Division of Family Medicine, Department of Family and Community Medicine, Tri-Service General Hospital, Taiwan, Republic of China.
School of Medicine, National Defense Medical Center, Taiwan, Republic of China.
J Hum Nutr Diet. 2021 Apr;34(2):334-344. doi: 10.1111/jhn.12828. Epub 2020 Oct 22.
Multiple studies have uncovered the effects that ingested fat has on human blood levels of testosterone. Yet, few reports have discussed the effect of circulating serum free fatty acids (FFAs). The present study aimed to explore the relationship between serum free fatty acids and blood levels of testosterone.
In total, 5719 adults were pooled from the database of the National Health and Nutrition Examination Survey (NHANES) from 2011 to 2012. Based on multivariable-linear regression models, we employed a total of 30 FFAs to interpret the relationship of FFAs with blood levels of testosterone. Two models with covariate adjustments were designated for further evaluation and analysis.
Capric acid [β = -0.014, 95% confidence interval (CI) = -0.023, -0.004, P = 0.005], myristic acid (β = -0.001, 95% CI = -0.001, 0.000, P ≤ 0.001), pentadecanoic acid (β = -0.013, 95% CI = -0.018, -0.008, P ≤ 0.001), margaric acid (β = -0.011, 95% CI = -0.017, -0.005, P ≤ 0.001) and alpha-linolenic acid (β = -0.001, 95% CI = -0.002, 0.000, P = 0.004) in the fully adjusted model were significantly negatively correlated with the testosterone level inh obese men. In the fully adjusted model for the female analysis, myristic acid, pentadecanoic acid, palmitic acid, margaric acid, stearic acid, myristoleic acid, oleic acid, nervonic acid and alpha-linolenic acid were found significantly associated with the testosterone level.
Our findings indicate a significant negative correlation between serum FFAs and blood levels of testosterone. Furthermore, we reveal the essentiality of serum FFAs and their potential effects on the reduction of testosterone levels.
多项研究揭示了摄入脂肪对人体血液中睾丸激素水平的影响。然而,很少有报道讨论循环血清游离脂肪酸(FFA)的影响。本研究旨在探讨血清游离脂肪酸与血液中睾丸激素水平之间的关系。
本研究共纳入了 2011 年至 2012 年国家健康和营养调查(NHANES)数据库中的 5719 名成年人。基于多变量线性回归模型,我们使用了总共 30 种 FFA 来解释 FFA 与血液中睾丸激素水平的关系。设计了两个具有协变量调整的模型进行进一步评估和分析。
在完全调整模型中,我们发现癸酸[β=-0.014,95%置信区间(CI)=-0.023,-0.004,P=0.005]、肉豆蔻酸(β=-0.001,95%CI=-0.001,0.000,P≤0.001)、十五烷酸(β=-0.013,95%CI=-0.018,-0.008,P≤0.001)、十七烷酸(β=-0.011,95%CI=-0.017,-0.005,P≤0.001)和α-亚麻酸(β=-0.001,95%CI=-0.002,0.000,P=0.004)与肥胖男性的睾丸激素水平呈显著负相关。在女性分析的完全调整模型中,我们发现肉豆蔻酸、十五烷酸、棕榈酸、十七烷酸、硬脂酸、肉豆蔻油酸、油酸、神经酸和α-亚麻酸与睾丸激素水平显著相关。
我们的研究结果表明,血清 FFA 与血液中睾丸激素水平之间存在显著的负相关。此外,我们揭示了血清 FFA 的重要性及其对降低睾丸激素水平的潜在影响。