PMID- 21353258 OWN - NLM STAT- MEDLINE DCOM- 20110926 LR - 20221207 IS - 1532-8600 (Electronic) IS - 0026-0495 (Print) IS - 0026-0495 (Linking) VI - 60 IP - 8 DP - 2011 Aug TI - Bioactive androgens and glucuronidated androgen metabolites are associated with subcutaneous and ectopic skeletal muscle adiposity among older black men. PG - 1178-85 LID - 10.1016/j.metabol.2010.12.014 [doi] AB - Aging is associated with declining serum levels of androgenic hormones and with increased skeletal muscle fat infiltration, an emerging risk factor for type 2 diabetes mellitus (T2DM). Androgens regulate fat mass and glucose homeostasis, but the effect of androgenic hormones on skeletal muscle fat infiltration is largely unknown. Thus, the aim of the current study was to examine the association of serum androgens and their precursors and metabolites with skeletal muscle fat infiltration and T2DM in a black male population group at high risk of T2DM. Serum androgens, estrogens, and androgen precursors and metabolites were measured using mass spectrometry; and calf skeletal muscle fat distribution (subcutaneous and intermuscular fat; skeletal muscle density) was measured using quantitative computed tomography in 472 Afro-Caribbean men 65 years and older. Bioactive androgens, testosterone, free testosterone, and dihydrotestosterone were associated with less skeletal muscle fat infiltration (r = -0.14 to -0.18, P < .05) and increased skeletal muscle density (r = 0.10 to 0.14, P < .05), independent of total adiposity. In addition, glucuronidated androgen metabolites were associated with less subcutaneous fat (r = -0.11 to -0.15, P < .05). Multivariate logistic regression analysis identified an increased level of 3alpha-diol-3 glucuronide (odds ratio = 1.38, P < .01) and a decreased level of dihydrotestosterone (odds ratio = 0.66, P < .01) to be significantly associated with T2DM. Our findings suggest that, in elderly black men, independent of total adiposity, bioactive androgens and glucuronidated androgen metabolites may play previously unrecognized role in skeletal muscle fat distribution. Longitudinal studies are needed to further evaluate the relationship between androgens and androgen metabolites with changes in skeletal muscle fat distribution with aging and the incidence of T2DM. CI - Copyright (c) 2011 Elsevier Inc. All rights reserved. FAU - Miljkovic, Iva AU - Miljkovic I AD - Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA. miljkovici@edc.pitt.edu FAU - Cauley, Jane A AU - Cauley JA FAU - Dressen, Amy S AU - Dressen AS FAU - Gordon, Christopher L AU - Gordon CL FAU - Goodpaster, Bret H AU - Goodpaster BH FAU - Kuller, Lewis H AU - Kuller LH FAU - Bunker, Clareann H AU - Bunker CH FAU - Patrick, Alan L AU - Patrick AL FAU - Wheeler, Victor W AU - Wheeler VW FAU - Orwoll, Eric S AU - Orwoll ES FAU - Zmuda, Joseph M AU - Zmuda JM LA - eng GR - P30 AG024827/AG/NIA NIH HHS/United States GR - R01AR049747/AR/NIAMS NIH HHS/United States GR - K01DK083029/DK/NIDDK NIH HHS/United States GR - K01 DK083029/DK/NIDDK NIH HHS/United States GR - R01 AR049747-01A1/AR/NIAMS NIH HHS/United States GR - R01 AR049747/AR/NIAMS NIH HHS/United States GR - K01 DK083029-02/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20110225 PL - United States TA - Metabolism JT - Metabolism: clinical and experimental JID - 0375267 RN - 0 (Androgens) SB - IM MH - Adiposity/*physiology MH - Aged MH - Aged, 80 and over MH - Aging/*metabolism MH - Androgens/*metabolism MH - Black People MH - Body Composition/physiology MH - Body Mass Index MH - Humans MH - Insulin Resistance/physiology MH - Male MH - Muscle, Skeletal/*metabolism MH - Overweight/metabolism MH - Trinidad and Tobago PMC - PMC3106138 MID - NIHMS263916 COIS- Conflict of interest: CL Gordon has received a consulting fee for reading of the pQCT scans. Other authors have nothing to disclose. EDAT- 2011/03/01 06:00 MHDA- 2011/09/29 06:00 PMCR- 2012/08/01 CRDT- 2011/03/01 06:00 PHST- 2010/09/27 00:00 [received] PHST- 2010/12/15 00:00 [revised] PHST- 2010/12/27 00:00 [accepted] PHST- 2011/03/01 06:00 [entrez] PHST- 2011/03/01 06:00 [pubmed] PHST- 2011/09/29 06:00 [medline] PHST- 2012/08/01 00:00 [pmc-release] AID - S0026-0495(11)00002-3 [pii] AID - 10.1016/j.metabol.2010.12.014 [doi] PST - ppublish SO - Metabolism. 2011 Aug;60(8):1178-85. doi: 10.1016/j.metabol.2010.12.014. Epub 2011 Feb 25.