STUDY ON SERUM TESTOSTERONE CONCENTRATION IN MALES WITH END STAGE CHRONIC KIDNEY DISEASE

Bá Nghĩa Phan1, , Trọng Hà Đinh, Việt Thắng Lê
1 Khoa Thận và lọc máu, Bệnh viện quân y 103, Học viện quân y

Main Article Content

Abstract

Objectives: To assess the serum testosterone concentration in males with end stage chronic kidney disease (CKD) and evaluate its relationship to some clinical and paraclinical characteristics. Methods: A cross-sectional descriptive study was conducted from April 2023 to October 2023 on 60 males diagnosed with end stage CKD, who were examined and treated at Military Hospital 103. Participants were males aged between 20 and 60, either married or in a relationship, and cohabitating with their spouse or partner. Serum testosterone concentration were assessed through blood biochemical tests. Results: The mean serum testosterone concentration in males with end stage CKD was 366.4 ± 156.2 ng/dL; 28.3% (17/60) of patients had testosterone concentration under 300 ng/dL. The serum creatinine concentration in the group with testosterone < 300 ng/dL was higher compared to the group with testosterone concentration ≥ 300 ng/dL (1070.5 ± 245.2 versus 829.8 ± 274.8 μmol/L, p = 0.003). Testosterone levels showed a moderate inverse correlation with serum creatinine levels, with R = -0.38, p = 0.002. Conclusion: In males with end-stage CKD, lower serum testosterone levels are associated with higher serum creatinine levels. Therefore, males with end stage CKD should undergo regular monitoring of serum testosterone levels, and timely adjustments may be necessary.


Keywords: Chronic kidney disease; Testosterone

Article Details

References

1. Chronic Kidney Disease in the United States. https://www.cdc.gov/ kidneydisease/publications-resources/ CKD-national-facts.html. 2023.
2. Navaneethan SD, Vecchio M, Johnson DW, et al. Prevalence and correlates of self-reported sexual dysfunction in CKD: A meta-analysis of observational studies. American Journal of Kidney Diseases. 2010; 56(4):670-685.
3. Park H, Ahn S, and Moon D. Evolution of guidelines for testosterone replacement therapy. JCM. 2019; 8(3):410.
4. Nguyễn Thị Thu Hà. Nghiên cứu kháng thể kháng HLA và mối liên quan với đặc điểm lâm sàng, cận lâm sàng ở bệnh nhân ghép thận. Luận án tiến sỹ y học. Học viện Quân y. 2022.
5. Đặng Thu Thanh. Nghiên cứu sự biến đổi nồng độ testosterone máu và rối loạn cương dương ở bệnh nhân nam 30 - 50 tuổi suy thận mạn tính lọc máu chu kỳ. Luận văn thạc sỹ y học, Học viện Quân y. 2009.
6. Gungor O, Kircelli F, Carrero JJ, et al. Endogenous Testosterone and mortality in male hemodialysis patients: Is it the result of aging?. Clinical Journal of the American Society of Nephrology. 2010; 5(11):2018-2023.
7. Dunkel L, Raivio T, Laine J, et al. Circulating luteinizing hormone receptor inhibitor(s) in boys with chronic renal failure. Kidney International. 1997; 51(3):777-784.
8. Wu H, Lee L, and Wang W. The association between serum testosterone and mortality among elderly men on hemodialysis. Clinical Laboratory Analysis. 2018; 32(5):e22394.
9. Yilmaz MI, Sonmez A, Qureshi AR, et al. Endogenous testosterone, endothelial dysfunction, and cardiovascular events in men with nondialysis chronic kidney disease. Clinical Journal of the American Society of Nephrology, 2011; 6(7):1617-1625.