Evidence map›Paper›PMID 40958465›Full record

ArticleAndrology2026

Low testosterone levels in men at age 31 associates with future risk of prediabetes and type 2 diabetes: A birth cohort study.

Tuomisto A, Pinola P, Pesonen P, Franks S, Martikainen H, Tapanainen Js, Niinimäki M, Morin-Papunen L

Abstract read
In one paragraph

Article in Andrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Tuomisto ADepartment of Obstetrics and Gynecology, Oulu University Hospital, Wellbeing Services County of North Ostrobothnia, Oulu, Finland.
Pinola PDepartment of Obstetrics and Gynecology, Oulu University Hospital, Wellbeing Services County of North Ostrobothnia, Oulu, Finland.
Pesonen PMedical Research Center, Research Unit of Clinical Medicine, University of Oulu, Oulu, Finland.
Franks SInstitute of Reproductive and Developmental Biology, Imperial College London, London, UK.
Martikainen HDepartment of Obstetrics and Gynecology, Oulu University Hospital, Wellbeing Services County of North Ostrobothnia, Oulu, Finland.
Tapanainen JsDepartment of Obstetrics and Gynecology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Niinimäki MDepartment of Obstetrics and Gynecology, Oulu University Hospital, Wellbeing Services County of North Ostrobothnia, Oulu, Finland.
Morin-Papunen LDepartment of Obstetrics and Gynecology, Oulu University Hospital, Wellbeing Services County of North Ostrobothnia, Oulu, Finland.

Funding

ERDF European Regional Development Fund 539/2010 A31592Medical Research Center OuluNational Institute for Health and Welfare 54121Oulun YliopistoOulun Yliopistollinen SairaalaOulu University Hospital 24000692Oulu University Hospital 24301140Oulu University Hospital 2/97Oulu University Hospital 65354Oulu University Hospital 8/97Regional Institute of Occupational Health 50621Regional Institute of Occupational Health 5423Regional Institute of Occupational Health, Oulu, FinlandSosiaali- ja TerveysministeriöTerveyden ja hyvinvoinnin laitosthe Ministry of Health and Social Affairs 160/97the Ministry of Health and Social Affairs 190/97the Ministry of Health and Social Affairs 23/251/97
6 · The paper itself

Abstract

objectiveWe aimed to investigate the association of a low serum testosterone concentration with the risk of abnormal glucose metabolism (i.e., prediabetes and type 2 diabetes) in men at a 15-year follow-up. STUDY POPULATION AND

methodsIn a population birth cohort, men with low testosterone (testosterone < 12.1 nmol/L, n = 136) and normal testosterone concentration (testosterone ≥ 12.1 nmol/L, n = 2555) at age 31 were followed up until age 46. Blood samples were drawn at ages 31 and 46, and an oral glucose tolerance test (n = 1409) was performed at age 46.

resultsMen with low testosterone had significantly greater body mass index and waist circumference than men with normal testosterone at ages 31 and 46 (p < 0.001 in all comparisons). In men with low testosterone, the association with abnormal glucose metabolism was mainly driven by adiposity (p = 0.4 after adjusting for waist circumference). However, the risk remained increased, independently of waist circumference, when comparing the lowest and highest quartiles of testosterone (odds ratio:1.8 [95% confidence interval 1.3-2.7]) or when using testosterone as a continuous variable (odds ratio: 0.97 [95% confidence interval 0.95-0.99]). Between ages 31 and 46, body mass index increased more in men with normal testosterone at age 31 and low testosterone at age 46 than in men with normal testosterone or low testosterone at both ages (p < 0.001). Higher sex hormone binding globulin levels were associated with a lower risk for abnormal glucose metabolism independently of waist circumference (p < 0.001).

conclusionLow levels of testosterone and sex hormone binding globulin at age 31 associated with an increased risk of developing abnormal glucose metabolism after 15 years' follow-up. This association was partly independent of adiposity but was linked to waist circumference and weight gain.

Indexed as

Diabetes Mellitus, Type 2Prediabetic StateTestosteroneAdiposityAdultBlood GlucoseBody Mass IndexCohort StudiesGlucose Tolerance TestHumansMaleMiddle AgedRisk FactorsSex Hormone-Binding GlobulinWaist CircumferenceBlood GlucoseSex Hormone-Binding GlobulinTestosteroneabnormal glucose metabolismlow testosteronemaleprediabetestype 2 diabetes

Identifiers

PMID40958465
PMCPMC13266440

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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.