{"title":"Certain Metabolic Syndrome Component Combinations are Linked to Increased Risk of Hypogonadism in Taiwanese Men.","authors":"Yu-Han Hong, Kuang-Chen Hung, Chih-Li Lin, Chia-Lien Hung, Shih-Kai Tu, Deng-Ho Yang, Chun-Cheng Liao","doi":"10.2147/DMSO.S483344","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This study examined the association between specific combinations of metabolic syndrome (MS) components and the risk of hypogonadism in Taiwanese men.</p><p><strong>Patients and methods: </strong>We retrospectively analyzed 6,986 men who underwent health screening from 2009 to 2017. MS was defined as meeting at least three of five criteria: waist circumference (W), triglycerides (T), high-density lipoprotein cholesterol (H), fasting glucose (F), and blood pressure (B). Hypogonadism was defined as total testosterone <300 ng/dL. Differences in MS component prevalence between men with and without hypogonadism were compared. Logistic regression adjusted for age and body mass index was used to assess associations.</p><p><strong>Results: </strong>Among all participants, 6,221 (89.0%) had hypogonadism. The prevalence of MS components was significantly higher in this group (p < 0.001). The risk of hypogonadism increased with the number of MS compon ents. Notably, the combinations F-H-W, F-H-B-W, and F-T-H-B-W were associated with significantly higher odds of hypogonadism.</p><p><strong>Conclusion: </strong>Specific MS component combinations are strongly associated with increased hypogonadism risk in Taiwanese men. These findings suggest that MS composition, not just its presence, should be considered in evaluating testosterone deficiency.</p>","PeriodicalId":11116,"journal":{"name":"Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy","volume":"18 ","pages":"1977-1984"},"PeriodicalIF":3.0000,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12182743/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/DMSO.S483344","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: This study examined the association between specific combinations of metabolic syndrome (MS) components and the risk of hypogonadism in Taiwanese men.
Patients and methods: We retrospectively analyzed 6,986 men who underwent health screening from 2009 to 2017. MS was defined as meeting at least three of five criteria: waist circumference (W), triglycerides (T), high-density lipoprotein cholesterol (H), fasting glucose (F), and blood pressure (B). Hypogonadism was defined as total testosterone <300 ng/dL. Differences in MS component prevalence between men with and without hypogonadism were compared. Logistic regression adjusted for age and body mass index was used to assess associations.
Results: Among all participants, 6,221 (89.0%) had hypogonadism. The prevalence of MS components was significantly higher in this group (p < 0.001). The risk of hypogonadism increased with the number of MS compon ents. Notably, the combinations F-H-W, F-H-B-W, and F-T-H-B-W were associated with significantly higher odds of hypogonadism.
Conclusion: Specific MS component combinations are strongly associated with increased hypogonadism risk in Taiwanese men. These findings suggest that MS composition, not just its presence, should be considered in evaluating testosterone deficiency.
期刊介绍:
An international, peer-reviewed, open access, online journal. The journal is committed to the rapid publication of the latest laboratory and clinical findings in the fields of diabetes, metabolic syndrome and obesity research. Original research, review, case reports, hypothesis formation, expert opinion and commentaries are all considered for publication.