Relationship Between Gonadal Function and Cardiometabolic Risk in Young Men with Chronic Spinal Cord Injury. (Record no. 2616)

MARC details
000 -LEADER
fixed length control field 03956nam a22004577a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 170829s20172017 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1934-1482
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 28827206
245 ## - TITLE STATEMENT
Title Relationship Between Gonadal Function and Cardiometabolic Risk in Young Men with Chronic Spinal Cord Injury.
251 ## - Source
Source Pm & R. , 2017 Aug 18
252 ## - Abbreviated Source
Abbreviated source PM R. , 2017 Aug 18
252 ## - Abbreviated Source
Former abbreviated source Replace date, check 856
253 ## - Journal Name
Journal name PM & R : the journal of injury, function, and rehabilitation
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2017
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2018
266 ## - Date added to catalog
Date added to catalog 2017-08-29
520 ## - SUMMARY, ETC.
Abstract BACKGROUND: We previously reported that young men with chronic spinal cord injury (SCI) have a higher prevalence of testosterone deficiency when compared to an age-matched healthy control population. Young men with SCI are also at increased risk for developing cardiometabolic dysfunction after injury. It is unclear whether or not testosterone deficiency is associated with heightened cardiometabolic risk in men with SCI.
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Abstract CONCLUSIONS: In young men with chronic SCI, who undergo an accelerated aging process post-injury, hypogonadism is associated with an unfavorable cardiometabolic risk profile. Further research is needed to determine if a causal relationship exists between hypogonadism and heightened cardiometabolic risk in men with SCI, and whether routine screening for testosterone deficiency is warranted in this population. Copyright (c) 2017 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.
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Abstract DESIGN: Secondary cross-sectional analysis.
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Abstract MAIN OUTCOME MEASUREMENTS: Surrogate markers of cardiometabolic risk among men based on the level of total testosterone (TT)(<=300, 301-500, or >500 ng/dL) and free testosterone (fT) (<=9 or >9 ng/dL). Comparisons were made between men with normal and low TT or fT.
520 ## - SUMMARY, ETC.
Abstract METHODS: Plasma concentrations of testosterone, lipids, inflammatory markers (CRP and IL-6), HbA1C%, glucose, and insulin were measured in a fasting state using standard assays. A two-hour oral glucose tolerance test (OGTT) and Framingham Risk Score (FRS) were assessed for each subject. Body composition was assessed by DXA scan.
520 ## - SUMMARY, ETC.
Abstract OBJECTIVE: To investigate associations among levels of testosterone in young men with chronic SCI and surrogate markers of cardiometabolic risk.
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Abstract PARTICIPANTS: Men (n=58) aged 18-45 with chronic (>=1 year), motor complete SCI without co-morbidities or use of testosterone therapy.
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Abstract RESULTS: FRS was significantly higher in men with low fT (P<.05). Percent body fat (P<.05) and waist-to-hip ratio (P<.05), but not body mass index (BMI) (P>.08), were higher in men with low TT or low fT. Men with low TT or low fT had lower high density lipoprotein cholesterol (HDL) levels (P<.05) without differences in fasting triglycerides (P>.1) or low density lipoprotein cholesterol (LDL) (P>.07). Men with low TT had higher levels of inflammatory markers CRP (P<.05) and IL-6 (P<.05). Men with low TT or low fT had higher fasting glucose (P<.05) and greater insulin resistance (P<.04), without differences in HbA1C% (P>.8).
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Abstract SETTING: Rehabilitation research centers in Washington, DC, and Miami, Florida, USA.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar National Rehabilitation Network
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Medicine/Endocrinology
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Department Physical Medicine and Rehabilitation
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
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Local Authors Groah, Suzanne L
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Local Authors Sullivan, Shannon D
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Local Authors Tefera, Eshetu
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Local Authors Tinsley, Emily
790 ## - Authors
All authors Groah S, Nash MS, Sullivan SD, Tefara E, Tinsley E
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.pmrj.2017.08.404">https://dx.doi.org/10.1016/j.pmrj.2017.08.404</a>
Public note https://dx.doi.org/10.1016/j.pmrj.2017.08.404
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 08/29/2017   28827206 28827206 08/29/2017 08/29/2017 Journal Article

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