Objective: To investigate the aging-related changes of reproductive hormones in hyperlipemia men in the urban area of Shijiazhuang and the relationship between the levels of reproductive hormones and that of blood lipid.
Methods: We enrolled 297 males aged 25-65 years in this study, determined the levels of serum total testosterone (TT), luteinizing hormone (LH), follicle-stimulating hormone (FSH), estradiol (E2), prolactin (PRL), triglyeride (TG), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C) and fasting blood glucose (FBG), and compared the parameters among different age groups.
Results: The level of serum TT was decreased while that of FSH increased significantly in the 36-45 years group and that of LH elevated only in the 56-65 years old hyperlipemia males(P<0.05). No statistically significant changes were observed in PRL and E2 among different age groups. Spearman correlation analysis manifested that age was correlated negatively with TT, FSH, and LH (r=-0.266, 0.514, and 0.350, P<0.05), TT weakly negatively with TC and TG (r=-0.215 and -0.286, P<0.05) but weakly positively with HDL-C (r=0.281, P<0.01), and FSH and LH weakly positively with TG (r=0.282 and 0.343, P<0.05). Regression analysis showed age to be an independent influencing factor of TT, FSH and LH, while HDL-C to be that of TT.
Conclusions: The levels of serum TT and FSH gradually change with aging and low TT and high FSH and LH are closely related to hyperlipemia in adult men.
目的: 了解石家庄地区男性高血脂患者血清生殖激素随年龄变化的规律,探讨生殖激素与血脂的关系。方法: 选取25~65岁男性297例,检测血清总睾酮(TT)、黄体生成素(LH)、卵泡刺激素(FSH)、雌二醇(E2)、泌乳素(PRL)和甘油三酯(TG)、胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、空腹血糖(FBG)。结果: TT在36~45岁年龄段起出现明显下降(P<0.05),FSH在36~45岁年龄段起明显升高(P<0.05),高脂组LH水平在56~65岁时明显升高(P<0.05),各年龄组间PRL和E2无明显变化。相关性分析表明,TT、FSH、LH与年龄呈明显相关(r=-0.266,0.514,0.350,P<0.05)。TT与TC、TG呈较弱的负相关(r=-0.215,-0.286,P<0.05),与HDL-C呈较弱的正相关(r=0.281,P<0.01);FSH、LH 与TG呈较弱的正相关(r=0.282,0.343,P<0.05)。回归分析表明,年龄是TT、FSH、LH的独立影响因素,HDL-C是TT的独立影响因素。结论: 成年男性血清 TT、FSH水平随增龄呈现明显梯度性变化,高血脂患者呈现低TT、高FSH、高LH的特点。.
Keywords: age; blood lipid; male; reproductive hormone; testosterone.