Relationship between insulin and hypogonadism in men with metabolic syndrome

OBJECTIVE: To evaluate the incidence of hypogonadism in men with metabolic syndrome and its correlation with serum insulin levels. METHODS: Observational, transversal study with 80 men with metabolic syndrome. The individuals were divided into two groups: Group 1: 56 patients (70%) with total testosterone > 300 ng/dL (normal gonadal function); Group 2: 24 patients (30%) with total testosterone < 300 ng/dL (hypogonadic). RESULTS: The subjects from Group 2 compared to Group 1 presented higher body mass index (BMI), waist and hip circumferences, insulin, homeostasis model assessment insulin resistance index (Homa-IR) and beta cell (Homa-β), and triglycerides, but lower SHBG and free testosterone values. Inverse correlations between insulin levels and total testosterone and SHBG, as well as between Homa-IR and total testosterone were observed. CONCLUSION: In this series of men with metabolic syndrome, hypogonadism was associated with insulin resistance and may be a marker of metabolic abnormalities.

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Bibliographic Details
Main Authors: Caldas,Amanda D. A., Porto,Adriana Lofrano, Motta,Lucilia Domingues Casulari da, Casulari,Luiz Augusto
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Endocrinologia e Metabologia 2009
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302009000800015
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