Evidence map›Paper›PMID 30474223›Full record

ArticleInternational journal of geriatric psychiatry2019

Associations between testosterone and metabolic syndrome in depressed and non-depressed older men and women.

Anouk E de Wit, Erik J Giltay, Marrit K de Boer, Fokko J Bosker, Roos C van der Mast, Hannie C Comijs, Richard C Oude Voshaar, Robert A Schoevers

Open access · hybridAbstract read
In one paragraph

Article in International journal of geriatric psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

7 citing papers in PubMed, 15 citations in OpenAlex.

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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 4 institutions in 2 countries.

Anouk E de WitDepartment of Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.ORCID 0000-0002-9536-2148
Erik J GiltayDepartment of Psychiatry, Leiden University Medical Center, Leiden, The Netherlands.
Marrit K de BoerDepartment of Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Fokko J BoskerDepartment of Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Roos C van der MastDepartment of Psychiatry, Leiden University Medical Center, Leiden, The Netherlands.
Hannie C ComijsGGZinGeest/Department of Psychiatry, VU University Medical Center, Amsterdam Public Health research institute, Amsterdam, The Netherlands.
Richard C Oude VoshaarDepartment of Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Robert A SchoeversDepartment of Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
University Medical Center Groningen · NLGGZ inGeest · NLLeiden University Medical Center · NLUniversity of Antwerp · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOlder age and major depressive disorder (MDD) are both risk factors for the development of cardiovascular diseases. Testosterone has been associated with MDD and metabolic syndrome (MetS) in men, although associations in women are less clear. Therefore, we investigated whether testosterone is associated with MetS and whether this association is different for depressed and non-depressed older men and women.

methodsIn this prospective cohort study, 478 participants (349 patients with MDD and 129 controls) aged between 60 and 93 years from the Netherlands Study of Depression in Older Persons were included. Total testosterone (TT) and sex-hormone binding globulin levels were measured using a second-generation radioimmune assay. Free testosterone (FT) was calculated based on TT. MetS was defined according to the National Cholesterol Education Program Adult Treatment Panel III criteria.

resultsA higher risk for MetS was found in men with low FT and TT (odds ratio [OR]: 0.67, 95% confidence interval [95%CI]: 0.47-0.95 and OR: 0.51, 95%CI: 0.34-0.75), and in women with high FT (OR: 1.41, 95%CI: 1.08-1.82). Strong associations in the same direction were found with adiposity, glucose, and plasma lipid MetS components at baseline, but not with changes in these components at 2-year follow-up. The associations did not significantly differ between MDD patients and controls.

conclusionsIndependently of having MDD, low testosterone levels in men and, in contrast, high testosterone levels in women were significantly associated with MetS and its components.

Indexed as

AdiposityAgedAged, 80 and overFemaleHumansMajor Depressive DisorderMaleMetabolic SyndromeMiddle AgedNetherlandsOdds RatioProspective StudiesRisk FactorsSex Hormone-Binding GlobulinTestosteroneSex Hormone-Binding GlobulinTestosteronedepressive disordermajormetabolic syndromeolder adultstestosterone

Identifiers

PMID30474223
PMCPMC6590367
OpenAlexW2902112597

What OpenQuestion holds

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LicenceCC BY-NC
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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.