Evidence map›Paper›PMID 23784898›Full record

Trial reportObesity (Silver Spring, Md.)2013

Cardiometabolic risks during anabolic hormone supplementation in older men.

J He, S Bhasin, E F Binder, K E Yarasheski, C Castaneda-Sceppa, E T Schroeder, R Roubenoff, C-P Chou, S P Azen, F R Sattler

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Review
  3. A critical analysis of testosterone supplementation therapy and cardiovascular risk in elderly men.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2014
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

J HeDepartment of Preventive Medicine, University of Southern California, Los Angeles, California, USA.
S Bhasin
E F Binder
K E Yarasheski
C Castaneda-Sceppa
E T Schroeder
R Roubenoff
C-P Chou
S P Azen
F R Sattler
University of Southern California · USWashington University in St. Louis · USBoston University · USJean Mayer Human Nutrition Research Center on Aging · USTufts University · US

Funding

ZOPOLRESTAT IN NORMOTENSIVE, TYPE 1 DIA WITH INCIPIENT NEPHROPATHYM01RR000043 · NCRR · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ZAIA, JOHN A · 1985 to 2010
$76.4M
Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Brian N Finck · 1999 to 2026
$30.2M
WU P&FP30DK020579 · NIDDK · WASHINGTON UNIVERSITY · PI Jennifer Lynn Powers Carson · 2013 to 2026
$27.1M
TRANSGENICS COREP60DK020579 · NIDDK · WASHINGTON UNIVERSITY · PI SCHAFFER, JEAN E. · 1986 to 2012
$25.2M
YOGA LIFESTYLE INTERVENTION REDUCES BLOOD PRESSURE IN HIV-INFECTED ADULTSP41RR000954 · NCRR · WASHINGTON UNIVERSITY · PI GROSS, MICHAEL L · 1985 to 2011
$16.0M
ZIDOVUDINE &LAMIVUDINE ALONE OR IN COMBINATION ON BODY COMPOSITIONM01RR000054 · NCRR · TUFTS MEDICAL CENTER · PI RAO, MADHUMATHI · 1985 to 2005
$12.2M
TESTOSTERONE SUPPLEMENTATION FOR MEN WITH SARCOPENIAU01AG014369 · NIA · BOSTON MEDICAL CENTER · PI BHASIN, SHALENDER · 2005 to 2011
$4.6M
HORMONAL REGULATORS OF MUSCLE AND METABOLISM IN AGINGR01AG018169 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI SATTLER, FRED R · 2002 to 2005
$3.2M
Mechanisms of Testosterone Effects on Body CompositionR01DK070534 · NIDDK · BOSTON MEDICAL CENTER · PI BHASIN, SHALENDAR · 2004 to 2007
$1.5M
NCRR NIH HHS M01 RR000043NCRR NIH HHS M01 RR000054NCRR NIH HHS M0I RR00043NCRR NIH HHS P41 RR000954NCRR NIH HHS RR000954NIA NIH HHS R01 AG018169NIA NIH HHS R01 AG18169NIA NIH HHS U01 AG014369NIA NIH HHS U01AG14369NIDDK NIH HHS 1R01DK70534NIDDK NIH HHS DK020579NIDDK NIH HHS DK056341NIDDK NIH HHS P30 DK020579NIDDK NIH HHS P30 DK056341NIDDK NIH HHS P60 DK020579NIDDK NIH HHS R01 DK070534
6 · The paper itself

Abstract

objectiveTo determine the cardiometabolic risks of testosterone and growth hormone (GH) replacement therapy to youthful levels during aging. DESIGN AND

methodsA double-masked, partially placebo controlled study in 112 men 65-90 years-old was conducted. Transdermal testosterone (5 g vs. 10 g/day) using a Leydig Cell Clamp and subcutaneous recombinant GH (rhGH) (0 vs. 3 vs. 5 μg/kg/day) were administered for 16-weeks. Measurements included testosterone and IGF-1 levels, body composition by DEXA, and cardiometabolic risk factors (upper body fat, blood pressure, insulin sensitivity, fasting triglycerides, HDL-cholesterol, and serum adiponectin) at baseline and after 16 weeks of treatment.

resultsSome cardiometabolic factors improved (total and trunk fat, triglycerides, HDL-cholesterol) and others worsened (systolic blood pressure, insulin sensitivity index [QUICKI], adiponectin). Cardiometabolic risk composite scores (CRCSs) improved (-0.69 ± 1.55, P < 0.001). In multivariate analyses, QUICKI, triglycerides, and HDL-cholesterol contributed 33%, 16%, and 14% of the variance in CRCS, respectively. Pathway analyses indicated that changes in fat and lean mass were related to individual cardiometabolic variables and CRCS in a complex manner. Changes in BMI, reflecting composite effects of changes in fat and lean mass, were more robustly associated with cardiometabolic risks than changes in fat mass or LBM individually.

conclusionsTestosterone and rhGH administration was associated with diverse changes in individual cardiometabolic risk factors, but in aggregate appeared not to worsen cardiometabolic risk in healthy older men after 4-months. The long-term effects of these and similar anabolic therapies on cardiovascular events should be investigated in populations with greater functional limitations along with important health disabilities including upper body obesity and other cardiometabolic risks.

Indexed as

Cardiovascular DiseasesAdiponectinAdipose TissueAgedAged, 80 and overAgingAnabolic AgentsBlood PressureBody CompositionBody Fluid CompartmentsBody Mass IndexCholesterol, HDLDietary SupplementsDouble-Blind MethodHormone Replacement TherapyHuman Growth HormoneAdiponectinAnabolic AgentsCholesterol, HDLHuman Growth HormoneTestosteroneTriglycerides

Identifiers

PMID23784898
PMCPMC3930448
OpenAlexW2044581636

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.