Deficiencia androgénica en hombres de 60 años y más del área de salud Vedado

El declinar de la funcion testicular propia del envejecimiento ha adquirido relevancia en los ultimos anos, sin embargo aun no se conoce su prevalencia, ni existe uniformidad para el diagnostico. Se realizo un estudio descriptivo transversal con el objetivo de determinar la prevalencia y caracteristicas clinico-hormonales del deficit androgenico en varones de 60 anos y mas. Se incluyeron 70 sujetos de un area de salud, seleccionados mediante muestreo aleatorio estratificado polietapico, a los cuales se interrogo sobre la presencia de sintomas de deficiencia androgenica, se les realizo examen fisico general y genital y determinaciones de testosterona total, hormona luteinizante y hormona foliculo estimulante en sangre periferica. De acuerdo con las concentraciones de la testosterona se dividieron en 2 grupos: a) sujetos con deficiencia androgenica y b) sujetos sin deficiencia androgenica. Los que presentaron deficit androgenico tenian un peso significativamente superior, una proporcion mayor de obesidad y una talla significativamente inferior. Los sintomas de deficit androgenico fueron frecuentes, los refirieron indistintamente los integrantes de ambos grupos y se presentaron independientemente de las concentraciones de las hormonas sexuales. En general, las gonadotropinas estaban aumentadas fundamentalmente a expensas de hormona foliculo estimulante y su comportamiento fue independiente de las concentraciones de testosterona. Decline of testicular function typical of aging has acquired relevance in past years, however yet it is unknown its prevalence and there is not evenness for its diagnosis. A cross-sectional and descriptive study was made to determine the prevalence and clinical-hormonal features of androgen deficit in males aged 60 or more. Included are 70 subjects from a health area selected by multistage stratified randomized sampling that were interrogated about presence of androgen deficiency syndrome and underwent a physical and genital examination and total testosterone determinations, luteinizing hormone and follicle-stimulating hormone in peripheral blood. According the testosterone concentrations they were divided into two groups: a) subjects presenting with androgen deficiency and b) subjects without this type of deficiency. Those with androgen deficit had a higher weight, a higher obesity ratio, and a significantly lower height. The symptoms of androgen deficit were frequent, recounted indiscriminately by both groups and independently of sexual hormone concentrations. Generally, gonadotropins were increased mainly at the expense of follicle-stimulating hormone and its behavior was independent of the testosterone concentrations.