Higher serum testosterone and dihydrotestosterone, but not oestradiol, are independently associated with favourable indices of lung function in community‐dwelling men
Abstract
Summary: Objectives: Lower circulating androgens and poorer lung function are associated with increased cardiovascular risk and mortality in men. The association between androgens and lung function is unclear. We tested the hypothesis that circulating testosterone (T) and its metabolites dihydrotestosterone (DHT) and oestradiol (E2) are differentially associated with lung function in men. Methods: Early‐morning serum T, DHT and E2 were assayed using mass spectrometry in 1768 community‐dwelling men from Busselton, Western Australia. Forced expiratory volume in 1 s (FEV 1) and forced vital capacity (FVC) were measured using spirometry. Linear regression models adjusting for age, height, smoking, exercise, body mass index, respiratory conditions and cardiovascular risk factors were used. Results: Mean age was 50.1 ± 16·8 years. 16·0% were current smokers, 14·1% reported a history of asthma and 2·7% reported chronic obstructive pulmonary disease. Current smokers had higher T compared with never smokers (age‐adjusted mean 14·5 vs 13·5 nmol/l, P = 0·002) and higher E2 (65·3 vs 60·1 pmol/l, P = 0·017). In fully adjusted analyses, T was associated with FEV 1 (51 ml per 1 SD increase, P < 0·001) as was DHT (62 ml, P < 0·001), E2 was not (P = 0·926). Similar results were seen for FVC (T: 76 ml, P < 0·001; DHT: 65 ml, P < 0·001; E2 P = 0·664). Higher DHT was marginally associated with the ratio FEV 1/FVC (0·3% per 1 SD increase, P = 0·047). Conclusions: Both T and DHT were independently associated with higher FEV 1 and FVC in predominantly middle‐aged community‐dwelling men. Androgens may contribute to, or be biomarkers for, better lung function in men. Further research is needed to clarify whether androgens preserve lung function in ageing men.
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The current findings are largely consistent with past efforts to estimate the number of caregivers who have died of COVID-19.
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Androgens are a Key Factor Affecting Immune Related Diseases
Zou, H., Zhao, J., Xu, H., Chen, W., Cao, R., & Ma, Y. (2025) · The World Journal of Men s Health · doi:10.5534/wjmh.240292 · Cited by 2 · see citing works
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- Authors
- Mohan, S. S., Knuiman, M. W., Divitini, M. L., James, A. L., Musk, A. W., Handelsman, D. J., Beilin, J., Hunter, M., & Yeap, B. B.
- Affiliations
- The University of Western Australia (AU)
- The University of Sydney (AU)
- Royal Perth Hospital (AU)
- Corresponding author
- Yeap, Bu B.
- Venue
- Clinical Endocrinology
- Publisher
- Wiley
- Published
- 2015-03-05
- Volume
- 83
- Issue
- 2
- Pages
- 268-276
- ISSN
- 0300-0664 (ISSN-L)
- 1365-2265
- OpenAlex
- W2103831745
- Cited by
- 61
- References
- 36
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 3 · 2023: 5 · 2022: 12 · 2021: 9 · 2020: 15 · 2019: 3 · 2018: 3 · 2017: 2
- FWCI
- 1.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Endocrinology (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- Funders
- National Health and Medical Research Council (1021326)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Reproductive Medicine › Sperm and Testicular Function
- Keywords
- testosterone, dihydrotestosterone, estradiol, androgens, lung function, FEV1, forced vital capacity, community-dwelling men, smoking, FEV1/FVC ratio, older men
- MeSH terms
- Adult, Aged, Androgens, Asthma, Cardiovascular Diseases, Estradiol, Forced Expiratory Volume, Humans, Lung, Male, Middle Aged, Respiratory Function Tests, Risk Factors, Smoking, Mass Spectrometry, Spirometry, Dihydrotestosterone, Testosterone, Vital Capacity, Western Australia, Body Mass Index, Linear Models, Pulmonary Disease, Chronic Obstructive
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