Testosterone replacement therapy in older male subjective memory complainers: Double-blind randomized crossover placebo-controlled clinical trial of physiological assessment and safety

© 2015 Bentham Science Publishers. Testosterone replacement therapy (TRT) has been investigated in older men as a preventative treatment against Alzheimer’s disease and dementia. However, previous studies have been contradictory. We assessed TRT physiological effects in 44 older men (aged 61 ± 7.7 y...

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Main Authors: Asih, P., Wahjoepramono, E., Aniwiyanti, V., Wijaya, L., De Ruyck, K., Taddei, K., Fuller, S., Sohrabi, H., Dhaliwal, S., Verdile, Giuseppe, Carruthers, M., Martins, R.
Format: Journal Article
Published: Bentham Science Publishers B.V. 2015
Online Access:http://hdl.handle.net/20.500.11937/40543
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author Asih, P.
Wahjoepramono, E.
Aniwiyanti, V.
Wijaya, L.
De Ruyck, K.
Taddei, K.
Fuller, S.
Sohrabi, H.
Dhaliwal, S.
Verdile, Giuseppe
Carruthers, M.
Martins, R.
author_facet Asih, P.
Wahjoepramono, E.
Aniwiyanti, V.
Wijaya, L.
De Ruyck, K.
Taddei, K.
Fuller, S.
Sohrabi, H.
Dhaliwal, S.
Verdile, Giuseppe
Carruthers, M.
Martins, R.
author_sort Asih, P.
building Curtin Institutional Repository
collection Online Access
description © 2015 Bentham Science Publishers. Testosterone replacement therapy (TRT) has been investigated in older men as a preventative treatment against Alzheimer’s disease and dementia. However, previous studies have been contradictory. We assessed TRT physiological effects in 44 older men (aged 61 ± 7.7 years) with subjective memory complaints using a double blind, randomized, crossover, placebo-controlled study. Participants were randomized into 2 groups, one group received transdermal testosterone (50 mg) daily for 24 weeks, followed by a 4 week wash-out period, then 24 weeks of placebo; the other group received the reverse treatment. Blood evaluation revealed significant increases in total testosterone, free (calculated) testosterone, dihydrotestosterone, and a decrease in luteinizing hormone levels (p<0.001) following TRT. Although there were significant increases in red blood cell counts, hemoglobin and prostate specific antigen levels following TRT, they remained within normal ranges. No significant differences in plasma amyloid beta, estradiol, sex hormone binding globulin, insulin levels, body fat percentage, or body mass index were detected. This is the first carefully controlled study that has investigated the influence of TRT in Indonesian men on blood biomarkers linked to dementia risk. Our study suggests TRT is safe and well-tolerated in this Indonesian cohort, yet longitudinal studies with larger cohorts are needed to assess TRT further, and to establish whether TRT reduces dementia risk.
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publishDate 2015
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spelling curtin-20.500.11937-405432017-01-30T14:43:53Z Testosterone replacement therapy in older male subjective memory complainers: Double-blind randomized crossover placebo-controlled clinical trial of physiological assessment and safety Asih, P. Wahjoepramono, E. Aniwiyanti, V. Wijaya, L. De Ruyck, K. Taddei, K. Fuller, S. Sohrabi, H. Dhaliwal, S. Verdile, Giuseppe Carruthers, M. Martins, R. © 2015 Bentham Science Publishers. Testosterone replacement therapy (TRT) has been investigated in older men as a preventative treatment against Alzheimer’s disease and dementia. However, previous studies have been contradictory. We assessed TRT physiological effects in 44 older men (aged 61 ± 7.7 years) with subjective memory complaints using a double blind, randomized, crossover, placebo-controlled study. Participants were randomized into 2 groups, one group received transdermal testosterone (50 mg) daily for 24 weeks, followed by a 4 week wash-out period, then 24 weeks of placebo; the other group received the reverse treatment. Blood evaluation revealed significant increases in total testosterone, free (calculated) testosterone, dihydrotestosterone, and a decrease in luteinizing hormone levels (p<0.001) following TRT. Although there were significant increases in red blood cell counts, hemoglobin and prostate specific antigen levels following TRT, they remained within normal ranges. No significant differences in plasma amyloid beta, estradiol, sex hormone binding globulin, insulin levels, body fat percentage, or body mass index were detected. This is the first carefully controlled study that has investigated the influence of TRT in Indonesian men on blood biomarkers linked to dementia risk. Our study suggests TRT is safe and well-tolerated in this Indonesian cohort, yet longitudinal studies with larger cohorts are needed to assess TRT further, and to establish whether TRT reduces dementia risk. 2015 Journal Article http://hdl.handle.net/20.500.11937/40543 Bentham Science Publishers B.V. restricted
spellingShingle Asih, P.
Wahjoepramono, E.
Aniwiyanti, V.
Wijaya, L.
De Ruyck, K.
Taddei, K.
Fuller, S.
Sohrabi, H.
Dhaliwal, S.
Verdile, Giuseppe
Carruthers, M.
Martins, R.
Testosterone replacement therapy in older male subjective memory complainers: Double-blind randomized crossover placebo-controlled clinical trial of physiological assessment and safety
title Testosterone replacement therapy in older male subjective memory complainers: Double-blind randomized crossover placebo-controlled clinical trial of physiological assessment and safety
title_full Testosterone replacement therapy in older male subjective memory complainers: Double-blind randomized crossover placebo-controlled clinical trial of physiological assessment and safety
title_fullStr Testosterone replacement therapy in older male subjective memory complainers: Double-blind randomized crossover placebo-controlled clinical trial of physiological assessment and safety
title_full_unstemmed Testosterone replacement therapy in older male subjective memory complainers: Double-blind randomized crossover placebo-controlled clinical trial of physiological assessment and safety
title_short Testosterone replacement therapy in older male subjective memory complainers: Double-blind randomized crossover placebo-controlled clinical trial of physiological assessment and safety
title_sort testosterone replacement therapy in older male subjective memory complainers: double-blind randomized crossover placebo-controlled clinical trial of physiological assessment and safety
url http://hdl.handle.net/20.500.11937/40543