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European Journal of Endocrinology 168: 227–233 · 2013Population decline

A cohort effect on serum testosterone levels in Finnish men

Finnish researchers analysed serum from three population surveys carried out in 1972, 1977 and 2002, covering 3,271 men aged 25–74. Because different birth cohorts could be compared at the same age, the design shows whether each generation starts from a lower baseline than the one before it.

Perheentupa A., Mäkinen J., Laatikainen T. et al.Open the publication DOI: 10.1530/EJE-12-0288

Focus

Generational decline

Published finding

60–69

Source

10.1530/EJE-12-0288

Record

Ref 12

Structured abstract

Method

Finnish researchers analysed serum from three population surveys carried out in 1972, 1977 and 2002, covering 3,271 men aged 25–74. Because different birth cohorts could be compared at the same age, the design shows whether each generation starts from a lower baseline than the one before it.

Result

Men aged 60–69 had 21.9 nmol/L when born 1913–1922, but 13.8 nmol/L when born 1942–1951. The cohort effect covered total testosterone, free testosterone, SHBG and gonadotrophins. The decline remained significant after adjustment for BMI. Gonadotrophin levels were also lower, so the pituitary is not compensating for the fall.

What to take with you

Men aged 60–69 born 1913–22 measured 21.9 nmol/L. The same age born 1942–51 measured 13.8. Gonadotrophins did not rise to compensate.

Why it matters

Same age, different birth years: 60–69-year-olds born 1913–22 measured 21.9 nmol/L; those born 1942–51 measured 13.8.

Study frame

Generational decline

Finnish researchers analysed serum from three population surveys carried out in 1972, 1977 and 2002, covering 3,271 men aged 25–74. Because different birth cohorts could be compared at the same age, the design shows whether each generation starts from a lower baseline than the one before it.

Finding

Men aged 60–69 had 21.9 nmol/L when born 1913–1922, but 13.8 nmol/L when born 1942–1951.

Contrast

The cohort effect covered total testosterone, free testosterone, SHBG and gonadotrophins.

Context

The decline remained significant after adjustment for BMI.

DOI

10.1530/EJE-12-0288

Category

Generational decline

Findings listed

4

Type

As published

What to take from the numbers

Boxes below use only wording already in the published summary for this study.

Reported finding

60–69

Men aged 60–69 had 21.9 nmol/L when born 1913–1922, but 13.8 nmol/L when born 1942–1951.

Reported finding

2

The cohort effect covered total testosterone, free testosterone, SHBG and gonadotrophins.

Reported finding

3

The decline remained significant after adjustment for BMI.

The study documents the trend but, as the authors state plainly, offers no explanation for why it is happening.

Why it matters when reading your own result

Pulled from the study's own findings.

Men aged 60–69 had 21.9 nmol/L when born 1913–1922, but 13.8 nmol/L when born 1942–1951.

Generational decline

The cohort effect covered total testosterone, free testosterone, SHBG and gonadotrophins.

Generational decline

The decline remained significant after adjustment for BMI.

Generational decline

Clinical reading

How to use this page

Finnish researchers analysed serum from three population surveys carried out in 1972, 1977 and 2002, covering 3,271 men aged 25–74. Because different birth cohorts could be compared at the same age, the design shows whether each generation starts from a lower baseline than the one before it.

Your own numbers

Measure before you decide what this page means for you.

The figures here describe men who were actually measured.

  • Total testosterone and SHBG
  • Symptoms written down
  • Haematocrit as a safety baseline
  • Repeat labs before any protocol change