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Psychosocial Factors and Andropause Symptoms Among Japanese Men: An Internet-Based Cross-Sectional Study
Fumiya Tanji1, Hirohito Nanbu2, Daisaku Nishimoto3
1Department of Nursing, Akita University Graduate School of Health Sciences, Akita, Japan.
American Journal of Men'S Health
|February 13, 2025
Summary
Psychological distress, insomnia, and smoking significantly increase the risk of severe andropause symptoms in men. These factors are crucial for understanding and preventing andropause (Aging Males
Area of Science:
- Men's Health
- Psychosomatic Medicine
- Gerontology
Background:
- Andropause, characterized by a decline in testosterone levels and associated symptoms, affects aging men.
- Psychosocial factors and lifestyle choices are increasingly recognized as potential contributors to andropause symptom severity.
- Understanding these associations is vital for developing targeted interventions and improving quality of life for aging men.
Purpose of the Study:
- To investigate the relationship between psychosocial factors and andropause symptoms in Japanese men.
- To identify lifestyle and psychological factors associated with severe andropause symptoms using the Aging Males' Symptoms (AMS) rating scale.
- To provide insights for the prevention and patient education regarding andropause.
Main Methods:
- An internet-based cross-sectional study (J-MARS) involving 1,489 Japanese men aged 20-69 years.
- Data collection included demographics, medical history, andropause symptoms (AMS scale), lifestyle factors, and psychological distress.
- Multivariate logistic regression analysis was used to identify associated factors with severe andropause symptoms.
Main Results:
- Severe andropause symptoms were present in 8.4% of participants.
- Factors associated with severe symptoms included former/current smoking, strength training (≥1.0 hr/day), probable insomnia, and psychological distress.
- After excluding participants with major diseases, age, absence of a spouse, and suspected insomnia also became significant factors.
Conclusions:
- Psychological stress, insomnia, and smoking habits are strongly associated with severe andropause symptoms.
- Age and marital status also play a role, particularly when certain comorbidities are excluded.
- Findings highlight the importance of addressing psychological well-being, sleep quality, and smoking cessation in managing andropause.
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