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Elevated serum testosterone associated with reduced blood pressure parameters: Study
China: Increased levels of serum testosterone provide protection against hypertension in males, suggests a recent study in the journal Atherosclerosis. However, in obese men, this protective effect of serum testosterone on blood pressure parameters and hypertension is hampered.
Zhenxing Mao, Zhengzhou University, Zhengzhou, Henan, PR China, and colleagues aimed to evaluate the effects of serum testosterone, obesity, and their interaction on blood pressure (BP) parameters and hypertension among Chinese rural adults.
For this purpose, the researchers recruited a total of 6199 adults from the Henan Rural Cohort Study. Liquid chromatography-tandem mass spectrometry was used for measuring serum testosterone. The association between testosterone, hypertension, and BP parameters (including systolic blood pressure (SBP), diastolic blood pressure (DBP), pulse pressure (PP), and mean arterial pressure (MAP) were evaluated using logistic regression and linear regression. A generalized linear model was performed to identify the interactive effects of testosterone and obesity on hypertension.
Key findings of the study include:
· High levels of serum testosterone were associated with a lower prevalence of hypertension in males (odds ratio (OR): 0.69).
· After stratification by obesity, observed associations were only found in non-obese males.
· Each one-unit increase in ln-testosterone was associated with a 1.23 mmHg decrease in SBP, 0.97 mmHg decrease in DBP, and 1.05 mmHg decrease in MAP among males.
· Interactive effects between testosterone and obesity on hypertension and BP parameters were found, indicating that protective effects of serum testosterone on hypertension and BP parameters were counteracted and accompanied by increased values of obesity-related indicators in males, and additional testosterone increased BP parameters and prevalence of hypertension at high levels of waist-to-hip ratio and waist-to-height ratio in females.
"Our findings show that elevated levels of serum testosterone were associated with decreased BP parameters and prevalent hypertension in males, and obesity modifying effects of serum testosterone on BP parameters and hypertension," concluded the authors.
Reference:
The study titled, "Interaction between testosterone and obesity on hypertension: A population-based cross-sectional study," is published in the journal Atherosclerosis.
DOI: https://www.atherosclerosis-journal.com/article/S0021-9150(21)01191-6/fulltext
MSc. Biotechnology
Medha Baranwal joined Medical Dialogues as an Editor in 2018 for Speciality Medical Dialogues. She covers several medical specialties including Cardiac Sciences, Dentistry, Diabetes and Endo, Diagnostics, ENT, Gastroenterology, Neurosciences, and Radiology. She has completed her Bachelors in Biomedical Sciences from DU and then pursued Masters in Biotechnology from Amity University. She has a working experience of 5 years in the field of medical research writing, scientific writing, content writing, and content management. She can be contacted at  editorial@medicaldialogues.in. Contact no. 011-43720751
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751