Testosterone and gonadotropins but not SHBG vary with CKD stages in young and middle aged men

Abstract

Background: The aim of this study was to assess the effects chronic kidney disease (CKD) had on sex hormones and lipids in a subgroup of men between 18 and 50years old with CKD 1-5 stage without diabetes and not treated with hemodialysis. Methods: Data were collected from 101 men with different CKD stages. Results: Higher CKD stage (lower function) had a significant negative linear trend on total testosterone level (p<0.01) and free testosterone level (p<0.01), with a significant increase of luteinizing hormone (LH) (p<0.01), and prolactin (p<0.01), while SHBG remained unchanged between the CKD stages. Triglycerides but not total cholesterol, HDL -cholesterol or LDL-cholesterol increased with higher CKD stage. A negative correlation was observed between BMI, SHBG and free testosterone (p<0.01 for both) but not with other sex hormones. Age per se was related to a significant decrease of total and free testosterone level (p<0.01 for both) even after correction for BMI. Decreased levels of total testosterone and estimated free testosterone levels had a significant correlation with an increased level of triglyceride levels (p<0.01). Conclusions: Our results indicate that CKD stage per se is a factor affecting testosterone levels in combination with age in men between 18 and 50years old with CKD 1-5 stage, not treated with hemodialysis. With increased CKD stage there was a significant increase in LH level and a pattern of hypergonadotropic hypogonadism. SHBG remained unchanged between the CKD stages.