Sex hormones and the risk of type 2 diabetes mellitus: A 9‐year follow up among elderly men in Finland
Geriatrics and Gerontology International
Published online on May 29, 2014
Abstract
Aim
To analyze whether sex hormone levels predict the incidence of type2 diabetes among elderly Finnish men.
Methods
This was a prospective population‐based study, with a 9‐year follow up period. The study population in the municipality of Lieto, Finland, consisted of elderly (age ≥64 years) men free of type 2 diabetes at baseline in 1998–1999 (n = 430). Body mass index and cardiovascular disease‐adjusted hazard ratios and their 95% confidence intervals for type 2 diabetes predicted by testosterone, free testosterone, sex hormone‐binding globulin, luteinizing hormone, and testosterone/luteinizing hormone were estimated.
Results
A total of 30 new cases of type 2 diabetes developed during the follow‐up period. After adjustment, only higher levels of testosterone (hazard ratio for one‐unit increase 0.93, 95% confidence interval 0.87–0.99, P = 0.020) and free testosterone (hazard ratio for 10‐unit increase 0.96, 95% confidence interval 0.91–1.00, P = 0.044) were associated with a lower risk of incident type 2 diabetes during the follow up. These associations (0.94, 95% confidence interval 0.87–1.00, P = 0.050 and 0.95, 95% confidence interval 0.90–1.00, P = 0.035, respectively) persisted even after additional adjustment of sex hormone‐binding globulin.
Conclusion
Higher levels of testosterone and free testosterone independently predicted a reduced risk of type 2 diabetes in the elderly men. Geriatr Gerontol Int 2014; ●●: ●●–●●.