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Am J Physiol Endocrinol Metab (September 24, 2002). doi:10.1152/ajpendo.00363.2002
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Articles in PresS, published online ahead of print September 24, 2002
Am J Physiol Endocrinol Metab, 10.1152/ajpendo.00363.2002
Submitted on August 15, 2002
Accepted on September 18, 2002

Effects of an Oral Androgen on Muscle and Metabolism in Older, Community Dwelling Men

E. Todd Schroeder1, Atam Singh2, Shalender Bhasin2, Thomas W. Storer2, Colleen Azen1, Tina Davidon2, Carmen Martinez1, Indrani Sinha-Hikim2, S. Victoria Jaque1, Michael Terk1, and Fred R. Sattler1*

1 Department of Medicine, Radiology and Biokinesiology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
2 Department of Endocrinology, Metabolism, and Molecular Medicinecine, Charles Drew University of Medicine, Los Angeles, CA, USA

* To whom correspondence should be addressed. E-mail: fsattler{at}usc.edu.

To determine whether oxymetholone increases lean body mass (LBM) and skeletal muscle strength in older persons, 31 men 65-80 years of age were randomized to placebo (Group 1), 50-mg (Group 2) or 100-mg (Group 3) daily for 12 weeks. For the three groups, total LBM increased by 0.0±0.6, 3.3±1.2 (p<0.001) and 4.2±2.4 kg (p<0.001), respectively. Trunk fat decreased by 0.2±0.4, 1.7±1.0 (p=0.018) and 2.2±0.9 kg (p=0.005) in groups 1, 2 and 3, respectively. Relative increases in 1-repetition maximum (1-RM) strength for biaxial chest press of 8.2±9.2% and 13.9±8.1% in the two active treatment groups were significantly different than the change (-0.8±4.3)for the placebo group (p<0.03). For lat pull-down, 1-RM changed by -0.6±8.3%, 8.8±15.1% and 18.4±21.0 for the groups, respectively (1-way ANOVA; p=0.019). The pattern of changes among the groups for LBM and upper body strength suggested that changes might be related to dose. ALT increased by 72±67 U/L in Group 3 (p<0.001) and HDL cholesterol decreased by -19±9 and -23±18 mg/dL in groups 2 and 3, respectively (p=0.04 and p=0.008). Thus, oxymetholone improved LBM and maximal voluntary muscle strength, and decreased fat mass in older men.




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