert, S. M., Schlegel, P. N., & Fisch, H. (2006) · Elsevier eBooks · doi:10.1016/b978-012369391-4/50052-7
Problema: invecchiamento maschile
Kaufman, J., Comhaire, F. H., Mahmoud, A., & MEULEMAN, E. J. H. (2010) · Springer eBooks · doi:10.1007/978-88-470-1487-9_17
ASSESSING LONGITUDINAL CHANGES IN BONE MINERAL DENSITY IN MALE AND FEMALE CROSS COUNTRY RUNNERS
Denne, C. M. (2014) · WakeSpace Scholarship (Wake Forest University)
The interrelationship of sex steroid levels, body composition and bone characteristics in men
Lapauw, B. (2009) · Ghent University Academic Bibliography (Ghent University)
Late - Onset Hypogonadism - New Point of View
Gomua, A. (2012) · InTech eBooks · doi:10.5772/34210
Hormonal determinants of successful aging in men
van den Beld, A. W. (2003)
Hormonal Evaluation and Treatment
Heaton, J. P. W., & Morales, Á. (2007) · Humana Press eBooks · doi:10.1007/978-1-59745-155-0_6
Gonadal hormones and gonadotrophins in healthy males beyond forty years.
Ansari, A. J., Kibria, S., & Islam, F. (2006) · PubMed
Fluctuating asymmetry, facial masculinity, and offspring sex ratio
Heap, M. (2010) · UNM’s Digital Repository (University of New Mexico)
Neuroendocrine Regulation of Testicular Function
Kaufman, J. (2006) · Springer eBooks · doi:10.1007/3-540-33713-x_53
Pharmacological and Biological Risk Factors for Cardiac Arrhythmias
van Noord, C. (2009)
Cambios fisiológicos durante el envejecimiento del sistema reproductor masculino
Wiechers, L. L., & Cuéllar, H. L. P. (2007) · Revista de Endocrinología y Nutrición
Suominen, T. H. (2008) · Jyväskylä University Digital Archive (University of Jyväskylä)
Androgens and the Skeleton – Humans
Leder, B. Z. (2010) · Elsevier eBooks · doi:10.1016/b978-0-12-374602-3.00026-2
McEwen, B. S., Wise, P. M., & Birge, S. J. (2002) · Humana Press eBooks · doi:10.1007/978-1-59259-157-2_7
Grundlagen der Testosterontherapie
Lenk, S. V. (2001) · Springer eBooks · doi:10.1007/978-3-642-56524-3_4
Xu, X., Chen, X., Hu, H. Z., Dailey, A. B., & Odedina, F. T. (2016) · Medical Hypotheses · doi:10.1016/j.mehy.2015.12.029
Eskelinen, S. I. (2008) · UTUPub (University of Turku)
The Neuroscience of Age Perception
Yarosh, D. B. (2015) · Springer eBooks · doi:10.1007/978-3-642-27814-3_138-1
Overselling hysteria, dangerously: the media coverage of testosterone therapy in men
Vance, J. (2015) · OpenBU (Boston University)
Androgen Actions on Bone: Clinical Aspects
Goemaere, S., T'Sjoen, G. G., & Kaufman, J. (2009) · Humana Press eBooks · doi:10.1007/978-1-59745-459-9_17
Haren, M. T. (2005) · Adelaide Research & Scholarship (AR&S) (University of Adelaide)
Balzo, D. D. D., Messina, D. N., Corte, C., Stoizik, J. A. M., Laur, J. D. L., & Elizalde, R. F. P. (2016) · Revista Argentina de Endocrinología y Metabolismo · doi:10.1016/j.raem.2016.07.002
Causas y consecuencias del hipogonadismo en varones con diabetes mellitus tipo 2
Ruiz, A. H. (2015) · Gredos (University of Salamanca) · doi:10.14201/gredos.128430
Using Antibodies to Characterize Healthy, Disease, and Age States
Whittemore, K. (2014)
Brito, M. M. (2017) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/d.10.2017.tde-24042017-173840
Impairment of zebrafish reproduction upon exposure to TDCPPPreprint
Liu, X., & Jia, G. (2017) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/176909
Park, S. M., Park, Y. J., & Lee, D. (2018) · Korean Journal of Family Practice · doi:10.21215/kjfp.2018.8.3.391
The Challenges and Opportunities of Managing Diabetes in Long-Term Care
Marasco, R. A., Samos, L. F., & Pandya, N. (2008) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2008.04.005
Snyder, P. J. (2013) · Elsevier eBooks · doi:10.1016/b978-1-4557-2758-2.00016-0
Testosterone and the aging male: To treat or not to treat?
