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Testosterone Concentration and Incident Depression in Older Men: A Longitudinal Cohort Study
Malcolm Forbes1, Mojtaba Lotfaliany1, Cammie Tran2
1The Institute for Mental and Physical Health and Clinical Translation (IMPACT), School of Medicine, Deakin University, Geelong, Victoria, Australia.
Testosterone levels do not appear to influence the risk of depression in older men. This study found no significant link between testosterone concentrations and the development of depressive symptoms in elderly males.
Area of Science:
- Endocrinology
- Geriatrics
- Psychiatry
Background:
- Testosterone's role in mood regulation is debated.
- Its association with depression in older men requires further investigation.
Purpose of the Study:
- To examine the relationship between serum total testosterone levels and the incidence of depression in elderly men.
- To determine if testosterone concentrations predict the development of depressive symptoms in this demographic.
Main Methods:
- Analysis of data from 4,107 men aged 70+ from the ASPREE and ASPREE-XT studies.
- Measurement of serum total testosterone at baseline and year 3.
- Assessment of depressive symptoms annually using the CES-D-10 scale; incident depression defined as CES-D-10 ≥8.
- Cox proportional hazards regression models used for analysis, adjusted for confounders.
Main Results:
- Over 8.4 years, 1,449 participants developed depression.
- Baseline testosterone levels, continuous or quintile-categorized, showed no significant association with depression risk.
- Changes in testosterone from baseline to year 3 also did not predict incident depression.
- Subgroup analysis in men with hypogonadism found no link to depression.
Conclusions:
- Testosterone concentrations are not associated with the risk of developing depression in older men.
- Testosterone may not be a significant factor in the pathogenesis of depression in this population.
- Individual variability in testosterone's mood impact warrants further research.
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