Gettler Lee T, Sarma Mallika S, Gengo Rieti G, Oka Rahul C, McKenna James J
Department of Anthropology, University of Notre Dame, Notre Dame, IN, USA.
Eck Institute for Global Health, University of Notre Dame, Notre Dame, IN, USA.
Evol Med Public Health. 2017 Feb 11;2017(1):67-80. doi: 10.1093/emph/eox005. eCollection 2017.
In many settings, partnered, invested fathers have lower testosterone than single men or fathers who are not involved in caregiving. Reduced testosterone has been identified as a risk factor for multiple chronic diseases, and men's health also commonly varies by life history status. There have been few tests of whether variation in testosterone based on partnering and parenting has implications for men's health. We analysed data from a US population-representative sample (NHANES) of young-to-middle aged US men ( = 875; mean age: 29.8 years ± 6.0 [SD]). We tested for life history status differences in testosterone, adiposity levels and biomarkers of cardiovascular disease (CVD)-risk (HDL cholesterol; triglycerides; white blood cell count [WBC]). Partnered men residing with children (RC) had lower testosterone and elevated abdominal adiposity compared to never married men not residing with children. While they did not significantly differ for WBC or triglycerides, partnered RC men also had comparatively lower HDL. Partnered RC males' lower testosterone accounted for their relatively elevated adiposity, but testosterone, adiposity, and health-related covariates did not explain their relatively reduced HDL. Our results linking life history status-based differences in testosterone and adiposity, alongside our complementary HDL findings, indicate that testosterone-related psychobiology might have implications for partnered RC men's CVD risk in the US and other similar societal settings. These types of socially contextualized observations of men's health and physiological function particularly merit incorporation in clinical discussions of fatherhood as a component of men's health.
在许多情况下,有伴侣、参与育儿的父亲的睾酮水平低于单身男性或不参与育儿的父亲。睾酮水平降低已被确定为多种慢性疾病的风险因素,男性的健康状况通常也因生活史状态而异。基于伴侣关系和育儿情况的睾酮水平差异是否会对男性健康产生影响,这方面的研究很少。我们分析了来自美国一个具有人口代表性样本(国家健康与营养检查调查,NHANES)的年轻至中年美国男性的数据(n = 875;平均年龄:29.8岁±6.0[标准差])。我们测试了睾酮水平、肥胖程度以及心血管疾病(CVD)风险生物标志物(高密度脂蛋白胆固醇;甘油三酯;白细胞计数[WBC])在生活史状态方面的差异。与未与孩子同住的未婚男性相比,与孩子同住的有伴侣男性(RC)的睾酮水平较低,腹部肥胖程度较高。虽然他们在白细胞计数或甘油三酯方面没有显著差异,但有伴侣的RC男性的高密度脂蛋白也相对较低。有伴侣的RC男性较低的睾酮水平导致了他们相对较高的肥胖程度,但睾酮、肥胖程度以及与健康相关的协变量并不能解释他们相对较低的高密度脂蛋白水平。我们的研究结果将基于生活史状态的睾酮水平差异与肥胖程度联系起来,同时结合我们关于高密度脂蛋白的补充研究结果,表明与睾酮相关的心理生物学可能会影响美国及其他类似社会环境中有伴侣的RC男性患心血管疾病的风险。这些对男性健康和生理功能的社会背景化观察结果尤其值得纳入将为人父作为男性健康一部分的临床讨论中。