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Associations of Bioavailable Serum Testosterone With Cognitive Function in Older Men: Results From the National Health and Nutrition Examination Survey
journal contribution
posted on 2023-02-10, 02:10 authored by P Giannos, K Prokopidis, DD Church, B Kirk, PT Morgan, MN Lochlainn, Helen MacphersonHelen Macpherson, DR Woods, T IspoglouAbstract
Background
Age-associated cognitive decline may be influenced by testosterone status. However, studies evaluating the impact of bioavailable testosterone, the active, free testosterone, on cognitive function are scarce. Our study determined the relationship between calculated bioavailable testosterone and cognitive performance in older men.
Methods
We used data from the U.S. National Health and Nutrition Examination Survey (NHANES) between 2013 and 2014. This study consisted of 208 men aged ≥60 years. Bioavailable serum testosterone was calculated based on the total serum testosterone, sex hormone–binding globulin, and albumin levels, whereas cognitive performance was assessed through the Consortium to Establish a Registry for Alzheimer’s Disease (CERAD) Word List Learning Test (WLLT), Word List Recall Test (WLRT), and Intrusion Word Count Test (WLLT-IC and WLRT-IC), the Animal Fluency Test (AFT), and the Digit Symbol Substitution Test (DSST). Multiple linear regression analyses were performed upon adjustment for age, ethnicity, socioeconomic status, education level, medical history, body mass index, energy, alcohol intake, physical activity levels, and sleep duration.
Results
A significant positive association between bioavailable testosterone and DSST (β: 0.049, p = .002) score was detected, with no signs of a plateau effect. No significant associations with CERAD WLLT (p = .132), WLRT (p = .643), WLLT-IC (p = .979), and WLRT-IC (p = .387), and AFT (p = .057) were observed.
Conclusion
Calculated bioavailable testosterone presented a significant positive association with processing speed, sustained attention, and working memory in older men above 60 years of age. Further research is warranted to elucidate the impact of the inevitable age-related decline in testosterone on cognitive function in older men.
History
Journal
The journals of gerontology. Series A, Biological sciences and medical sciencesVolume
78Pagination
151-157Location
United StatesPublisher DOI
ISSN
1079-5006eISSN
1758-535XLanguage
EnglishPublication classification
C1 Refereed article in a scholarly journalEditor/Contributor(s)
Lipsitz LAIssue
1Publisher
OXFORD UNIV PRESS INCUsage metrics
Keywords
Science & TechnologyLife Sciences & BiomedicineGeriatrics & GerontologyGerontologyAgingBioavailable testosteroneCognitionDementiaOlder menENDOGENOUS SEX-HORMONESBINDING GLOBULINGROWTH-FACTORAGING MENWOMENAROMATIZATIONPERFORMANCEESTRADIOLDEMENTIASTEROIDSHumansNutrition SurveysTestosteroneCognitive DysfunctionMemory, Short-TermAlzheimer DiseaseBasic Behavioral and Social ScienceBehavioral and Social ScienceNeurosciencesPreventionClinical Sciences not elsewhere classified
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