%0 Journal Article
%T Deficiencia androg¨¦nica en hombres de 60 a os y m¨¢s del ¨¢rea de salud Vedado Androgen deficiency in men aged 60 or more from Vedado health area
%A Eduardo ¨¢lvarez Seijas
%A Gilda Monteagudo Pe£¿a
%A Manuel G¨®mez Alzugaray
%A Celeste Arranz Calzado
%J Revista Cubana de Endocrinolog¨ªa
%D 2009
%I Editorial Ciencias M¨¦dicas
%X El declinar de la funci¨®n testicular propia del envejecimiento ha adquirido relevancia en los ¨²ltimos a os, sin embargo a¨²n no se conoce su prevalencia, ni existe uniformidad para el diagn¨®stico. Se realiz¨® un estudio descriptivo transversal con el objetivo de determinar la prevalencia y caracter¨ªsticas cl¨ªnico-hormonales del d¨¦ficit androg¨¦nico en varones de 60 a os y m¨¢s. Se incluyeron 70 sujetos de un ¨¢rea de salud, seleccionados mediante muestreo aleatorio estratificado poliet¨¢pico, a los cuales se interrog¨® sobre la presencia de s¨ªntomas de deficiencia androg¨¦nica, se les realiz¨® examen f¨ªsico general y genital y determinaciones de testosterona total, hormona luteinizante y hormona fol¨ªculo estimulante en sangre perif¨¦rica. De acuerdo con las concentraciones de la testosterona se dividieron en 2 grupos: a) sujetos con deficiencia androg¨¦nica y b) sujetos sin deficiencia androg¨¦nica. Los que presentaron d¨¦ficit androg¨¦nico ten¨ªan un peso significativamente superior, una proporci¨®n mayor de obesidad y una talla significativamente inferior. Los s¨ªntomas de d¨¦ficit androg¨¦nico fueron frecuentes, los refirieron indistintamente los integrantes de ambos grupos y se presentaron independientemente de las concentraciones de las hormonas sexuales. En general, las gonadotropinas estaban aumentadas fundamentalmente a expensas de hormona fol¨ªculo estimulante y su comportamiento fue independiente de las concentraciones de testosterona. Decline of testicular function typical of aging has acquired relevance in past years, however yet it is unknown its prevalence and there is not evenness for its diagnosis. A cross-sectional and descriptive study was made to determine the prevalence and clinical-hormonal features of androgen deficit in males aged 60 or more. Included are 70 subjects from a health area selected by multistage stratified randomized sampling that were interrogated about presence of androgen deficiency syndrome and underwent a physical and genital examination and total testosterone determinations, luteinizing hormone and follicle-stimulating hormone in peripheral blood. According the testosterone concentrations they were divided into two groups: a) subjects presenting with androgen deficiency and b) subjects without this type of deficiency. Those with androgen deficit had a higher weight, a higher obesity ratio, and a significantly lower height. The symptoms of androgen deficit were frequent, recounted indiscriminately by both groups and independently of sexual hormone concentrations. Generally, gonadotropins were increased mainly at the expense of folli
%K Hipogonadismo de inicio tard¨ªo
%K d¨¦ficit androg¨¦nico
%K testosterona
%K andropausia
%K envejecimiento
%K Late onset hypogonadism
%K androgen deficit
%K testosterone
%K male climateric
%K aging
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-29532009000200002