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BioScientifica, European Journal of Endocrinology, 6(162), p. 1155-1164, 2010

DOI: 10.1530/eje-09-0970

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Endogenous hormones, androgen receptor CAG repeat length and fluid cognition in middle-aged and older men: results from the European Male Ageing Study

This paper was not found in any repository, but could be made available legally by the author.
This paper was not found in any repository, but could be made available legally by the author.

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Abstract

Objective: Data remain divergent regarding the activational effects of endogenous hormones on adult cognitive function. We examined the association between cognition, hormones and androgen receptor (AR) CAG repeat length in a large cohort of men. Design: Community-based, cross-sectional study of 3,369 men aged 40-79 years. Methods: Cognition tests were the Rey-Osterrieth Complex Figure, Camden Topographical-Recognition-Memory and Digit-Symbol Substitution. A fluid cognition (FC) z-score was computed from the individual tests. Testosterone (T), oestradiol (E2) and 5alpha-dihydrotestosterone (DHT) were measured by gas chromatography-mass spectrometry (GC-MS); dehydroepiandrosterone-sulphate (DHEAS), luteinising hormone (LH), follicle-stimulating hormone (FSH) and sex hormone-binding globulin (SHBG) by electrochemiluminescence. Free T/E2 were calculated from total hormone, SHBG and albumin. CAG repeat lengths were assayed by PCR genotyping. Results: Total and free T were associated with higher, LH and FSH with lower FC z-scores in age-adjusted linear regressions. After adjusting for health, lifestyle and centre, a modest association was only observed between DHEAS and a lower FC z-score (beta=-0.011, P=0.02), although this was driven by subjects with DHEAS levels >10micromol/L. Locally-weighted plots revealed no threshold effects between hormones and fluid cognition. There was no association between CAG repeat length and FC z-score after adjustment for age and centre (beta=-0.007, P=0.06), nor any interaction effect between CAG repeat length and hormones. Conclusion: Our results suggest endogenous hormones are not associated with a vision-based measure of fluid cognition among healthy, community-dwelling men. Further studies are warranted to determine whether 'high' DHEAS levels are associated with poorer performance on a broader range of neuropsychological tests.