Evidence map›Paper›PMID 28770686›Full record

ReviewThe journal of spinal cord medicine2018

Body composition changes with testosterone replacement therapy following spinal cord injury and aging: A mini review.

Tom E Nightingale, Pamela Moore, Joshua Harman, Refka Khalil, Ranjodh S Gill, Teodoro Castillo, Robert A Adler, Ashraf S Gorgey

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in The journal of spinal cord medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01652040 (Effects of Evoked Resistance Training and Testosterone After Spinal Cord Injury), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.3field-weighted citation impact, top 11% 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.

NCT01652040 phase2 / phase3completednot on this map

Effects of Evoked Resistance Training and Testosterone After Spinal Cord Injury

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2012 to 2017Enrolled26ConditionsSpinal Cord InjuryArmsResistance Training and Testosterone Patches, Testosterone Patches
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
  2. Bone and non-contractile soft tissue changes following open kinetic chain resistance training and testosterone treatment in spinal cord injury: an exploratory study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
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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

8 authors at 2 institutions in 1 country.

Tom E Nightingalea Spinal Cord Injury and Disorders Center , Hunter Holmes McGuire VA Medical Center, Richmond, Virginia, USA.ORCID 0000-0003-2947-4931
Pamela Moorea Spinal Cord Injury and Disorders Center , Hunter Holmes McGuire VA Medical Center, Richmond, Virginia, USA.ORCID 0000-0002-3717-195X
Joshua Harmana Spinal Cord Injury and Disorders Center , Hunter Holmes McGuire VA Medical Center, Richmond, Virginia, USA.
Refka Khalila Spinal Cord Injury and Disorders Center , Hunter Holmes McGuire VA Medical Center, Richmond, Virginia, USA.
Ranjodh S Gillc Endocrinology Service , Hunter Holmes McGuire VA Medical Center, Richmond, Virginia, USA.
Teodoro Castilloa Spinal Cord Injury and Disorders Center , Hunter Holmes McGuire VA Medical Center, Richmond, Virginia, USA.
Robert A Adlerc Endocrinology Service , Hunter Holmes McGuire VA Medical Center, Richmond, Virginia, USA.
Ashraf S Gorgeya Spinal Cord Injury and Disorders Center , Hunter Holmes McGuire VA Medical Center, Richmond, Virginia, USA.
Virginia Commonwealth University · USHunter Holmes McGuire VA Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Context Hypogonadism is a male clinical condition in which the body does not produce enough testosterone. Testosterone plays a key role in maintaining body composition, bone mineral density, sexual function, mood, erythropoiesis, cognition and quality of life. Hypogonadism can occur due to several underlying pathologies during aging and in men with physical disabilities, such as spinal cord injury (SCI). This condition is often under diagnosed and as a result, symptoms undertreated. Methods In this mini-review, we propose that testosterone replacement therapy (TRT) may be a viable strategy to improve lean body mass (LBM) and fat mass (FM) in men with SCI. Evidence Synthesis Supplementing the limited data from SCI cohorts with consistent findings from studies in non-disabled aging men, we present evidence that, relative to placebo, transdermal TRT can increase LBM and reduce FM over 3-36 months. The impact of TRT on bone mineral density and metabolism is also discussed, with particular relevance for persons with SCI. Moreover, the risks of TRT remain controversial and pertinent safety considerations related to transdermal administration are outlined. Conclusion Further research is necessary to help develop clinical guidelines for the specific dose and duration of TRT in persons with SCI. Therefore, we call for more high-quality randomized controlled trials to examine the efficacy and safety of TRT in this population, which experiences an increased risk of cardiometabolic diseases as a result of deleterious body composition changes after injury.

Indexed as

Body CompositionAgingEunuchismHormone Replacement TherapyHumansMaleSpinal Cord InjuriesTestosteroneTestosteroneBody compositionFat massLean body massSpinal cord injuryTestosterone replacement therapy

Identifiers

PMID28770686
PMCPMC6217462
OpenAlexW2745161177

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.