PMID- 21039324 OWN - NLM STAT- MEDLINE DCOM- 20111227 LR - 20131121 IS - 1473-0790 (Electronic) IS - 1368-5538 (Linking) VI - 14 IP - 3 DP - 2011 Sep TI - Low total testosterone is associated with increased risk of incident type 2 diabetes mellitus in men: results from the Study of Health in Pomerania (SHIP). PG - 168-75 LID - 10.3109/13685538.2010.524955 [doi] AB - OBJECTIVE: There is increasing evidence suggesting that low total testosterone concentration is associated with incident type 2 diabetes mellitus (T2DM) in men. The aim of this study was to evaluate the association between total testosterone and incident T2DM in a large population-based cohort. METHODS: Of 2117 men at baseline, 1589 were followed up 5 years later. Low total testosterone concentration at baseline determined by <10th percentile (10-year age-strata) were used as a risk factor for incident T2DM at follow-up. To evaluate for potential non-response bias, drop out weights were used in sensitivity analysis. RESULTS: From 1339 men eligible for analyses, 68 (5.1%) developed T2DM. Men with low total testosterone concentration had an increased risk of developing T2DM (odds ratio [OR] 3.4, 95% CI 1.9-6.1), even after adjustment for age, waist circumference and smoking, OR 3.0; (95% CI 1.6-5.7). Recalculated weighted models revealed almost identical estimates indicating no relevant non-response bias. DISCUSSION: Our prospective findings suggest that low total testosterone concentration is associated with incident T2DM in men and might represent a biomarker that might causally be involved in the risk of T2DM. This underlines the importance of measuring total testosterone in men as the predominant male sex hormone. FAU - Schipf, Sabine AU - Schipf S AD - Institute of Clinical Chemistry and Laboratory Medicine, Ernst Moritz Arndt-University Greifswald, Germany. sabine.schipf@uni-greifswald.de FAU - Haring, Robin AU - Haring R FAU - Friedrich, Nele AU - Friedrich N FAU - Nauck, Matthias AU - Nauck M FAU - Lau, Katharina AU - Lau K FAU - Alte, Dietrich AU - Alte D FAU - Stang, Andreas AU - Stang A FAU - Volzke, Henry AU - Volzke H FAU - Wallaschofski, Henri AU - Wallaschofski H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20101102 PL - England TA - Aging Male JT - The aging male : the official journal of the International Society for the Study of the Aging Male JID - 9808210 RN - 0 (Blood Glucose) RN - 0 (Cholesterol, HDL) RN - 0 (Cholesterol, LDL) RN - 3XMK78S47O (Testosterone) SB - IM MH - Adult MH - Aged MH - Blood Glucose/analysis MH - Body Mass Index MH - Cholesterol, HDL/blood MH - Cholesterol, LDL/blood MH - *Diabetes Mellitus, Type 2/epidemiology/metabolism MH - Follow-Up Studies MH - Germany/epidemiology MH - Humans MH - Incidence MH - Male MH - Middle Aged MH - Motor Activity MH - Odds Ratio MH - Risk Factors MH - *Testosterone/analysis/blood MH - Waist Circumference EDAT- 2010/11/03 06:00 MHDA- 2011/12/28 06:00 CRDT- 2010/11/03 06:00 PHST- 2010/11/03 06:00 [entrez] PHST- 2010/11/03 06:00 [pubmed] PHST- 2011/12/28 06:00 [medline] AID - 10.3109/13685538.2010.524955 [doi] PST - ppublish SO - Aging Male. 2011 Sep;14(3):168-75. doi: 10.3109/13685538.2010.524955. Epub 2010 Nov 2.