PMID- 25270590 OWN - NLM STAT- MEDLINE DCOM- 20150622 LR - 20231110 IS - 2047-2927 (Electronic) IS - 2047-2919 (Print) IS - 2047-2919 (Linking) VI - 2 IP - 6 DP - 2014 Nov TI - Association of serum inorganic phosphate with sex steroid hormones and vitamin D in a nationally representative sample of men. PG - 967-76 LID - 10.1111/andr.285 [doi] AB - Defects in bone regulatory pathways have been linked to chronic diseases including cardiovascular disease and cancer. In men, a link between bone metabolism and gonadal hormones has been suggested. However, to date, there is lack of evidence on the association between serum inorganic phosphate (Pi) and sex steroid hormones. The objective of this study was to investigate the association between Pi, sex steroid hormones and a known Pi metabolic regulator, vitamin D, in men in the National Health and Nutrition Examination Survey III (NHANES III). From NHANES III, we selected 1412 men aged 20+ who participated in the morning session of Phase I (1988-1991) with serum measurements of Pi, sex hormones, and vitamin D. Multivariable linear regression was used to calculate crude and geometric mean Pi by total and estimated free testosterone and estradiol, sex hormone-binding globulin, androstanediol glucuronide (AAG), and vitamin D. Similar analyses were performed while stratifying by race/ethnicity and vitamin D levels. We found a lack of statistically significant difference in geometric means of Pi across quintiles of concentrations of sex hormones, indicating a tight regulation of Pi. However, Pi levels were inversely associated with calculated free testosterone in non-Hispanic black men, with geometric mean levels of Pi of 1.16 and 1.02 ng/mL for those in the lowest and highest quintiles of free testosterone, respectively (p-trend < 0.05). A similar but weaker pattern was seen between total testosterone and Pi. An inverse association was also seen between AAG and Pi in men with vitamin D concentration below the median (<24.2 ng/mL). No associations were observed among men with vitamin D levels at or above the median. Our findings suggest a weak link among sex hormones, vitamin D, and Pi in men. The observed effects of race/ethnicity and vitamin D indicate a complex association involving various regulators of Pi homeostasis. CI - (c) 2014 American Society of Andrology and European Academy of Andrology. FAU - Wulaningsih, W AU - Wulaningsih W AD - Cancer Epidemiology Unit, Division of Cancer Studies, King's College London, School of Medicine, London, UK. FAU - Van Hemelrijck, M AU - Van Hemelrijck M FAU - Michaelsson, K AU - Michaelsson K FAU - Kanarek, N AU - Kanarek N FAU - Nelson, W G AU - Nelson WG FAU - Ix, J H AU - Ix JH FAU - Platz, E A AU - Platz EA FAU - Rohrmann, S AU - Rohrmann S LA - eng GR - P30 CA006973/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141001 PL - England TA - Andrology JT - Andrology JID - 101585129 RN - 0 (Gonadal Steroid Hormones) RN - 0 (Phosphates) RN - 1406-16-2 (Vitamin D) SB - IM MH - Gonadal Steroid Hormones/*blood MH - Humans MH - Male MH - Middle Aged MH - Nutrition Surveys MH - Phosphates/*blood MH - Switzerland MH - Vitamin D/*blood PMC - PMC4324600 MID - NIHMS660078 OTO - NOTNLM OT - cross-sectional studies OT - gonadal steroid hormones OT - serum inorganic phosphate COIS- CONFLICT OF INTERESTS None declared. EDAT- 2014/10/02 06:00 MHDA- 2015/06/24 06:00 PMCR- 2015/02/11 CRDT- 2014/10/02 06:00 PHST- 2014/04/24 00:00 [received] PHST- 2014/08/31 00:00 [revised] PHST- 2014/09/01 00:00 [accepted] PHST- 2014/10/02 06:00 [entrez] PHST- 2014/10/02 06:00 [pubmed] PHST- 2015/06/24 06:00 [medline] PHST- 2015/02/11 00:00 [pmc-release] AID - 10.1111/andr.285 [doi] PST - ppublish SO - Andrology. 2014 Nov;2(6):967-76. doi: 10.1111/andr.285. Epub 2014 Oct 1.