Total Testosterone is Not Associated with Lean Mass or Handgrip Strength in Pre-menopausal Females
Affiliations
The aim of this study was to examine the relationship between endogenous testosterone concentrations and lean mass and handgrip strength in healthy, pre-menopausal females. Testosterone has been positively associated with lean mass and strength in young and older males. Whether this relationship exists in pre-menopausal females is unknown. Secondary data from the 2013-2014 National Health and Nutrition Examination Survey were used to test this relationship. Females were aged 18-40 (n = 716, age 30 ± 6 years, mean ± SD) and pre-menopausal. Multivariate linear regression models were used to examine associations between total testosterone, lean mass index (LMI) and handgrip strength. Mean ± SD testosterone concentration was 1.0 ± 0.6 nmol L and mean free androgen index (FAI) was 0.02 ± 0.02. In pre-menopausal females, testosterone was not associated with LMI (β = 0.05; 95%CI - 0.04, 0.15; p = 0.237) or handgrip strength (β = 0.01; 95%CI - 0.11, 0.12; p = 0.926) in a statistically significant manner. Conversely, FAI was associated with LMI (β = - 0.03; 95%CI - 0.05, - 0.02; p = 0.000) in a quadratic manner, meaning LMI increases with increasing FAI levels. Handgrip strength was not associated with FAI (β = 0.06; 95%CI - 0.02, 0.15; p = 0.137). These findings indicate that FAI, but not total testosterone, is associated with LMI in pre-menopausal females. Neither FAI nor total testosterone are associated with handgrip strength in pre-menopausal females when testosterone concentrations are not altered pharmacologically.
Aires I, Duarte J, Vitorino R, Moreira-Goncalves D, Oliveira P, Ferreira R Int J Mol Sci. 2024; 25(14).
PMID: 39062775 PMC: 11277416. DOI: 10.3390/ijms25147533.
World Athletics regulations unfairly affect female athletes with differences in sex development.
Bowman-Smart H, Savulescu J, OConnell M, Sinclair A J Philos Sport. 2024; 51(1):29-53.
PMID: 39015654 PMC: 7616231. DOI: 10.1080/00948705.2024.2316294.
Wang Y, Islam R, Hussain S, McNeil J, Davis S J Gerontol A Biol Sci Med Sci. 2023; 79(4).
PMID: 38157294 PMC: 10919882. DOI: 10.1093/gerona/glad287.
Factors Associated with Handgrip Strength Among Older Adults in Malaysia.
Shah S, Safian N, Mohammad Z, Nurumal S, Ibadullah W, Mansor J J Multidiscip Healthc. 2022; 15:1023-1034.
PMID: 35586078 PMC: 9109974. DOI: 10.2147/JMDH.S363421.
Handgrip strength and 2D : 4D in women: homogeneous samples challenge the (apparent) gender paradox.
Back N, Schaefer K, Windhager S Proc Biol Sci. 2021; 288(1964):20212328.
PMID: 34875193 PMC: 8651413. DOI: 10.1098/rspb.2021.2328.