The DOI matches its Crossref record; 39 of the 42 references it cites were found in a registry or an index.
Serum Estrogen, But Not Testosterone, Levels Differ between Black and White Men in a Nationally Representative Sample of Americans
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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“Age [13, 14] and race [13–15] are well-established, but non-modifiable, predictors of sex steroid hormone concentrations in men.”
From Association of cigarette smoking, alcohol consumption, and physical activity with sex steroid hormone levels in US men (2009) · cites this paper as [14]
In the citing paper
“Adiposity is a well-known modifiable predictor of sex steroid hormones in men [14, 16–20]”
From Association of cigarette smoking, alcohol consumption, and physical activity with sex steroid hormone levels in US men (2009) · cites this paper as [14]
In the citing paper
“In contrast to smoking, moderate alcohol use has not been associated with altered T levels.”
From Challenges in Testosterone Measurement, Data Interpretation, and Methodological Appraisal of Interventional Trials (2016) · cites this paper as [76]
In the citing paper
“Contradictory data are available on the effect of smoking on T levels.”
From Challenges in Testosterone Measurement, Data Interpretation, and Methodological Appraisal of Interventional Trials (2016) · cites this paper as [76]
In the citing paper
“Both fT and TT are equally associated with BMI, ED, and decreased libido.”
From Challenges in Testosterone Measurement, Data Interpretation, and Methodological Appraisal of Interventional Trials (2016) · cites this paper as [76]
Citations
Cites
Jemal, A., Siegel, R. L., Ward, E. M., Murray, T., Xu, J., Smigal, C., & Thun, M. J. (2006) · CA A Cancer Journal for Clinicians · doi:10.3322/canjclin.56.2.106 · Cited by 5,309
A Critical Evaluation of Simple Methods for the Estimation of Free Testosterone in Serum
Vermeulen, A., Verdonck, L., & Kaufman, J. M. (1999) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.84.10.6079 · Cited by 3,824
Waist circumference as a measure for indicating need for weight management
Lean, M. E. J., Han, T. S., & Morrison, C. E. (1995) · BMJ · doi:10.1136/bmj.311.6998.158 · Cited by 1,869
Ding, E. L., Song, Y., Malik, V. S., & Liu, S. (2006) · JAMA · doi:10.1001/jama.295.11.1288 · Cited by 1,354
Identification and Fracture Outcomes of Undiagnosed Low Bone Mineral Density in Postmenopausal Women
Siris, E. S., Miller, P. D., Barrett-Connor, E. L., Faulkner, K. G., Wehren, L. E., Abbott, T. A., Berger, M. L., Santora, A. C., & Sherwood, L. M. (2001) · JAMA · doi:10.1001/jama.286.22.2815 · Cited by 1,211
The Merck Manual of Diagnosis and Therapy
(1957) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1957.tb57521.x · Cited by 958
Prospective Study of Sex Hormone Levels and Risk of Prostate Cancer
Gann, P. H., Hennekens, C. H., Ma, J., Longcope, C., & Stampfer, M. J. (1996) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/88.16.1118 · Cited by 782
Service, P. H. (1994) · PubMed · Cited by 740
Androgens and Cardiovascular Disease
Liu, P. Y., Death, A. K., & Handelsman, D. J. (2003) · Endocrine Reviews · doi:10.1210/er.2003-0005 · Cited by 695
Direct effects of sex steroid hormones on adipose tissues and obesity
Mayes, J., & Watson, G. (2004) · Obesity Reviews · doi:10.1111/j.1467-789x.2004.00152.x · Cited by 509
Body composition estimates from NHANES III bioelectrical impedance data
Chumlea, W., Guo, S., Kuczmarski, R., Flegal, K., Johnson, C., Heymsfield, S., Lukaski, H., Friedl, K., & Hubbard, V. (2002) · International Journal of Obesity · doi:10.1038/sj.ijo.0802167 · Cited by 507 · cited 1×
“We calculated body fat and percent body fat from bioelectrical impedance analysis, height, weight, and age (11).”
Method5-alpha-reductase activity and risk of prostate cancer among Japanese and US white and black males
Ross, R. K., Bernstein, L., Pike, M. C., Henderson, B. E., Lobo, R., Stanczyk, F. Z., & Shimizu, H. (1992) · The Lancet · doi:10.1016/0140-6736(92)90927-u · Cited by 495
Serum testosterone levels in healthy young black and white men.
