PMID- 12637255 OWN - NLM STAT- MEDLINE DCOM- 20030718 LR - 20220310 IS - 0193-1849 (Print) IS - 0193-1849 (Linking) VI - 285 IP - 1 DP - 2003 Jul TI - Androgen therapy improves muscle mass and strength but not muscle quality: results from two studies. PG - E16-24 AB - The relationship of strength to muscle area was used to assess change in muscle quality after anabolic interventions. Study 1: asymptomatic human immunodeficiency virus-positive men (39 +/- 9 yr) were randomized to nandrolone (600 mg/wk) +/- resistance training (RT). Study 2: older healthy men (72 +/- 5 yr) were randomized to oxandrolone (20 mg/day) or placebo. Maximum voluntary strength was determined by the 1-repetition maximum (1-RM) method for leg press, flexion and extension, and cross-sectional area of leg muscles by MRI. From study week 0 to study week 12, muscle quality was unchanged with nandrolone, oxandrolone, or oxandrolone placebo, respectively, for total thigh muscles (1.23 +/- 0.012 vs. 1.27 +/- 0.29 kg/cm2; 9.0 +/- 1.1 vs. 8.9 +/- 1.2 N/cm2; 8.9 +/- 1.2 vs. 8.9 +/- 1.9 N/cm2) and hamstrings (0.41 +/- 0.08 vs. 0.43 +/- 0.07 kg/cm2; 0.90 +/- 0.14 vs. 0.95 +/- 0.016 N/cm2; 0.94 +/- 0.23 vs. 0.93 +/- 0.21 N/cm2). Lower-extremity 1-RM strength increased several times greater with RT+nandrolone (51-63% increases) than with nandrolone alone (4.7-16%), despite similar increases in muscle area; therefore, muscle quality increased from 1.13 +/- 0.17 to 1.51 +/- 0.18 kg/cm2 (+36 +/- 19%; P < 0.001) for total thigh muscle, 0.37 +/- 0.10 to 0.53 +/- 0.08 kg/cm2 (+49 +/- 39%; P < 0.001) for hamstrings, and 0.73 +/- 0.19 to 1.07 +/- 0.16 kg/cm2 (+55 +/- 36%; P < 0.001) for quadriceps. Thus androgen therapy alone did not improve muscle quality, but the addition of RT to nandrolone produced substantive improvements. FAU - Schroeder, E Todd AU - Schroeder ET AD - Division of Infectious Diseases, Department of Medicine, Keck School of Medicine, University of Southern California, Los Angeles 90033, USA. FAU - Terk, Michael AU - Terk M FAU - Sattler, Fred R AU - Sattler FR LA - eng GR - DK-49308/DK/NIDDK NIH HHS/United States GR - M01 RR-43/RR/NCRR NIH HHS/United States PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, P.H.S. DEP - 20030311 PL - United States TA - Am J Physiol Endocrinol Metab JT - American journal of physiology. Endocrinology and metabolism JID - 100901226 RN - 0 (Anabolic Agents) RN - 0 (Androgens) RN - 6PG9VR430D (Nandrolone) RN - 7H6TM3CT4L (Oxandrolone) RN - H45187T098 (Nandrolone Decanoate) SB - IM MH - Aged MH - Aged, 80 and over MH - Anabolic Agents/adverse effects/therapeutic use MH - Androgens/adverse effects/*therapeutic use MH - Body Composition/drug effects MH - HIV Seropositivity/pathology MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Muscle, Skeletal/*drug effects/growth & development/*physiology MH - Nandrolone/adverse effects/*analogs & derivatives/therapeutic use MH - Nandrolone Decanoate MH - Organ Size/drug effects MH - Oxandrolone/adverse effects/therapeutic use MH - Physical Fitness MH - Prospective Studies EDAT- 2003/03/15 04:00 MHDA- 2003/07/19 05:00 CRDT- 2003/03/15 04:00 PHST- 2003/03/15 04:00 [pubmed] PHST- 2003/07/19 05:00 [medline] PHST- 2003/03/15 04:00 [entrez] AID - 00032.2003 [pii] AID - 10.1152/ajpendo.00032.2003 [doi] PST - ppublish SO - Am J Physiol Endocrinol Metab. 2003 Jul;285(1):E16-24. doi: 10.1152/ajpendo.00032.2003. Epub 2003 Mar 11.