Cited by 165Hormonal and reproductive studiesProstate Cancer Treatment and ResearchSperm and Testicular Function

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Serum Estrogen, But Not Testosterone, Levels Differ between Black and White Men in a Nationally Representative Sample of Americans

Rohrmann, Sabine, Nelson, William G., Rifai, Nader, Brown, Terry R., Dobs, Adrian, Kanarek, Norma, Yager, James D., Platz, Elizabeth A.·2007·The Journal of Clinical Endocrinology & Metabolism

DOI 10.1210/jc.2007-0028

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Abstract

Context: Higher testosterone in black compared with white men has been postulated to explain their higher prostate cancer incidence. Previous studies comparing hormone levels by race might have been limited by size, restricted age variation, or lack of representation of the general population. Objective: Our objective was to compare serum testosterone, estradiol, and SHBG concentrations among non-Hispanic black, non-Hispanic white, and Mexican-American men. Participants, Design, and Setting: A total of 1413 men aged 20+ yr and who attended the morning examination session of the Third National Health and Nutrition Examination Survey (NHANES III) in 1988–1991 were included in this cross-sectional study. Measurement: Serum hormone concentrations were measured by electrochemiluminescence immunoassays. Results: After applying sampling weights and adjusting for age, percent body fat, alcohol, smoking, and activity, testosterone concentrations were not different between non-Hispanic blacks (n = 363; geometric mean, 5.29 ng/ml) and non-Hispanic whites (n = 674; 5.11 ng/ml; P > 0.05) but were higher in Mexican-Americans (n = 376; 5.48 ng/ml; P < 0.05). Non-Hispanic blacks (40.80 pg/ml) had a higher estradiol concentration than non-Hispanic whites (35.46 pg/ml; P < 0.01) and Mexican-Americans (34.11 pg/ml; P < 0.01). Non-Hispanic blacks (36.49 nmol/liter) had a higher SHBG concentration than non-Hispanic whites (34.91 nmol/liter; P < 0.05) and Mexican-Americans (35.04 nmol/liter; P < 0.05). Conclusions: Contrary to the postulated racial difference, testosterone concentrations did not differ notably between black and white men. However, blacks had higher estradiol levels. Mexican-Americans had higher testosterone than whites but similar estradiol and SHBG concentrations. Given these findings, it may be equally if not more important to investigate estradiol as testosterone in relation to diseases with racial disparity.

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Authors: Rohrmann, S., Nelson, W. G., Rifai, N., Brown, T. R., Dobs, A., Kanarek, N., Yager, J. D., & Platz, E. A.
Affiliations: German Cancer Research Center (DE)
Johns Hopkins University (US)
Boston Children's Hospital (US)
Corresponding author: Platz, Elizabeth A.
ORCID: Rohrmann, Sabine
Nelson, William G.
Rifai, Nader
Dobs, Adrian
Kanarek, Norma
Platz, Elizabeth A.
Venue: The Journal of Clinical Endocrinology & Metabolism
Publisher: The Endocrine Society
Published: 2007-07-01
Volume: 92
Issue: 7
Pages: 2519-2525
ISSN: 0021-972X (ISSN-L)
1945-7197
DOI: 10.1210/jc.2007-0028
OpenAlex: W2121555105
Cited by: 164
References: 42
Citations by year: 2026: 2 · 2025: 3 · 2024: 11 · 2023: 4 · 2022: 8 · 2021: 7 · 2020: 5 · 2019: 7 · 2018: 8 · 2017: 11 · 2016: 11 · 2015: 10 · 2014: 13 · 2013: 18 · 2012: 9
FWCI: 6.11
Type: journal article
Language: en
Open access: closed
Locations: The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
PubMed (publishedVersion)
Funders: Johns Hopkins University
Johns Hopkins Bloomberg School of Public Health
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Prostate Cancer Treatment and Research
Health Sciences › Medicine › Reproductive Medicine › Sperm and Testicular Function
Keywords: serum testosterone, estradiol, sex hormone-binding globulin, racial differences, Black men, white men, Mexican American men, prostate cancer risk, sex hormones, NHANES III
MeSH terms: Adult, Aged, Black or African American, Cross-Sectional Studies, Estrogens, Humans, Male, Middle Aged, Nutrition Surveys, Risk Factors, Sex Hormone-Binding Globulin, Testosterone, United States, Mexican Americans, Age Distribution, Black People, White People

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Serum Estrogen, But Not Testosterone, Levels Differ between Black and White Men in a Nationally Representative Sample of Americans

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