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男性体内皮质醇、硫酸脱氢表雄酮以及硫酸脱氢表雄酮/皮质醇比值对身体应激的反应受青春期发育的影响。

Cortisol, dehydroepiandrosterone sulphate and dehydroepiandrosterone sulphate/cortisol ratio responses to physical stress in males are influenced by pubertal development.

作者信息

Di Luigi L, Guidetti L, Baldari C, Gallotta M C, Sgrò P, Perroni F, Romanelli F, Lenzi A

机构信息

Unit of Endocrinology, Department of Health Sciences, University of Rome IUSM, Rome, Italy.

出版信息

J Endocrinol Invest. 2006 Oct;29(9):796-804. doi: 10.1007/BF03347373.

Abstract

To evaluate the influence of chronological age and pubertal development on the hypothalamus-pituitary-adrenal (HPA) axis response to stress, we studied the possible correlations between male pubertal characteristics and salivary cortisol (C), DHEAS and the DHEAS/C ratio before (pre-stress) and after acute exercise-stress in young male volunteers (no. 87; 13.3+/-2.1 yr). In our overall study population, the mean pre-stress salivary C and DHEAS concentrations, significantly increased after exercise-related stress, whereas the DHEAS/C ratio significantly decreased. Pre-stress salivary C was positively correlated with chronological age, and after-stress salivary C concentration variations were negatively correlated with pubertal stage, mean testis volume and pre-stress salivary DHEAS. Furthermore, salivary DHEAS concentrations and the DHEAS/C ratio, before and after exercise stress, were positively correlated with chronological age, pubertal stage, pre-stress salivary testosterone (T), testis volume and body mass index (BMI). In contrast with late pubertal stages (P4, P5), young individuals at early stages of puberty (P1 to P3) showed higher C increase and lower DHEAS/C ratio after exercise-related stress. In conclusion, since C is also a mediator of stress-related negative effects on health and the DHEAS/C ratio has been hypothesized as an index for the degree to which an individual is buffered against the negative effects of stress, these data might suggest potentially increased stress-related risks at early stages of male puberty.

摘要

为评估实足年龄和青春期发育对下丘脑 - 垂体 - 肾上腺(HPA)轴应激反应的影响,我们研究了年轻男性志愿者(87名;13.3±2.1岁)青春期特征与唾液皮质醇(C)、硫酸脱氢表雄酮(DHEAS)以及急性运动应激前后DHEAS/C比值之间的可能相关性。在我们的总体研究人群中,运动相关应激后,应激前唾液C和DHEAS浓度均值显著升高,而DHEAS/C比值显著降低。应激前唾液C与实足年龄呈正相关,应激后唾液C浓度变化与青春期阶段、平均睾丸体积和应激前唾液DHEAS呈负相关。此外,运动应激前后唾液DHEAS浓度和DHEAS/C比值与实足年龄、青春期阶段、应激前唾液睾酮(T)、睾丸体积和体重指数(BMI)呈正相关。与青春期晚期阶段(P4、P5)相比,青春期早期阶段(P1至P3)的年轻个体在运动相关应激后显示出更高的C升高和更低的DHEAS/C比值。总之,由于C也是应激对健康产生负面影响的介质,并且DHEAS/C比值已被假定为个体抵御应激负面影响程度的指标,这些数据可能表明男性青春期早期与应激相关的风险可能增加。

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