Journal article

Effect of Testosterone Treatment on Bone Microarchitecture and Bone Mineral Density in Men: A 2-Year RCT

M Ng Tang Fui, R Hoermann, K Bracken, DJ Handelsman, WJ Inder, BGA Stuckey, BB Yeap, A Ghasem-Zadeh, KP Robledo, D Jesudason, JD Zajac, GA Wittert, M Grossmann

Journal of Clinical Endocrinology and Metabolism | Published : 2021

Abstract

Context: Testosterone treatment increases bone mineral density (BMD) in hypogonadal men. Effects on bone microarchitecture, a determinant of fracture risk, are unknown. Objective: We aimed to determine the effect of testosterone treatment on bone microarchitecture using high resolution-peripheral quantitative computed tomography (HR-pQCT). Methods: Men ≥ 50 years of age were recruited from 6 Australian centers and were randomized to receive injectable testosterone undecanoate or placebo over 2 years on the background of a community-based lifestyle program. The primary endpoint was cortical volumetric BMD (vBMD) at the distal tibia, measured using HR-pQCT in 177 men (1 center). Secondary endp..

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