PMID- 34613412 OWN - NLM STAT- MEDLINE DCOM- 20220411 LR - 20220614 IS - 1753-4887 (Electronic) IS - 0029-6643 (Linking) VI - 80 IP - 5 DP - 2022 Apr 8 TI - Examining the effects of calorie restriction on testosterone concentrations in men: a systematic review and meta-analysis. PG - 1222-1236 LID - 10.1093/nutrit/nuab072 [doi] AB - CONTEXT: Testosterone concentrations decline with age, and lower testosterone concentrations are associated with several morbidities, including sexual dysfunction, obesity, type 2 diabetes mellitus (T2DM), and metabolic syndrome. OBJECTIVE: Because dietary habits play a critical role in weight regulation and T2DM management, the aim of this systematic review and meta-analysis was to summarize and critically evaluate the evidence from randomized controlled trials to determine the effects of calorie restriction (CR) on testosterone concentrations in men. DATA SOURCES: A literature search was conducted across 4 databases, from their inception until March 2020. DATA EXTRACTION: The screening and data extraction were completed by 2 authors independently, and in a blinded manner, according to a priori inclusion and exclusion criteria. DATA ANALYSIS: Of the 4198 studies identified from the initial search, 7 randomized controlled trials were included for data extraction. Significant increases in total testosterone concentrations were reported in 3 of 4 studies in which CR was examined with overweight or obese men, compared with the control groups. Significant decreases in total testosterone concentrations were reported in 2 of 3 studies in which the effects of CR were examined with normal-weight, healthy men, compared with the control groups. In all 4 studies that examined the effect of CR on sex hormone-binding globulin concentrations, the intervention significantly increased sex hormone-binding globulin concentrations compared with that of the control groups irrespective of body composition. CONCLUSION: This systematic review and meta-analysis provide some evidence that CR affects testosterone concentrations in men and this effect depends on their body mass index. PROSPERO registration no. CRD42020173102. CI - (c) The Author(s) 2021. Published by Oxford University Press on behalf of the International Life Sciences Institute. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Smith, Stephen J AU - Smith SJ AUID- ORCID: 0000-0002-3875-4815 AD - Clinical Research Australia, Perth, Western Australia, Australia. AD - College of Science, Health, Engineering and Education, Murdoch University, Perth, Western Australia, Australia. FAU - Teo, Shaun Y M AU - Teo SYM AD - College of Science, Health, Engineering and Education, Murdoch University, Perth, Western Australia, Australia. FAU - Lopresti, Adrian L AU - Lopresti AL AD - Clinical Research Australia, Perth, Western Australia, Australia. AD - College of Science, Health, Engineering and Education, Murdoch University, Perth, Western Australia, Australia. FAU - Heritage, Brody AU - Heritage B AD - College of Science, Health, Engineering and Education, Murdoch University, Perth, Western Australia, Australia. FAU - Fairchild, Timothy J AU - Fairchild TJ AD - College of Science, Health, Engineering and Education, Murdoch University, Perth, Western Australia, Australia. LA - eng PT - Journal Article PT - Meta-Analysis PT - Systematic Review PL - United States TA - Nutr Rev JT - Nutrition reviews JID - 0376405 RN - 0 (Sex Hormone-Binding Globulin) RN - 3XMK78S47O (Testosterone) SB - IM MH - Caloric Restriction MH - *Diabetes Mellitus, Type 2/epidemiology/prevention & control MH - Humans MH - Male MH - Obesity MH - Overweight MH - *Sex Hormone-Binding Globulin/analysis/metabolism MH - Testosterone OTO - NOTNLM OT - SHBG OT - calorie restriction OT - male OT - sex hormone-binding globulin OT - testosterone EDAT- 2021/10/07 06:00 MHDA- 2022/04/12 06:00 CRDT- 2021/10/06 12:30 PHST- 2021/10/07 06:00 [pubmed] PHST- 2022/04/12 06:00 [medline] PHST- 2021/10/06 12:30 [entrez] AID - 6382256 [pii] AID - 10.1093/nutrit/nuab072 [doi] PST - ppublish SO - Nutr Rev. 2022 Apr 8;80(5):1222-1236. doi: 10.1093/nutrit/nuab072.