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中老年男性性激素与血脂水平的相关性研究

曾正艳 白永杰 申慧 孔繁一 刘诗翔

疑难病杂志Issue(8):803-806,810,5.
疑难病杂志Issue(8):803-806,810,5.DOI:10.3969/j.issn.1671-6450.2015.08.010

中老年男性性激素与血脂水平的相关性研究

Relationship between sex hormone levels and serum lipid profile in middle aged and elderly men

曾正艳 1白永杰 1申慧 1孔繁一 1刘诗翔1

作者信息

  • 1. 650100 昆明,成都军区昆明总医院神经内科
  • 折叠

摘要

Abstract

Objective To investigate the correlation between male sex hormones and blood lipid metabolism in middle age and elderly men. Methods From 2013 January to 2014 December, to collect routine examination men aged 40 and over 644 cases, aged 40-82 years old. Determination of the serum levels of sex hormones, follicle stimulating hormone ( FSH) , lu-teinizing hormone ( LH) and estradiol ( E2 ) , total testosterone ( TT) , sex hormone binding globulin ( SHBG) , free testoster-one (FT), and lipid levels, including high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol ( LDL-C) , total cholesterol ( TC) and triglycerine ( TG) . And the correlation between the indexes of sex hormones and the in-dexes of blood lipids was analyzed. Results Along with the increase of age, FSH, LH and SHBG increased gradually ( P <0. 01), FT decreased gradually ( P <0. 01). The age group of 51-60, 61-70, TT and HDL-C was significantly higher than 40-50 years group and > 70 years group ( P <0. 01). The level of TG decreases with the increase of age ( P <0. 01). Correlation analysis showed that serum hormone and lipid levels in the present universal relevance, after adjustment for age and body mass index (BMI), FSH and SHBG and HDL-C still showed significant positive correlation ( r =0. 08, r =0. 18, P < 0. 01 or P <0. 05), LH and SHBG and TC is still showing a significantly negative correlation ( r = -0. 08, r =-0. 08, P < 0. 01). TT, SHBG and TG still showed a significant negative correlation ( r = -0. 16, r = -0. 20, P <0. 05). Multiple linear regression analysis showed that, FSH and SHBG and HDL-C were significantly positive correlation (β= 0. 010, P = 0. 001;β=0. 004, P =0. 02), luteinizing hormone (LH) and HDL-C significantly negative correlated (β=-0. 020, P =0. 001), TT and TG significantly negative correlated (β= -0. 080, P =0. 01). Conclusion In middle-aged and elderly men, low concentrations of FSH and SHBG, and high concentrations of LH have risk of increased dyslipidemia ( low HDL-C) , and low TT also increase the risk of dyslipidemia ( high TG) .

关键词

性激素/脂质/相关性/男性/中老年

Key words

Sex hormone/Lipid/Correlation/Male/Elderly

引用本文复制引用

曾正艳,白永杰,申慧,孔繁一,刘诗翔..中老年男性性激素与血脂水平的相关性研究[J].疑难病杂志,2015,(8):803-806,810,5.

疑难病杂志

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1671-6450

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