Cited by 275Hormonal and reproductive studiesBone health and osteoporosis researchMenopause: Health Impacts and Treatments

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Testosterone Use in Men and Its Effects on Bone Health. A Systematic Review and Meta-Analysis of Randomized Placebo-Controlled Trials

Tracz, Michal J., Sideras, Kostandinos, Boloña, Enrique R., Haddad, Rudy M., Kennedy, Cassie C., Uraga, Maria V., Caples, Sean M., Erwin, Patricia J., Montori, Victor M.·2006·The Journal of Clinical Endocrinology & Metabolism

DOI 10.1210/jc.2006-0036

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Abstract

CONTEXT: Androgen-deficient men are at increased risk of osteoporosis. The extent to which testosterone can prevent and treat osteoporosis in men remains unclear. OBJECTIVE AND DESIGN: We performed a systematic review and meta-analysis of randomized placebo-controlled trials in men to estimate the effect of testosterone use on bone health outcomes. DATA SOURCES: The review encompassed librarian-designed search strategies using MEDLINE (1966 to March 2005), EMBASE (1988 to March 2005), and Cochrane CENTRAL (inception to March 2005); a review of reference lists from included studies; and content expert files. DATA COLLECTION: Independently and in duplicate, we assessed the methodological quality of the eligible trials and collected data on bone mineral density and bone fractures at the longest point of complete follow-up. DATA SYNTHESIS: We included eight trials enrolling 365 patients. Two trials followed patients for more than 1 yr. Meta-analysis of these trials showed that, compared with placebo, im testosterone was associated with an 8% (95% confidence interval, 4%, 13%) gain in lumbar bone mineral density and transdermal testosterone had no significant impact. Testosterone use was associated with a nonsignificant 4% (95% confidence interval, -2%, 9%) gain in femoral neck bone mineral density with unexplained differences in results across trials (26% of these differences were not explained by chance alone). No trials measured or reported the effect of testosterone on fractures. CONCLUSIONS: Intramuscular testosterone moderately increased lumbar bone density in men; the results on femoral neck bone density are inconclusive. Without bone fracture data, the available trials offer weak and indirect inferences about the clinical efficacy of testosterone on osteoporosis prevention and treatment in men.

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Additional file 4 of Associations between urinary concentrations of bisphenols and serum concentrations of sex hormones among US. Males
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Additional file 3 of Associations between urinary concentrations of bisphenols and serum concentrations of sex hormones among US. Males
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Additional file 6 of Associations between urinary concentrations of bisphenols and serum concentrations of sex hormones among US. Males
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Authors: Tracz, M. J., Sideras, K., Boloña, E. R., Haddad, R. M., Kennedy, C. C., Uraga, M. V., Caples, S. M., Erwin, P. J., & Montori, V. M.
Affiliations: Mayo Clinic (US)
ORCID: Tracz, Michal J.
Sideras, Kostandinos
Kennedy, Cassie C.
Venue: The Journal of Clinical Endocrinology & Metabolism
Publisher: The Endocrine Society
Published: 2006-06
Volume: 91
Issue: 6
Pages: 2011-2016
ISSN: 0021-972X (ISSN-L)
1945-7197
DOI: 10.1210/jc.2006-0036
OpenAlex: W1985066712
Cited by: 275
References: 29
Citations by year: 2026: 8 · 2025: 4 · 2024: 6 · 2023: 12 · 2022: 14 · 2021: 11 · 2020: 14 · 2019: 9 · 2018: 16 · 2017: 15 · 2016: 8 · 2015: 16 · 2014: 24 · 2013: 24 · 2012: 19
FWCI: 1.86
Type: journal article
Language: en
Open access: closed
Locations: The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
PubMed (publishedVersion)
Funders: Mayo Clinic
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
Keywords: testosterone, androgen deficiency, male osteoporosis, bone mineral density, lumbar spine, femoral neck, transdermal testosterone, intramuscular testosterone, bone fractures, men's health
MeSH terms: Glucocorticoids, Humans, Male, Osteoporosis, Testosterone, Bone Density, Randomized Controlled Trials as Topic

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Testosterone Use in Men and Its Effects on Bone Health. A Systematic Review and Meta-Analysis of Randomized Placebo-Controlled Trials

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