Prevalencia del síndrome de déficit de testosterona entre varones con disfunción sexual: de la sospecha a la realidad. Un estudio descriptivo transversal / Prevalence of the testosterone deficiency syndrome in males with sexual dysfunction: From suspicion to reality. A descriptive transversal study
Rev. int. androl. (Internet)
; 12(2): 55-63, abr.-jun. 2014.
Article
in Es
| IBECS
| ID: ibc-122532
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
Objetivo:
Analizar la prevalencia del síndrome de déficit de testosterona (SDT) entre varones asistentes a conferencias de la campaña «Los hombres cambian. A partir de los 40 toca revisión», con signos/síntomas sexuales como sospecha. Objetivo secundario analizar la relación del déficit de testosterona con la edad, obesidad, comorbilidades, disfunción eréctil (DE) y síntomas. Presentamos los resultados del estudio piloto. Material ymétodo:
Estudio descriptivo transversal en varones ≥ 18 años. Se recogieron datos antropométricos, clínicos y de laboratorio, incluida la testosterona total. Se valoró la DE mediante el International Index of Erectile Function (IIEF-5) y los síntomas mediante la escala Aging Males Symptoms (AMS). Se calcularonodds ratio para déficit de testosterona (testosterona total ≤ 12 nmol/l) mediante modelos de regresión logística.Resultados:
Participaron 450 varones con una edad media de 54,3 ± 9,3 años. El 53,7% presentaba DE y el 19,8% déficit de testosterona. La prevalencia de SDT bioquímico y sintomático fue del 15%. Presentar obesidad o DE dobló la probabilidad de padecer déficit de testosterona; presentar diabetes, depresión/ansiedad o enfermedad coronaria la triplicó. El déficit de testosterona se relacionó con valores inferiores de colesterol HDL y superiores de glucosa y triglicéridos, puntuaciones superiores global y de subdominios del AMS, y mayor frecuencia de síntomas globales y somáticos. Diez de los 17 síntomas fueron más frecuentes.Conclusión:
La prevalencia de SDT entre varones ≥ 30 años con sospecha de disfunción sexual es del 15%. Ambos, SDT y DE, estaban infradiagnosticados. El déficit de testosterona se relacionó con un peor estado de salud y más sintomatología. Son necesarias campañas de concienciación (AU)ABSTRACT
Objective:
the main objective was to assess the prevalence the testosterone deficiency syndrome (TDS) in males attending conferences included in the campaign «Men change as they age. Over 40 it is time for a check up» based on sexual signs/symptoms as warning signals. The secondary objective was to assess the relationship of testosterone deficiency with age, obesity, co-morbidities, erectile dysfunction (ED) and symptoms. Results of the pilot study are presented. Material andmethod:
descriptive, crossover study among men aged≥18 years. Anthropometric, clinical and laboratory data, including total testosterone values, were collected. The ED and TDS symptoms were assessed using the International Index of Erectile Function (IIEF-5) score and the Aging Males Symptoms (AMS) scale, respectively. Logistic regression analyses were performed to calculate the odds ratio for testosterone deficiency (total testosterone≤12nmol/L).Results:
a total of 450 men participated in the study. Mean age was 54.3±9.3 years, and ED was present in 53.7%. Prevalence of testosterone deficiency was 19.8%, and that of TDS (biochemical and symptomatic) was 15%. Having obesity or ED doubled the likelihood of testosterone deficiency, while diabetes, depression/anxiety or cardiac disease tripled it. Testosterone deficiency was significantly associated with lower HDL-cholesterol, higher fasting glucose and triglyceride values, higher global and sub-domain AMS scores, and the presence of global and somatic symptoms. Ten out of the 17 AMS symptoms were also more prevalent.Conclusion:
prevalence of TDS among men aged ≥30 with a suspicion of sexual dysfunction was 15%. Both TDS and ED were under-diagnosed. Men with testosterone deficiency presented worse health status and more symptoms. Awareness campaigns are needed
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Collection:
06-national
/
ES
Database:
IBECS
Main subject:
Sexual Dysfunction, Physiological
/
Testosterone
Type of study:
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Screening_studies
Aspects:
Patient_preference
Limits:
Humans
/
Male
Language:
Es
Journal:
Rev. int. androl. (Internet)
Year:
2014
Document type:
Article