PMID- 18594186 OWN - NLM STAT- MEDLINE DCOM- 20080916 LR - 20191110 IS - 1594-0667 (Print) IS - 1594-0667 (Linking) VI - 20 IP - 3 DP - 2008 Jun TI - Free testosterone levels and implications on clinical outcomes in elderly men. PG - 201-6 AB - BACKGROUND AND AIMS: Aging is accompanied by a progressive decline in serum testosterone. Evidence concerning the clinical manifestations of low serum testosterone levels is contradictory. We aimed to examine the age-related decline in testosterone and the possible clinical outcomes, including erectile dysfunction, prostatism, cognitive function, daily life activities, depression, and osteoporosis. METHODS: One hundred and twenty men underwent comprehensive geriatric assessment. Testosterone and free testosterone levels were measured, geriatric assessment scales, International Index of Erectile Function (IIEF) and International Prostate Symptom Scale (IPSS) were performed, and bone mineral densities were determined. RESULTS: The mean age of the 120 men was 73.8+/-5.90. A significant decrease in testosterone and free testosterone levels with increasing age was determined (p=0.021). It was also found that erectile dysfunction, as determined by IIEF (r=0.66, p<0.001), and symptoms of prostatism determined by IPSS (r=-0.23, p=0.016), were significantly associated with low free testosterone levels. Laboratory parameters, obesity, osteoporosis, cognitive function, daily life activities, and cardiovascular diseases were not significantly different between groups with low and normal free testosterone levels. CONCLUSION: Age-related decrease in free testosterone may lead to erectile dysfunction and symptoms of prostatism in elderly men. FAU - Yavuz, Burcu Balam AU - Yavuz BB AD - Division of Geriatric Medicine, Department of Internal Medicine, Hacettepe University, 06100 Sihhiye, Ankara, Turkey. bbdogu@yahoo.com FAU - Ozkayar, Nihal AU - Ozkayar N FAU - Halil, Meltem AU - Halil M FAU - Cankurtaran, Mustafa AU - Cankurtaran M FAU - Ulger, Zekeriya AU - Ulger Z FAU - Tezcan, Engin AU - Tezcan E FAU - Gurlek, Alper AU - Gurlek A FAU - Ariogul, Servet AU - Ariogul S LA - eng PT - Journal Article PL - Germany TA - Aging Clin Exp Res JT - Aging clinical and experimental research JID - 101132995 RN - 3XMK78S47O (Testosterone) SB - IM MH - Aged MH - Erectile Dysfunction/blood MH - *Geriatrics MH - Humans MH - Male MH - Prognosis MH - Sexual Behavior MH - Testosterone/*blood EDAT- 2008/07/03 09:00 MHDA- 2008/09/17 09:00 CRDT- 2008/07/03 09:00 PHST- 2008/07/03 09:00 [pubmed] PHST- 2008/09/17 09:00 [medline] PHST- 2008/07/03 09:00 [entrez] AID - 4658 [pii] AID - 10.1007/BF03324771 [doi] PST - ppublish SO - Aging Clin Exp Res. 2008 Jun;20(3):201-6. doi: 10.1007/BF03324771.