{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T21:12:16Z","timestamp":1768770736153,"version":"3.49.0"},"reference-count":43,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2011,5,13]],"date-time":"2011-05-13T00:00:00Z","timestamp":1305244800000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2011,5]]},"abstract":"<jats:p>\n                    <jats:bold>OBJECTIVES:<\/jats:bold>\n                    To explore the associations between frailty and reproductive axis hormones (as an important regulatory system) in middle aged and older men.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>DESIGN:<\/jats:bold>\n                    Cross\u2010sectional.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>SETTING:<\/jats:bold>\n                    The European Male Aging Study.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>PARTICIPANTS:<\/jats:bold>\n                    Three thousand two hundred nineteen community\u2010dwelling European men aged 40 to 79.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>MEASUREMENTS:<\/jats:bold>\n                    Interviewer\u2010assisted questionnaires to assess physical activity, health status, and mood were administered. Testosterone (T), luteinizing hormone (LH), follicle\u2010stimulating hormone (FSH), dehydroepiandrosterone sulfate (DHEAS), and sex hormone\u2013binding globulin (SHBG) were measured in a fasting morning blood sample. Frailty was assessed as an index (FI) according to the number (out of 43 possible) of health deficits (symptoms, signs, and functional impairments). Relationships between FI and hormone levels (as outcomes) were explored using regression models.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>RESULTS:<\/jats:bold>\n                    Mean FI was 0.12 \u00b1 0.11 (range 0\u20130.67) was highest in the oldest group. After adjustment for confounders, higher levels of FI were significantly associated with lower levels of total T, free T, and DHEAS and higher levels of gonadotropins and SHBG; a 1\u2010standard deviation cross\u2010sectional increase in FI was associated with a regression coefficient of \u22120.30\u2003nmol\/L (95% confidence interval (CI)=\u22120.53 to \u22120.07) decrease in total T and 0.66\u2003U\/L (95% CI=0.48\u20130.83) increase in LH.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>CONCLUSIONS:<\/jats:bold>\n                    The associations between high FI, high gonadotropins, and well\u2010maintained circulating T suggest that these changes are markers of aging\u2010related disruptions of multiple physiological regulation, of which alterations in pituitary\u2013testicular function represent a sensitive marker rather than an underlying pathogenic mechanism for frailty.\n                  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