Abstract:
PURPOSE:High volumes of aerobic exercise have been associated with reduced testosterone (T), known as the exercise-hypogonadal male condition (EHMC). Although the presence of low T has been identified, few studies have assessed the presence of androgen-deficient symptoms. The purpose of this investigation is to assess men exhibiting EHMC and evaluate their hypothalamic-pituitary-gonadal axis, the presence of hypogonadal symptoms, and also investigate a possible contribution of inadequate nutrition to the condition. METHODS:A cross-sectional design compared 9 long-distance runners exhibiting EHMC to 8 non-active controls. Comparisons included serum T, luteinizing hormone (LH), follicle-stimulating hormone, and cortisol, the Aging Male Symptoms (AMS) questionnaire score, bone mineral density (BMD), and a food frequency questionnaire. RESULTS:Mean T was significantly reduced in the EHMC group (EHMC 9.2 nmol L-1 vs. CONT 16.2 nmol L-1). The EHMC group demonstrated significantly higher AMS scores (EHMC 27.1 ± 7.3 vs. CONT 19.7 ± 2.5). There were no differences in bone density, although 3 cases of osteopenia were noted for EHMC in the lumbar spine, 1 in the right femur, and 1 in the radius. Energy availability was significantly reduced in EHMC (EHMC 27.2 ± 12.7 vs. CONT 45.4 ± 18.2 kcal d FFM-1). CONCLUSIONS:Men exhibiting EHMC do appear to present with symptoms associated with androgen deficiency. For the most part, these symptoms are limited to those reported on the AMS questionnaire, although there are also some cases of clinically low BMD. It is possible that inadequate energy intake is contributing to this condition.
journal_name
Eur J Appl Physioljournal_title
European journal of applied physiologyauthors
Hooper DR,Kraemer WJ,Saenz C,Schill KE,Focht BC,Volek JS,Maresh CMdoi
10.1007/s00421-017-3623-zsubject
Has Abstractpub_date
2017-07-01 00:00:00pages
1349-1357issue
7eissn
1439-6319issn
1439-6327pii
10.1007/s00421-017-3623-zjournal_volume
117pub_type
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journal_title:European journal of applied physiology
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journal_title:European journal of applied physiology
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journal_title:European journal of applied physiology
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journal_title:European journal of applied physiology
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journal_title:European journal of applied physiology
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journal_title:European journal of applied physiology
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journal_title:European journal of applied physiology
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journal_title:European journal of applied physiology
pub_type: 临床试验,杂志文章
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journal_title:European journal of applied physiology
pub_type: 杂志文章,评审
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journal_title:European journal of applied physiology
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journal_title:European journal of applied physiology
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更新日期:2000-01-01 00:00:00
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