Dehydroepiandrosterone reduces serum low density lipoprotein levels and body fat but does not alter insulin sensitivity in normal men.
Abstract
To assess the effects of dehydroepiandrosterone (DHEA) on body fat mass, serum lipid levels, and tissue sensitivity to insulin, five normal men were given placebo and five normal men were given oral DHEA [1600 mg/day (554.7 mmol/day)] for 28 days in a randomized, double blind study. In the DHEA group serum DHEA-S levels rose 2.5- to 3.5-fold, and mean (+/- SEM) serum androstenedione rose from 4.3 +/- 0.6 to 8.6 +/- 1.2 nmol/L (P less than 0.004, by paired t test), but serum total testosterone, free testosterone, sex hormone-binding globulin, estradiol, and estrone levels did not change. In the DHEA group the mean percent body fat decreased by 31%, with no change in weight. This suggests that the reduction in fat mass was coupled with an increase in muscle mass. DHEA administration also resulted in a fall in mean serum total cholesterol concentration (4.82 +/- 0.21 vs. 4.48 +/- 0.29 nmol/L; P less than 0.05), which was due almost entirely to a fall of 7.5% in mean serum low density lipoprotein cholesterol (3.21 +/- 0.11 vs. 2.97 +/- 0.14 nmol/L; P less than 0.01). No changes in anthropometric parameters or serum lipid levels occurred in the placebo group. Tissue sensitivity to insulin, assessed by the hyperinsulinemic-euglycemic clamp technique, did not change in either the placebo or DHEA groups. These results suggest that in normal men DHEA administration reduces body fat, increases muscle mass, and reduces serum low density lipoprotein cholesterol levels. Tissue sensitivity to insulin was unaffected by short term DHEA administration.
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The 70-95% reduction in formation of DHEA and DHEA-S by the adrenals during aging results in a dramatic reduction in formation of androgens and estrogens in peripheral target tissues, which could be involved in pathogenesis of age-related diseases such as insulin resistance and obesity.
“The 70 -95% reduction in the formation of DHEA and DHEA-S by the adrenals during aging results in a dramatic reduction in the formation of androgens and estrogens in peripheral target tissues, which could well be involved in the pathogenesis of age-related diseases such as insulin resistance (307, 308) and obesity (309 -311).”
From Endocrine and intracrine sources of androgens in women: inhibition of breast cancer and other roles of androgens and their precursor dehydroepiandrosterone (2003) · cites this paper as [309]
The first studies with DHEA used supraphysiological doses up to 800-1600 mg/d.
“The first studies with DHEA used supraphysiological doses of the compound going up to 800 -1600 mg/d (298,309,334).”
From Endocrine and intracrine sources of androgens in women: inhibition of breast cancer and other roles of androgens and their precursor dehydroepiandrosterone (2003) · cites this paper as [309]
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- Authors
- NESTLER, J. E., BARLASCINI, C. O., CLORE, J. N., & BLACKARD, W. G.
- Affiliations
- Virginia Commonwealth University (US)
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 1988-01
- Volume
- 66
- Issue
- 1
- Pages
- 57-61
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W2094493191
- Cited by
- 414
- References
- 16
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 1 · 2019: 6 · 2018: 5 · 2017: 6 · 2016: 6 · 2015: 2 · 2014: 9 · 2013: 5 · 2012: 8
- FWCI
- 9.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Oregon
- National Institutes of Health (5t32am007428-04)
- National Center for Research Resources (RR 00065)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Keywords
- dehydroepiandrosterone, fat loss, LDL cholesterol, serum lipids, insulin sensitivity, androstenedione, DHEA sulfate, muscle mass, hyperinsulinemic-euglycemic clamp, testosterone, sex hormone-binding globulin, estradiol, healthy men
- MeSH terms
- Adipose Tissue, Adult, Androgens, Androstenedione, Body Composition, Cholesterol, Dehydroepiandrosterone, Humans, Insulin, Lipids, Lipoproteins, LDL, Cholesterol, LDL, Male, Muscles, Dehydroepiandrosterone Sulfate
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