Evidence map›Paper›PMID 37325955›Full record

ReviewThe journals of gerontology. Series A, Biological sciences and medical sciences2023

Androgens and Selective Androgen Receptor Modulators to Treat Functional Limitations Associated With Aging and Chronic Disease.

Shalender Bhasin, Venkatesh Krishnan, Thomas W Storer, Mitchell Steiner, Adrian S Dobs

Open access · bronzeAbstract readReview
In one paragraph

Review in The journals of gerontology. Series A, Biological sciences and medical sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Anabolic-steroid therapy after geriatric proximal femur fracture: a level I evidence systematic review and meta-analysis of bone density, functional recovery, and safety.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
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  18. Factors, mechanisms and improvement methods of muscle strength loss.Frontiers in cell and developmental biology · 2024
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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

5 authors at 3 institutions in 1 country.

Shalender BhasinResearch Program in Men's Health: Aging and Metabolism, Claude D. Pepper Older Americans Independence Center, Brigham and Women's Hospital, Boston, Massachusetts,USA.ORCID 0000-0002-3982-6200
Venkatesh KrishnanLilly Research Laboratories, Lilly Corporate Center, Indianapolis, Indiana,USA.
Thomas W StorerResearch Program in Men's Health: Aging and Metabolism, Claude D. Pepper Older Americans Independence Center, Brigham and Women's Hospital, Boston, Massachusetts,USA.
Mitchell SteinerVeru, Miami, Florida,USA.
Adrian S DobsJohns Hopkins Clinical Research Network, Division of Endocrinology, Diabetes and Metabolism, The Johns Hopkins University School of Medicine, Baltimore, Maryland,USA.
Brigham and Women's Hospital · USEli Lilly (United States) · USJohns Hopkins University · US

Funding

TUFTS--FIELDINGP30AG031679 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI SHALENDER BHASIN · 2008 to 2026
$23.9M
Improving Quality of Life of Prostate Cancer Survivors with Androgen DeficiencyR01AG060539 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI BHASIN, SHALENDER · 2018 to 2023
$4.2M
A selective Androgen Receptor Modulator for Symptom Management in Prostate CancerR01NR014502 · NINR · BRIGHAM AND WOMEN'S HOSPITAL · PI BHASIN, SHALENDER · 2015 to 2019
$3.5M
NIA NIH HHS P30 AG031679NIA NIH HHS R01 AG060539NIH HHS R01NR014502
6 · The paper itself

Abstract

Testosterone, many steroidal androgens, and nonsteroidal ligands that bind to androgen receptor and exert tissue-specific transcriptional activity (selective androgen receptor modulators [SARMs]) are being developed as function-promoting therapies to treat functional limitations associated with aging and chronic diseases. This narrative review describes preclinical studies, mechanisms, and randomized trials of testosterone, other androgens, and nonsteroidal SARMs. Sex differences in muscle mass and strength and empiric use of anabolic steroids by athletes to increase muscularity and athletic performance provide supportive evidence of testosterone's anabolic effects. In randomized trials, testosterone treatment increases lean body mass, muscle strength, leg power, aerobic capacity, and self-reported mobility. These anabolic effects have been reported in healthy men, hypogonadal men, older men with mobility limitation and chronic diseases, menopausal women, and HIV-infected women with weight loss. Testosterone has not consistently improved walking speed. Testosterone treatment increases volumetric and areal bone mineral density, and estimated bone strength; improves sexual desire, erectile function, and sexual activity; modestly improves depressive symptoms; and corrects unexplained anemia in older men with low testosterone levels. Prior studies have not been of sufficient size or duration to determine testosterone's cardiovascular and prostate safety. The efficacy of testosterone in reducing physical limitations, fractures, falls, progression to diabetes, and correcting late-onset persistent depressive disorder remains to be established. Strategies to translate androgen-induced muscle mass and strength gains into functional improvements are needed. Future studies should evaluate the efficacy of combined administration of testosterone (or a SARM) plus multidimensional functional exercise to induce neuromuscular adaptations required for meaningful functional improvements.

Indexed as

Anabolic AgentsAndrogensAgedAgingAndrogen AntagonistsChronic DiseaseFemaleHumansMaleReceptors, AndrogenTestosteroneAnabolic AgentsAndrogen AntagonistsAndrogensReceptors, AndrogenTestosteroneBone mineral densityDepressive symptomsFunctional exercise trainingTestosterone

Identifiers

PMID37325955
PMCPMC10272983
OpenAlexW4380869393

What OpenQuestion holds

Textmetadata
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.