Reproductive hormones and metabolic syndrome in 24 testicular cancer survivors and their biological brothers
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Reproductive hormones and metabolic syndrome in 24 testicular cancer survivors and their biological brothers. / Bandak, M.; Jorgensen, N.; Juul, A.; Lauritsen, J.; Kier, M. G. G.; Mortensen, M. S.; Oturai, P. S.; Mortensen, J.; Hojman, P.; Helge, J. W.; Daugaard, G.
In: Andrology, Vol. 5, No. 4, 07.2017, p. 718-724.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Reproductive hormones and metabolic syndrome in 24 testicular cancer survivors and their biological brothers
AU - Bandak, M.
AU - Jorgensen, N.
AU - Juul, A.
AU - Lauritsen, J.
AU - Kier, M. G. G.
AU - Mortensen, M. S.
AU - Oturai, P. S.
AU - Mortensen, J.
AU - Hojman, P.
AU - Helge, J. W.
AU - Daugaard, G.
PY - 2017/7
Y1 - 2017/7
N2 - Testicular cancer survivors have impaired gonadal function and increased risk of metabolic syndrome when compared to healthy controls. However, because of the fetal etiology of testicular cancer, familial unrelated healthy men might not be an optimal control group. The objective of this study was to clarify if testicular cancer survivors have impaired gonadal function and increased risk of metabolic syndrome when compared to their biological brothers. A cross-sectional study of testicular cancer survivors (ClinicalTrials.gov number, NCT02240966) was conducted between 2014 and 2016. Of 158 testicular cancer survivors included, 24 had a biological brother who accepted to participate in the study. Serum levels of reproductive hormones and prevalence of metabolic syndrome according to International Diabetes Federation Criteria and National Cholesterol Education Program (Adult Treatment Panel III) criteria comprised the main outcome measures of the study. Median age was similar in testicular cancer survivors and their biological brothers [44 years (IQR 39–50) vs. 46 (40–53) years respectively (p = 0.1)]. In testicular cancer survivors, follow-up since treatment was 12 years (7–19). Serum levels of luteinizing hormone and follicle-stimulating hormone were elevated (p ≤ 0.001), while total testosterone, free testosterone, inhibin B and anti-Müllerian hormone were lower (p ≤ 0.001) in testicular cancer survivors than in their biological brothers. The prevalence of metabolic syndrome was similar and apart from HDL-cholesterol, which was lower in testicular cancer survivors (p = 0.01); there were no differences in the individual components of the metabolic syndrome between testicular cancer survivors and their brothers. In conclusion, gonadal function was impaired in testicular cancer survivors, while we did not detect any difference in the prevalence of metabolic syndrome between testicular cancer survivors and their biological brothers.
AB - Testicular cancer survivors have impaired gonadal function and increased risk of metabolic syndrome when compared to healthy controls. However, because of the fetal etiology of testicular cancer, familial unrelated healthy men might not be an optimal control group. The objective of this study was to clarify if testicular cancer survivors have impaired gonadal function and increased risk of metabolic syndrome when compared to their biological brothers. A cross-sectional study of testicular cancer survivors (ClinicalTrials.gov number, NCT02240966) was conducted between 2014 and 2016. Of 158 testicular cancer survivors included, 24 had a biological brother who accepted to participate in the study. Serum levels of reproductive hormones and prevalence of metabolic syndrome according to International Diabetes Federation Criteria and National Cholesterol Education Program (Adult Treatment Panel III) criteria comprised the main outcome measures of the study. Median age was similar in testicular cancer survivors and their biological brothers [44 years (IQR 39–50) vs. 46 (40–53) years respectively (p = 0.1)]. In testicular cancer survivors, follow-up since treatment was 12 years (7–19). Serum levels of luteinizing hormone and follicle-stimulating hormone were elevated (p ≤ 0.001), while total testosterone, free testosterone, inhibin B and anti-Müllerian hormone were lower (p ≤ 0.001) in testicular cancer survivors than in their biological brothers. The prevalence of metabolic syndrome was similar and apart from HDL-cholesterol, which was lower in testicular cancer survivors (p = 0.01); there were no differences in the individual components of the metabolic syndrome between testicular cancer survivors and their brothers. In conclusion, gonadal function was impaired in testicular cancer survivors, while we did not detect any difference in the prevalence of metabolic syndrome between testicular cancer survivors and their biological brothers.
KW - androgens
KW - genitourinary cancer
KW - metabolic syndrome
U2 - 10.1111/andr.12355
DO - 10.1111/andr.12355
M3 - Journal article
C2 - 28598554
VL - 5
SP - 718
EP - 724
JO - Journal of Andrology
JF - Journal of Andrology
SN - 2047-2919
IS - 4
ER -
ID: 183825135