Baina, J. (2010)
Galvis, J. C., M., J. A. V., & V., J. F. C. (2018) · Archivos de la Sociedad Chilena de Medicina del Deporte · doi:10.59856/arch.soc.chil.med.deporte.v63i2.32
Ascorbic Acid Supplementation Attenuates Hippocampal Neuronal Damage in Orchiectomized Rats
Abayomi, T. A., Tokunbo, O. S., Oyetunti, M., Yawson, E. O., Abayomi, O. A., & Ogunrinde, O. (2021) · NIgerian Journal of Neuroscience · doi:10.47081/njn2021.12.2/001
Prostate Cancer, Androgens, and Estrogens
Stanford, J. L. (2001) · Springer eBooks · doi:10.1007/978-1-4612-2092-3_7
Risk Factors of Prostate Cancer in Douala (Cameroon): A Case-Control Study
Engbang, J. P., Beyeme, T. S., Abane, M. E., Essomba, A., & Ngowe, M. N. (2021) · Cancer Science & Research · doi:10.33425/2639-8478.1061
Section V: Treatment of Sexual Dysfunction in Patients with Special Problems
(2007) · CRC Press eBooks · doi:10.3109/9781420015089-43
Hormonal Evaluation and Treatment
Heaton, J. P. W., & Morales, Á. (2001) · Humana Press eBooks · doi:10.1007/978-1-59259-098-8_8
Machluf, M., & Atala, A. (2002) · Elsevier eBooks · doi:10.1016/b978-012436636-7/50207-x
(2014) · Elsevier eBooks · doi:10.1016/b978-1-907568-42-8.50016-2
Why using age as a proxy for testosterone is a bad dealPreprint
Schönbrodt, F. D. (2016) · doi:10.31219/osf.io/q27rg
Литвинов, А. С., Kukhtina, A. A., Kuznetsova, Y. V., Khatlamadzhiyan, V. V., & Ryabokoneva, T. Y. (2023) · Nephrology (Saint-Petersburg) · doi:10.36485/1561-6274-2023-27-3-11-22
Steroid hormone receptors in aging and neurodegenerative diseases
Kumar, R., & McEwan, I. J. (2024) · Elsevier eBooks · doi:10.1016/b978-0-323-91141-2.00001-5
Hamzah, K. A. (2024) · Queensland University of Technology · doi:10.5204/thesis.eprints.254327
Wu, M., Lü, B., Wang, Y., Zhang, A., Zhou, X. H., Zeng, X., Zhu, Y., Chen, S. M., & Lin, R. (2025) · Medicine · doi:10.1097/md.0000000000042652
VARIATIONS IN SERUM TESTOSTERONE LEVELS IN GHANAIAN MALES
Ofei, V. (2003)
Problème: vieillissement masculin
Kaufman, J., Comhaire, F. H., Mahmoud, A., & MEULEMAN, E. J. H. (2008) · Springer eBooks · doi:10.1007/978-2-287-72080-2_17
Faecal inorganic matter affects androgen metabolite levels in seals before migration
Otsuki, M., Horimoto, T., Kobayashi, M., Ijiri, S., & Mitani, Y. (2026) · Journal of Experimental Marine Biology and Ecology · doi:10.1016/j.jembe.2026.152178
Endocrine Support for the Aesthetic Patient
Parsa, A. A., & Parsa, F. D. (2026) · Springer eBooks · doi:10.1007/978-3-032-03840-1_46
Sureshkumar, K., Grewal, M. R., Gurayah, A. A., Williams, A., Dubin, J. M., & Masterson, T. (2026) · medRxiv · doi:10.64898/2026.06.25.26356580
Metadata
- Authors
- Ferrini, R. L., & Barrett-Connor, E.
- Affiliations
- University of California San Diego (US)
- ORCID
- Barrett-Connor, E.
- Venue
- American Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 1998-04-15
- Volume
- 147
- Issue
- 8
- Pages
- 750-754
- ISSN
- 0002-9262 (ISSN-L)
- 1476-6256
- OpenAlex
- W2016492979
- Cited by
- 473
- References
- 0
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 7 · 2023: 8 · 2022: 8 · 2021: 12 · 2020: 16 · 2019: 15 · 2018: 14 · 2017: 15 · 2016: 20 · 2015: 19 · 2014: 19 · 2013: 20 · 2012: 25
- FWCI
- 10.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Cancer Society
- World Health Organization
- National Institute on Aging (AG07181)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK031801, DK-31801)
- 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 › Menopause: Health Impacts and Treatments
- Keywords
- testosterone, estradiol, bioavailable testosterone, bioavailable estradiol, aging, sex hormones, community-dwelling men, men's health
- MeSH terms
- Adult, Aged, Aged, 80 and over, Aging, Biological Availability, Cross-Sectional Studies, Estradiol, Humans, Male, Middle Aged, Radioimmunoassay, Regression Analysis, Testosterone, Health Behavior, Confounding Factors, Epidemiologic, Body Mass Index
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 ›
Are you an author, or do you see a problem with this page? Request a review