Document Detail


Association between lipid profile and circulating concentrations of estrogens in young men.
MedLine Citation:
PMID:  18639879     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Men show higher rates of cardiovascular morbidity and mortality than pre-menopausal women and this sexual dimorphism may be related to sex-specific effects of sex steroids on cardiovascular risk factors. Unlike androgens, estrogens were not extensively investigated in relation to cardiovascular phenotypes in men.
METHODS: We examined associations of estradiol and estrone and their precursors (total testosterone and androstenedione) with traditional cardiovascular risk factors (lipids, blood pressure, body mass) in 933 young (median age: 19 years), apparently healthy Polish men.
RESULTS: Total estradiol was associated with total cholesterol (p=0.006) and high-density lipoprotein cholesterol (HDL-C) (p<0.001) and estrone showed the strongest associations with both total cholesterol (p<0.001) and low-density lipoprotein cholesterol (LDL-C) (p<0.001) in the unadjusted ANOVA analysis. In the multivariable adjusted models in which other independent variables were held as constant one standard deviation increase in estradiol level was associated with 6%-standard deviation increase in total cholesterol (standardized beta=0.06, p=0.038) and 6%-standard deviation decrease in HDL-cholesterol (standardized beta=-0.06, p=0.036). An increase in estrone levels by one standard deviation was associated with respective 12%- and 13%-standard deviation increases in total cholesterol (standardized beta=0.12, p<0.001) and LDL-cholesterol levels (standardized beta=0.12, p<0.001) after controlling for other predictors of lipids. Estrone correlated linearly with androstenedione (r=0.28, p<0.001) but there was no correlation between estradiol and testosterone. Estrogens retained their independent associations with lipids after adjustment for their biochemical precursors in the multivariable analysis.
CONCLUSIONS: Increased levels of estrogens are associated with unfavourable lipid profile in men and this association is present early in life, before apparent manifestations of cardiovascular disease.
Authors:
Maciej Tomaszewski; Fadi J Charchar; Christine Maric; Roman Kuzniewicz; Mateusz Gola; Wladyslaw Grzeszczak; Nilesh J Samani; Ewa Zukowska-Szczechowska
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2008-06-17
Journal Detail:
Title:  Atherosclerosis     Volume:  203     ISSN:  1879-1484     ISO Abbreviation:  Atherosclerosis     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-03-02     Completed Date:  2009-09-09     Revised Date:  2011-05-30    
Medline Journal Info:
Nlm Unique ID:  0242543     Medline TA:  Atherosclerosis     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  257-62     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Sciences, University of Leicester, Leicester, UK. mt142@le.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Blood Pressure
Body Mass Index
Cardiovascular Diseases / diagnosis
Cardiovascular System
Estradiol / blood*
Estrogens / blood*
Estrone / blood*
Humans
Lipids / chemistry*
Male
Phenotype
Risk Factors
Grant Support
ID/Acronym/Agency:
R03 TW007165/TW/FIC NIH HHS; R03 TW007165-03/TW/FIC NIH HHS
Chemical
Reg. No./Substance:
0/Estrogens; 0/Lipids; 50-28-2/Estradiol; 53-16-7/Estrone
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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