Ross, R. K., Bernstein, L., Judd, H. L., Hanisch, R., Pike, M. C., & Henderson, B. E. (1986) · PubMed · Cited by 399
Mechanisms of sex steroid effects on bone
Syed, F., & Khosla, S. (2005) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2004.11.097 · Cited by 380
Testosterone and Estradiol among Older Men
ORWOLL, E. S., Lambert, L. C., Marshall, L. M., Phipps, K. R., Blank, J. B., Barrett-Connor, E. L., Cauley, J. A., Ensrud, K. E., & Cummings, S. (2006) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2005-1830 · Cited by 319
Platz, E. A. (2000) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/92.24.2009 · Cited by 252
Self-citationPlatz, E. A., Leitzmann, M. F., Rifai, N., Kantoff, P. W., Chen, Y., Stampfer, M. J., Willett, W. C., & Giovannucci, E. L. (2005) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-04-0371 · Cited by 248
Self-citationTHE MERCK MANUAL OF DIAGNOSIS AND THERAPY
Ivančević, Ž., Rumboldt, Z., Bergovec, M., & Silobrčić, V. (2000) · Cited by 248
Gapstur, S. M., Gann, P. H., Kopp, P. A., Colangelo, L. A., Longcope, C., & Liu, K. (2002) · PubMed · Cited by 247
Endogenous sex hormones and prostate cancer: a quantitative review of prospective studies
Eaton, N., REEVES, G. K., Appleby, P. N., & Key, T. J. (1999) · British Journal of Cancer · doi:10.1038/sj.bjc.6690445 · Cited by 213
Hormones and prostate cancer: Current perspectives and future directions
Hsing, A. W., Reichardt, J. K. V., & Stanczyk, F. Z. (2002) · The Prostate · doi:10.1002/pros.10108 · Cited by 207
Sex hormone-binding globulin mediates steroid hormone signal transduction at the plasma membrane
Rosner, W., Hryb, D. J., Khan, M., Nakhla, A. M., & Romas, N. A. (1999) · The Journal of Steroid Biochemistry and Molecular Biology · doi:10.1016/s0960-0760(99)00070-9 · Cited by 195
Ellis, L. M., & Nyborg, H. (1992) · Steroids · doi:10.1016/0039-128x(92)90032-5 · Cited by 195
Vermeulen, A., & Verdonck, G. (1992) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.74.4.1548361 · Cited by 194
Sex Steroid Hormones, Upper Body Obesity, and Insulin Resistance
Abate, N., Haffner, S. M., Garg, A., Peshock, R. M., & Grundy, S. M. (2002) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2002-020567 · Cited by 187
Ettinger, B. B., Sidney, S. S., Cummings, S. R., Libanati, C. R., Bikle, D. D., Tekawa, I. S., Tolan, K., & Steiger, P. (1997) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.82.2.3732 · Cited by 161
Winters, S. J., Brufsky, A., Weissfeld, J. L., Trump, D. L., Dyky, M. A., & Hadeed, V. (2001) · Metabolism · doi:10.1053/meta.2001.26714 · Cited by 152
A comprehensive haplotype analysis of CYP19 and breast cancer risk: the Multiethnic Cohort
Haiman, C. A. (2003) · Human Molecular Genetics · doi:10.1093/hmg/ddg294 · Cited by 149
Ukkola, O., Gagnon, J., Rankinen, T., Thompson, P., Hong, Y., Leon, A., Rao, D., Skinner, J., Wilmore, J., & Bouchard, C. (2001) · European Journal of Endocrinology · doi:10.1530/eje.0.1450001 · Cited by 138
Serum androgen levels in black, Hispanic, and white men
Litman, H. J., Bhasin, S., Link, C. L., Araujo, A. B., & McKinlay, J. B. (2006) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2006-0037 · Cited by 127
Bauman, D. R., Steckelbroeck, S., Williams, M. V., Peehl, D. M., & Penning, T. M. (2006) · Molecular Endocrinology · doi:10.1210/me.2005-0287 · Cited by 120
Chen, C., Weiss, N. S., Stanczyk, F. Z., Lewis, S. K., diTommaso, D., Etzioni, R., Barnett, M. J., & Goodman, G. E. (2003) · PubMed · Cited by 106
Wright, N. M., Renault, J., Willi, S. M., Veldhuis, J. D., Pandey, J. P., Gordon, L., Key, L. L., & Bell, N. H. (1995) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.80.8.7543111 · Cited by 90
Estrogens and Bone Health in Men
Khosla, S., Melton, L. J., & Riggs, B. L. (2001) · Calcified Tissue International · doi:10.1007/s00223-001-1044-8 · Cited by 72
Low, Y.-L., Taylor, J. I., Grace, P. B., Dowsett, M., Folkerd, E. J., Doody, D., Dunning, A. M., Scollen, S., Mulligan, A. A., Welch, A. A., et al. (2005) · Journal of Nutrition · doi:10.1093/jn/135.11.2680 · Cited by 55
Wu, A. H., Whittemore, A. S., Kolonel, L. N., Stanczyk, F. Z., John, E. M., Gallagher, R. P., & West, D. W. (2001) · PubMed · Cited by 38
Brambilla, D. J., McKinlay, S. M., McKinlay, J. B., Weiss, S. R., Johannes, C. B., Crawford, S. L., & Longcope, C. (1996) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(95)00569-2 · Cited by 36
Racial difference in circulating sex hormone–binding globulin levels in prepubertal boys
Abdelrahaman, E., Raghavan, S., Baker, L., Weinrich, M. C., & Winters, S. J. (2004) · Metabolism · doi:10.1016/j.metabol.2004.07.018 · Cited by 34
Cheng, I. C., Yu, M. C., Koh, W., Pike, M. C., Kolonel, L. N., Henderson, B. E., & Stram, D. O. (2005) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-04-0864 · Cited by 29
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Nunzio, C. D., Kramer, G., Marberger, M., Montironi, R., Nelson, W., Schröder, F. H., Sciarra, A., & Tubaro, A. (2011) · European Urology · doi:10.1016/j.eururo.2011.03.055 · Cited by 462
Self-citationIncidence and Survival of Primary Dermatofibrosarcoma Protuberans in the United States
Kreicher, K. L., Kurlander, D. E., Gittleman, H. R., Barnholtz‐Sloan, J. S., & Bordeaux, J. S. (2016) · Dermatologic Surgery · doi:10.1097/dss.0000000000000300 · Cited by 233
Estrogen and its receptors in cancer
Chen, G. G., Zeng, Q., & Tse, G. M.-K. (2008) · Medicinal Research Reviews · doi:10.1002/med.20131 · Cited by 215
Estrogen action and prostate cancer
Nelles, J. L., Hu, W., & Prins, G. S. (2011) · Expert Review of Endocrinology & Metabolism · doi:10.1586/eem.11.20 · Cited by 224
Li, C., Ford, E. S., Li, B., Giles, W. H., & Liu, S. (2010) · Diabetes Care · doi:10.2337/dc09-1788 · Cited by 197
Metadata
- 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.
- 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
- 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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